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I'm a Public Health Technology Researcher - Sheana Bull

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"I’m a public health technology researcher" was presented at Sex::Tech 2011 by Sheana Bull, PhD, MPH of University of Colorado Denver Colorado School of Public Health.

"I’m a public health technology researcher" was presented at Sex::Tech 2011 by Sheana Bull, PhD, MPH of University of Colorado Denver Colorado School of Public Health.


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  • 1. I’m a public health technology researcher
    Sheana Bull, PhD, MPH
    University of Colorado Denver
    Colorado School of Public Health
  • 2. If we knew what we were doing,
    we wouldn’t call it research
    Albert Einstein
  • 3. What is a public health technology researcher?
    Use research and program evaluation to
    Consider technology based approaches for interventions to prevent HIV/STI; Heart disease; Skin Cancer
    Develop interventions using these technologies
    Use research and program evaluation methods to see if they work
    Why bother?
    Funding funding funding
    How to best direct limited resources
    How to make your efforts worthwhile
    Here are some examples of the types of things we have worked on in the past or that are current
  • 4.
  • 5.
  • 6. Youthnet
  • 7.
  • 8. CyberSenga
  • 9. The 411 on Safe Text
    An R21 pilot study to test a mobile phone intervention for young black men in Philadelphia
    Text messages via cell
    Increased self-
    efficacy for negotiating
    abstinence & condom use &
    for remaining abstinent, &
    for using condoms.
    Increased intentions to remain abstinent or use condoms
    HIV Knowledge
    Positive attitudes and norms
    Re:
    Abstinence, condom use
    Abstinence
    Condom Use
    1R21MH083318-01
  • 10.
  • 11. Formative work
    Focus groups are not the only approach for design!!
    They remain a strong tool, but not the only one
    What is it?
    Before the program begins
    Often to
    Make sure you ‘know’ your audience-who they are and where they are
    Make sure you know the ‘right’ technology
    Design the ‘look and feel’ of your program
    Observation
    Research online
    http://www.pewinternet.org/
    Think of the next project you want to do. Who do you want to serve? What tech
    Do they use the most? What do you need to know about them?
  • 12. Formative work
    Usability
    Trialability
    Don’t forget your alpha and beta testing
    Walk throughs, ‘talk aloud’ procedures, field observations
  • 13. Process evaluation
    Document implementation of your program—is it working the way you planned?
    Do you need more staff? More sites? Better/different marketing?
  • 14.
  • 15. Lessons from Sex Quiz
    We learned we can REACH a lot of people (6000+ in a few weeks)
    We learned how to TAILOR information using algorithms
    If sex partners= or <1, then risk=0
    If male and sex partners=male, then risk=1
  • 16.
  • 17. Lessons from Smart Sex Quest
    Reaching large numbers online is one of the main advantages of the Internet
    However, while providing anonymity may be optimal, it may prevent you from learning how well your program works
    Only 24% of those who enrolled in SSQ returned for a F/U:
    Allowed men to remain anonymous
    Men had many e-mail addresses; may not have checked accounts
    Subsequently we decided to always ask for identifying information and contact information
    Allows for greater accountability—we must protect privacy
  • 18. Youthnet
  • 19. Lessons learned from Youthnet
    Intervention
    • Youthnet
    • 20. Persons exposed to the program had significant increases in norms for condom use
    0.06
    Condom Norms
    0.41
    Partner Norms
    Increases in condom use
    Negotiation Self-Efficacy
    Use Self-Efficacy
    Neg Outcome
    Pos Outcome
  • 21. A computer-based program delivered on kiosks in five Denver community settings serving English and/or Spanish speaking Latinos
    • Theories: Role Modeling, Norms, Attitudes, Self-efficacy; Social Support; Environmental support for healthy behavior
  • 22.
  • 23.
  • 24. Outcomes LUCHAR
    Significant increases in fruit and vegetable consumption, p<0.05;
    in physical activity, p,0.01
  • 25. CyberSenga
  • 26. Lessons learned from CyberSenga
    Still in field
    Can recruit and engage youth in ‘resource poor’ settings
    May have an easy to scale and replicate intervention
  • 27. The 411 on Safe Text
    An R21 pilot study to test a mobile phone intervention for young black men in Philadelphia
    Text messages via cell
    Increased self-
    efficacy for negotiating
    abstinence & condom use &
    for remaining abstinent, &
    for using condoms.
    Increased intentions to remain abstinent or use condoms
    HIV Knowledge
    Positive attitudes and norms
    Re:
    Abstinence, condom use
    Abstinence
    Condom Use
    1R21MH083318-01
  • 28. Lessons learned from the 411
    Can recruit and engage youth at high risk
    Can deliver an intervention on mobile platforms
    Intervention has potential—still needs to be tested for efficacy
  • 29. Just/Us
    Uses Facebook to deliver content and help users create content about HIV and STI prevention
    Really different from the “health educator” approach
    We recruited youth and then they post responses to the initial content
    Debate, dialogue and conversation means content isn’t proscribed
    Tries to work with networks of individuals; if this is a conversation among friends, it may be more valuable
    Meets people where they are at times convenient for them
  • 30.
  • 31. Lessons learned from Just/Us
    Can recruit using social media
    Can deliver an intervention using social media
    Does it work???
  • 32. So, what can a PH technology researcher help you to do?
    Understand the right technology to utilize for the audience you want to work with
    Consider different approaches to reaching your audience
    Face to face recruitment?
    Online recruitment?
    Peer recruitment?
    Help in designing program and making sure it runs as intended
    Develop appropriate objectives for your program
    Show whether and how well your program works
    Identify those elements of your program that are the most successful
  • 33. Objectives and Outcomes Evaluation
    SMART Objectives
    Specific
    Measurable
    Appropriate/Realistic
    Time bound
    Logic Models
    Show known inputs and expected outcomes of your program
  • 34.
  • 35. Research or Evaluation?
    Research:
    Is about new discovery—is this a new, never before tried initiative?
    Never with this audience?
    Never in this setting?
    What is the cost/effectiveness?
    Is this a replication of an intervention that hasn’t been yet widely adopted?
    What will it take to get as many people/agencies as possible to begin using this?
    Evaluation:
    Does this intervention work for this audience in this setting?
    Does this intervention work as well in this setting/for this audience as it did elsewhere?
    Does it cost the same to do this here as it has elsewhere?
  • 36. What your PH technology researcher may not be able to do:
    Information technology
    Programming/code
    Technological platform development
    Creative design
    Branding
    Marketing
    Filming, blogging, texting
    Health education
    Motivational interviewing
    Intervention delivery
    Peer education
    Connect to diverse audiences
    Elderly, youth, people of color, people with disabilities
    Fundraising
    Outside grant acquisition
    Event planning
  • 37. Discussion
    What do you most want a researcher/evaluator to do?
    How to identify/partner/contract
    Pub Med http://www.ncbi.nlm.nih.gov/pubmed/
    Local Universities
    Public Health, Psychology, Sociology, Anthropology
    Centers for Disease Control and Prevention
    National Network of Prevention Training Centers
    http://depts.washington.edu/nnptc/