225320 Process Evaluation Results from an Intervention to Increase Rural Minority Participation in HIV Clinical Trials

Monday, November 8, 2010 : 3:10 PM - 3:30 PM

Bahby Banks, PhD, MPH , Cecil B. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC
Ebun Olubukonla Odeneye, MPH , Department of Health Behavior/Health Education, UNC Gillings School of Global Public Health, Chapel Hill, NC
Connie Blumenthal, MPH , Cecil B. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill, Chapel Hill, NC
Giselle Corbie-Smith, MD, MSc , TraCS Community Engagement Core, University of North Carolina-Chapel Hill, Chapel Hill, NC
Background: Minorities are disproportionately affected by the epidemic, particularly in the rural Southeast. However, they are underrepresented in HIV clinical trials. To address this issue, Project EAST (Education and Access to Services and Testing) developed culturally sensitive outreach/enrollment interventions to increase minority participation in clinical trials. Educational curricula have been developed for service providers and people living with HIV/AIDS (PLWHA). Methods: A process evaluation was conducted during the pretest of the PLWHA sessions. This was done through observations, attendance logs, meeting notes, debriefings with facilitators, interviews and focus group discussions with participants. Quantitative and qualitative data were analyzed to assess the following process evaluation components: fidelity, dose delivered, dose received, and recruitment. Results: Overall, PLWHA curriculum was implemented as planned. All intended methods, strategies, content, and activities were employed. We recruited eight individuals to participate in the six sessions. Participants were actively engaged with the intervention components and reacted positively to the session facilitators. Finally, they reported high satisfaction levels with respect to the content and delivery of the intervention. Conclusions: Process evaluation insures effective implementation of public health programs with PLWHA. It is an essential step in intervention development as it allows for detailed assessment of intervention components. Furthermore, pretesting an intervention is vital for examining feasibility and applicability of an intervention. Triangulation of data from Project EAST staff members, facilitators and participants insures content appropriateness, effective delivery methods, while indicating potential areas of improvement.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research

Learning Objectives:
1. Describe the purpose and development of the process evaluation plan 2. Explain the extent to which the intervention pretest was implemented as planned 3. Identify challenges effective strategies for implementing a clinical trial enrollment intervention with people living with HIV/AIDS

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: This abstract is to be considered as part of the Proposed Session, "Increasing Minority Participation in HIV/AIDS Clinical Trials in Rural Southeastern Communities: A Public Health Imperative".

Qualified on the content I am responsible for because: I have seven years experience conducting public health research, with a focus on HIV/AIDS and health disparities. I currently serve as project coordinator for Project EAST (Education and Access to Services and Testing), where I oversee the development, implementation and evaluation of an intervention to increase rural minority participation in HIV clinical trials.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.