235116 SPNS Community Involvement Project Local Qualitative Process Evaluation

Monday, October 31, 2011

Louis F. Graham, DrPH, MPH , School of Public Health, University of Michigan, Ann Arbor, MI
Kevin Bynes, MEd , Health Promotion Department, AIDS Project East bay, Oakland, CA
Alvan Quamina, JD, PhD , AIDS Project East bay, Oakland, CA
Background: The Special Projects of National Significance (SPNS) initiative is a Health Resources and Services Administration (HRSA) HIV/AIDS program that sought to progress understanding through the support, development and evaluation of inventive models of HIV treatment aimed at young men who have sex with men (YMSM) of color between the ages of 13-24. The project targeted YMSM in Alameda County, California. Methods: Goals were to 1) improve health, well-being, and quality and length of life; and 2) increase medical adherence and decrease unsafe sexual practices. During the Spring and Summer of 2010, 20 semi-structured face-to-face interviews were performed with key informants including both project staff and program participants; and each interview lasted approximately 60 minutes. Identification of major domains served as the basis for content analyses. Results: Forty-eight percent of youth identified as Black, 35% as Latino; and were on average, 21 years old, ranging from 17 years to 24 years. Primary themes were delineated in 9 main categories: staff perceptions of overarching project aims; successes; challenges; overcoming barriers and facilitating success; outreach, recruitment, and enrollment; referral, treatment, and follow-up; challenges of YMSM, seroconversion, and pre-diagnosis; post-diagnosis: linkage to care, support, and youth outcomes; and serostatus disclosure. Conclusion: Findings from interviews with staff and youth intersected in three areas: mental health problems after diagnosis, HIV stigma and serostatus non-disclosure, and non-sexual health youth challenges. There were a number of lessons learned and ideas for future directions.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Differentiate between successful and unsuccessful outreach and recruitment strategies. Assess factors that contributed to successful referral, treatment, and follow-up of HIV-positive youth. Identify challenges of YMSM and issues related to seroconversion.

Keywords: Evaluation, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversaw this program evaluation.
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.