243601 Using community-based participatory research to enhance and refine a lay health advisor-led intervention to reduce HIV risk among heterosexually active Latino men

Monday, October 31, 2011

Scott Rhodes, PhD, MPH, CHES , Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Mario Downs , Latino Partnership, AIDS Care Service, Winston-Salem, NC
Jorge Alonzo, JD , Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC
Stacy Duck, BA , 401B North Ivey Ave, Chatham Social Health Council, Siler City, NC
Cynthia Miller , Division of Public Health Sciences/Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Manuel Garcia , Chatham Social Health Council, Siler City, NC
Ellen Hendrix , Ellen Hendrix, LLC, Winston-Salem, NC
Michael Reece, PhD , Dept of Applied Health Science, Indiana University-Bloomington, Bloomington, IN
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Issues: Although Latino communities living in the US have been disproportionately affected by HIV, the development, implementation, and evaluation of prevention interventions designed to reduce infection among Latinos lags behind prevention efforts targeting other communities.

Description: A well-established CBPR partnership refined the HoMBReS intervention for heterosexually active Latino men based on lessons learned from its pilot test. The partnership engaged in the following steps including: expanding the partnership; developing and agreeing on intervention priorities based on locally collected formative data; reviewing theory; developing a logic model; reviewing and expanding intervention activities; exploring health communication; and pretesting and further refining the intervention.

The intervention maintained its foundation on social cognitive theory and empowerment education and utilized lay health advisors working within the social networks of soccer teams. Diverse learning modalities, including DVD segments, were added to augment lay health advisor training and served as a resource for the lay health advisors to use with their soccer teams. Monthly themes were added to focus and guide intervention implementation within soccer teams.

Lessons Learned: CBPR was a successful approach to combine research and community perspectives and knowledge into a meaningful intervention. CBPR incorporated the scientific foundations of behavioral change in an iterative process of co-learning among the partners, while ensuring that the refined intervention was rooted in the lived experiences of Latino men. The intervention is currently being tested rigorously.

Recommendations: CBPR has proven to be an effective means of intervention refinement and creating a more authentic intervention for a highly vulnerable population.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
At the conclusion of this presentation, participants will be able to: (1) Delineate the process of intervention development, which engaged an expanding partnership in a co-learning process; (2) Describe an innovative HIV prevention intervention for vulnerable Latino men, including training modules, learning objectives, key messages, and training activities; and (3) Detail the advantages and disadvantages of using a CBPR approach to intervention development and implementation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PhD level research with NIH funding for CBPR. Work in parntership with a strong CBPR partnership (lay community members, organizational representatives, and academic researchers) that focuses on HIV.
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.