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Viral Hepatitis Prevention Project (VHPP) in Massachusetts. Curriculum Development and Evaluation Kathleen Gilmore, MS Massachusetts Department of Public Health. VHPP in Massachusetts. Funded by CDC in 2000
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Viral Hepatitis Prevention Project (VHPP)in Massachusetts Curriculum Development and Evaluation Kathleen Gilmore, MS Massachusetts Department of Public Health
VHPP in Massachusetts • Funded by CDC in 2000 • Integrate viral hepatitis prevention into existing HIV counseling & testing programs • HAV, HBV, and HCV testing • Immunization for HAV & HBV • Five pilot sites • Curriculum developed as educational tool and resource manual
MDPH Objectives • Develop educational curriculum to support VHPP integration • Develop assessment tool • Provide training program using the manual • Evaluate results of training
VHPP Manual Development • Hepatitis C Curriculum Workgroup • Epidemiologists • Health Educators • HIV & Substance Abuse Services staff • Hepatitis C Advisory Committee • Texas Department of Health • Erie County Health Department
VHPP ManualA Guide to Integration • “Train the trainer” curriculum • Powerpoint presentation included • Resource Guide for health & human service providers • User registry for updates • Order card for other materials • Available on website • www. masshepc.org
VHPP AssessmentJSI Research & Training Institute, Inc.(JSI) Purpose • Describe 3 month “experience” of counselors at VHPP pilot sites • In terms of: • Hepatitis knowledge over time • Opinions of MDPH training • Experience of integration Evaluation is qualitative
VHPP Assessment – JSITools Tools: • VHPP Manual • Pre-training evaluation • Post- training evaluation • 3 month follow-up evaluation
VHPP Assessment – JSIMethods Training - 2 days • day 1 - all MDPH HCV programs • day 2 – VHPP sites only • 3 months – VHPP sites only • All sites completed hepatitis knowledge training satisfaction questions. • VHPP sites also given “integration” questions • 48 pre-tests and 53 post-tests completed
Results – Opinion of MDPH Training Training objectives were met: 94% - 100% Satisfaction with training: 72% - 77% • Logical presentation • Improve job efficiency • Client satisfaction • Manual is useful • Presenter was effective
Results – Views on Integration I often address HAV with clients • pre-training 29% • 3 month f/u 54% I often address HBV with clients • pre-training 29% • 3 month f/u 69% I often address HCV with clients • pre-training 71% • 3 month f/u 92%
Results – Services Offered Service % responding “most of the time” Pre-test 3 months Distribute materials 56% 64% Provide immunizations 22% 71% Provide HCV testing 25% 79% Referral to medical care 50% 64%
Results – VHPP Program Administration Questions % agreed A, B, and C tests are easy to understand 92% Receive result in a timely manner 83% Challenges with forms 50% • Take away from counseling 38% • Recommend non-english 75% • Too long 54%
Conclusions • Integration is possible – the manual helped the programs make the transition • VHPP staff are knowledgeable • Clear increase in services in 3 months