GRANT WRITING PREPAREDNESS: WEBINAR SERIES

1. GRANT WRITING PREPAREDNESS: WEBINAR SERIES

2. GRANT WRITING PREPAREDNESS: WEBINAR SERIES • A collaboration: • Shared Action • AIDS Project Los Angeles- • C4H Project • Asian & Pacific Islander American Health Forum • The California STD/HIV Prevention Training Center

3. TODAY’S WEBINAR: WAS DEVELOPED BY: California STD/HIV Prevention Training Center Capacity Building Assistance Program Gustavo Campos

4. SelectingEffective Behavioral InterventionsandPublic Health Strategies

5. Agenda • Four Steps for selecting an Effective Behavioral Intervention (DEBI) • Defining and describing Public Health Strategies (PHS) for HIV prevention • Integrating PHSs and DEBIs

6. Four Steps for Selecting an Effective Behavioral Intervention (DEBI)

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12. Know intimately

13. Know intimately Assess Community HIV Prevention Needs and Strengths

14. Browse for Gift Options

15. Browse for Gift Options Examine Behavioral Interventions

16. What is my Gift Budget?

17. What is my Gift Budget? Assess Agency Capacity

18. Choose…

19. Choose… …the appropriate intervention

20. Four steps to select a DEBI

21. Two Questions Must Be Answered: • Which is the best behavioral intervention for my target population? • Does my agency have the resources to implement and maintain this behavioral intervention?

22. Key Definitions Making sure we are speaking the same language

23. What is a Behavioral Intervention? • It is an activity or group of activities based on behavioral theory, which are intended to motivate individuals and/or their social groups to change their behavior in order to reduce their health risk.

24. What is DEBI? • The Diffusion of Effective Behavioral Interventions (DEBI) project was designed to bring science-based behavioral HIV prevention interventions to community-based service providers and state and local health departments. • These packaged interventions are colloquially referred as “DEBIs”

25. Levels of Intervention Policy Laws • Community • PROMISE • Mpowerment • D-Up • POL HealthyRelationships 3MV SISTA • MIP • PCC Respect

26. Know intimately Step 1: Assess Community HIV Prevention Needs and Strengths

27. Four steps to select a DEBI

28. A Reliable Community Assessment includes: Epidata Interviews and focus groups Published articles Reports by Local Organizations

29. HIV Risk Factors HIV Risk Behaviors Focus on the Behavioral Determinants HIV & STD Epi Data How to use Community Assessment Results InterventionPopulation

30. What are HIV Risk Behaviors? • Only those behaviors that can directly pass HIV from one person to another: • Unprotected anal and vaginal intercourse • Sharing unclean syringes and works • Maternal/child contact (pregnancy, delivery, breast feeding)

31. HIV Risk Factors HIV Risk Behaviors Focus on the Behavioral Determinants HIV & STD Epi Data How to use Community Assessment Results InterventionPopulation

32. What are HIV Risk Factors? • Behaviors or circumstances that increase the chances that HIV transmission will occur • Some Risk Factors are behavioral determinants

33. HIV Risk Factors HIV Risk Behaviors Focus on the Behavioral Determinants HIV & STD Epi Data How to use Community Assessment Results InterventionPopulation

34. What are Behavioral Determinants? • Things that have been proven to influence risk behaviors • Often have to change BEFORE actual risk behavior can change • Behavioral interventions are designed to change these determinants

35. Behavioral Determinants • Intention • Knowledge • Attitudes and beliefs • Perception of risk (and others) • Self-efficacy • Skills • Values • Perceived norms • Social norms • Social support

36. HIV Risk Factors Low skills in condom negotiation Doesn’t know STD makes her more vulnerable to HIV Poverty Low levels of education Lives in high STD & HIV census tract Depression Economic dependency Low self-efficacy for condom use with main partner Gets STDs from main partner

37. HIV Risk Factors Low skills in condom negotiation Low skills in condom negotiation Doesn’t know STD makes her more vulnerable to HIV Doesn’t know STD makes her more vulnerable to HIV Poverty Low levels of education Lives in high STD & HIV census tract Depression Economic dependency Low self-efficacy for condom use with main partner Low self-efficacy for condom use with main partner Gets STDs from main partner Behavioral Determinants: knowledge, self-efficacy, skills in condom negotiation

38. Ready to recognize “behavioral determinants” in the daily language people use?

39. knowledge • attitudes & beliefs • perceived risk/severity • intentions “I know you don’t need to get tested for STDs if you don’t have symptoms” self-efficacy • skills • values • perceived norms • social norms • social support

40. knowledge knowledge • attitudes & beliefs • perceived risk/severity • intentions “I know you don’t need to get tested for STDs if you don’t have symptoms” self-efficacy • skills • values • perceived norms • social norms • social support

41. knowledge • attitudes & beliefs • perceived risk/severity • intentions “You can’t walk up and be in the group, you have to bareback to prove you’re one of us” self-efficacy • skills • values • perceived norms • social norms • social support

42. knowledge • attitudes & beliefs • perceived risk/severity • intentions “You can’t walk up and be in the group, you have to bareback to prove you’re one of us” self-efficacy • skills • values • perceived norms • social norms • social support social norms

43. knowledge • attitudes & beliefs • perceived risk/severity • intentions “I mean…we use condoms, but I don’t think you’re expected to do that with a ‘regular’ partner” self-efficacy • skills • values • perceived norms • social norms • social support

44. knowledge • attitudes & beliefs • perceived risk/severity • intentions “I mean…we use condoms, but I don’t think you’re expected to do that with a ‘regular’ partner” self-efficacy • skills • values • perceived norms • social norms • social support perceived norms

45. knowledge • attitudes & beliefs • perceived risk/severity • intentions “Getting HIV isn’t that bad; you just have to take a bunch of pills” self-efficacy • skills • values • perceived norms • social norms • social support

46. knowledge • attitudes & beliefs • perceived risk/severity • intentions perceived risk/severity “Getting HIV isn’t that bad; you just have to take a bunch of pills” self-efficacy • skills • values • perceived norms • social norms • social support

47. Narrowing your Population Intervention Urban Community With history of STDs African American MSM age 24-34 You might choose any of these groups as your DEBI intervention population STD history & has not been tested for HIV in over 2 years Has not been tested for HIV in over 2 years

48. Browse for Gift Options Step 2: Examine Behavioral Interventions

49. Four steps to select a DEBI

50. How to Learn about DEBIs • Go to www.effectiveinterventions.org • Use the Behavior Change Logic Models • Review the Behavioral Determinants • Read the DEBI Fact Sheets • Also review: CDC procedural guidance & research article on the intervention