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HIV Prevention on College Campuses: Adapting EBIs to HBCUs American Public Health Association San Francisco, CA Abt Associates Alejandra Mijares, MPH Liza Solomon, MHS, DrPH Chanza Baytop, MPH, DrPH Office of HIV/AIDS and Infectious Disease Policy Timothy Harrison, PhD.
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HIV Prevention on College Campuses: Adapting EBIs to HBCUs American Public Health AssociationSan Francisco, CA Abt Associates Alejandra Mijares, MPH Liza Solomon, MHS, DrPH Chanza Baytop, MPH, DrPH Office of HIV/AIDS and Infectious Disease Policy Timothy Harrison, PhD
Presenter Disclosures Alejandra Mijares (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose
HIV among African American Youth 13-24 years • 65% of new HIV infections
Agenda • Minority Serving Institution (MSI) Demonstration Initiative • Evidence-Based Interventions (EBI) • Implementation at NCCU • Adaptation of an EBI • Lessons Learned • Recommendations
MSI Initiative • Funded by Office of HIV/AIDS and Infectious Disease Policy • 7 MSIs • 4 Historically Black Colleges or Universities (HBCUs) • EBIs and College students
Evidence-Based Interventions • Packaging Process • Selecting an EBI • Need • Resources • Key Components
EBI: Key Components • Core elements • should not be changed • responsible for the effectiveness
EBI: Key Components • Key Characteristics • activities or delivery methods that can be adapted
Implementation at NCCU • Selected • SISTA: Sisters Informing Sisters about Topics on AIDS • Piloted multiple session intervention. • Noted and reviewed challenges.
Implementation at NCCU • Listed all activities and time allotted. • Noted activities that could be removed and reduced. • Reviewed and revised adaptation plan.
Adaptation • Implemented by African American Peer Educators.
Adaptation • Accelerated the introduction of concepts. • Reduced the length of the activities. • Took out repetitive introductory activities. • Multiple session to a Single session:
Adaptation • Reduced the number of poems (6 to 2 poems) • Used video “Reflections”: (6 minute video) • Compiled evaluations into one evaluation
Lessons Learned • Multi-session EBIs are more difficult to implement • EBIs can be adapted and implemented • Pilot of the EBI • Get student feedback!
Recommendations • The prevention needs of students • Resources of the implementing program • Ability to retain the core elements of the EBI • Selection of EBIs must be guided by:
Recommendations • Adaptation should be considered • Obtain student feedback when adapting • Document modifications, review/revise. • Provide incentives and resources for participants
Acknowledgements • Abt Associates Team • Minority-Serving Institutions • Dine College • Fort Valley State University • Jackson State University • North Carolina Central University • Southern University • Stone Child College • Partners: • NMAC • NNAAPC • Office of HIV/AIDS and Infectious Disease Policy
Resources • CDC DEBI Project http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions.aspx • CDC Capacity Building Assistance Portal for HIV Prevention http://www.cdc.gov/hiv/topics/cba/index.htm • CDC Compendium of Evidence-Based HIV Behavioral Interventions http://www.cdc.gov/hiv/topics/research/prs/compendium-evidence-based-interventions.htm • Scenarios USA (video clips) www.scenariosusa.org • AIDS.gov • Alex Mijares alex_mijares@abtassoc.com