Launching WILLOW – The CDC’s First Intervention Specifically    for HIV Positive Women:     Pilot Lessons Learned         ...
Presentation Outline Background and Overview Curriculum and Materials Development Training Considerations and Challenge...
Dr. Carolyn P. Parks, Behavioral Scientist, Capacity BuildingBranch, Science Application Team, Division of HIV/AIDSPrevent...
Background and OverviewBackground   Intervention Researchers and Research   Intervention Purpose   Intervention Theory...
Background and Overview (Cont.)The Continuum of HIV Interventions for Women                          SISTA                ...
Background and Overview (Cont.)Session 1: Gender Pride and Social Support    Enhance personal self-worth and female pride...
Background and Overview (Cont.)Session 1: Gender Pride and Social Support (Cont.)    Distinguish among informational, emo...
Background and Overview (Cont.)Session 2: Healthy and Unhealthy Relationships    Identify characteristics of healthy and ...
Background and Overview (Cont.)Session 2: Healthy and Unhealthy Relationships (Cont.)    Understand the importance of goo...
Background and Overview (Cont.)Session 3: Condom Use   Demonstrate increased knowledge about STDs and HIV    reinfection ...
Background and Overview (Cont.)Session 3: Condom Use (Cont.)   Demonstrate and practice proper condom use skills   Demon...
Background and Overview (Cont.)Session 4: Coping Skills   Define stress and stressors   Identify the effects of stress o...
Background and Overview (Cont.)Session 4: Coping Skills (Cont.)   Identify ways of managing stress   Perform stress redu...
Background and Overview (Cont.)Session 4: Coping Skills (Cont.)
Background and Overview (Cont.)Session 4: Coping Skills (Cont.)
Background and Overview (Cont.)Willow Activities Mini-lectures              Case study scenarios Small group discussion...
Background and Overview (Cont.)Staffing for WILLOW   One Full-time Female Facilitator   One Female Facilitator Living wi...
Background and Overview (Cont.)Other Required Resources   Space   Funding – About $121K for 8 cycles   Intervention mat...
Background and Overview (Cont.)WILLOW Diffusion Activities WILLOW did not go through the REP process Six pilot trainings...
Background and Overview (Cont.)WILLOW Diffusion Activities (Cont.) As of August 2011 (all total):      Have conducted 12...
G. Chezia Carraway, Public Health Educator, Capacity BuildingBranch, Training and Development Team, Division of HIV/AIDSPr...
Curriculum and Materials DevelopmentCurriculum Development Target population considerations and context for curriculum  d...
Curriculum and Materials Development (Cont.)Materials Development Target population and facilitator considerations  and c...
Dana P. Williams, Co-founder and Executive Director, TheCommunity Wellness Project, St. Louis, MO – WILLOW MasterTrainerTR...
Training Considerations and ChallengesTraining   Identification and Selection of Peers   Facilitation Skills   Impact o...
Training Considerations and Challenges (Cont.)Agency Capacity   Agency Resources   Agency Infrastructure   Agency Fundi...
Training Considerations and Challenges (Cont.)Challenges Adaptation Issues Resources and Experience to Adapt Evaluation
Joan R. Ferguson, Independent Public Health Consultant, LucidCommunications, St. Louis, MO – WILLOW Master TrainerIMPLEMEN...
Implementation Issues and Reflections Specific Considerations for the Peer Facilitator The Role of the Mental Health Cou...
Implementation Issues and Reflections (Cont.) Implementation Experiences   – St. Louis WILLOW Facilitation
PERSONAL REFLECTIONS ONWILLOW FROM PEERS
Conclusion Personal Reflections from a WILLOW Peer Trainer
Conclusion Personal Reflections from a WILLOW Peer Facilitator
AcknowledgementsMembers of the SISTA, SIHLE, WILLOW Diffusion Team          of the Capacity Building Branch   Dr. Miriam ...
Acknowledgements                              The WILLOW TrainersJoan and Dana with Kneeshe Davis                         ...
Contact Information for WILLOWDr. Carolyn P. Parks, WILLOW Technical Monitor1600 Clifton Road NE, MS E-40, Atlanta, GA 303...
Thank You!Questions?
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Parks launchinLaunching WILLOW –The CDC’s First Intervention Specifically for HIV Positive Women:Pilot Lessons Learnedg willow

  1. 1. Launching WILLOW – The CDC’s First Intervention Specifically for HIV Positive Women: Pilot Lessons Learned Carolyn P. Parks, PhD G. Chezia Carraway, MSW Dana P. Williams Joan R. Ferguson 2011 National HIV Prevention Conference August 16, 2011 National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Place Division name here
  2. 2. Presentation Outline Background and Overview Curriculum and Materials Development Training Considerations and Challenges Implementation Issues and Reflections Personal Reflections of WILLOW from Peers Questions and Answers
  3. 3. Dr. Carolyn P. Parks, Behavioral Scientist, Capacity BuildingBranch, Science Application Team, Division of HIV/AIDSPrevention, Centers for Disease Control and PreventionBACKGROUND AND OVERVIEW
  4. 4. Background and OverviewBackground Intervention Researchers and Research Intervention Purpose Intervention Theory The Intervention Women Involved in Life Learning from Other Women
  5. 5. Background and Overview (Cont.)The Continuum of HIV Interventions for Women SISTA African American Young Adult Women Ages 18-29 SIHLE WILLOW African American Women Living with Female Teens who are HIV/AIDS Sexually Active Ages 18-50 Ages 14-18
  6. 6. Background and Overview (Cont.)Session 1: Gender Pride and Social Support  Enhance personal self-worth and female pride  Identify positive attributes of being a woman  Identify and prioritize personal values  Establish short- and long-term goals
  7. 7. Background and Overview (Cont.)Session 1: Gender Pride and Social Support (Cont.)  Distinguish among informational, emotional and practical forms of social support  Enhance existing social support networks  Identify new social support networks
  8. 8. Background and Overview (Cont.)Session 2: Healthy and Unhealthy Relationships  Identify characteristics of healthy and unhealthy relationships  Define relationship abuse  Identify types of abuse  Identify ways to cope with abuse in a relationship
  9. 9. Background and Overview (Cont.)Session 2: Healthy and Unhealthy Relationships (Cont.)  Understand the importance of good communication for positive relationships  Know the differences between assertive, non-assertive and aggressive communication styles
  10. 10. Background and Overview (Cont.)Session 3: Condom Use  Demonstrate increased knowledge about STDs and HIV reinfection  Identify high, low and no risk sexual activities  Understand the importance of condom use for each sexual experience
  11. 11. Background and Overview (Cont.)Session 3: Condom Use (Cont.)  Demonstrate and practice proper condom use skills  Demonstrate and practice negotiating condom use with partner  Identify benefits of using condoms  Dispel common myths about using condoms  Develop more positive attitudes towards using condoms consistently and correctly
  12. 12. Background and Overview (Cont.)Session 4: Coping Skills  Define stress and stressors  Identify the effects of stress on health  Identify personal stressors
  13. 13. Background and Overview (Cont.)Session 4: Coping Skills (Cont.)  Identify ways of managing stress  Perform stress reduction activities  Apply effective decision-making strategies for stress management
  14. 14. Background and Overview (Cont.)Session 4: Coping Skills (Cont.)
  15. 15. Background and Overview (Cont.)Session 4: Coping Skills (Cont.)
  16. 16. Background and Overview (Cont.)Willow Activities Mini-lectures  Case study scenarios Small group discussions  Personal contracts and assessments Role-plays  Demonstrations Games  Skills-building practice sessions Quizzes  Writing exercises Goal-setting  Thoughts for the Day
  17. 17. Background and Overview (Cont.)Staffing for WILLOW One Full-time Female Facilitator One Female Facilitator Living with HIV/AIDS Program Coordinator Mental Health Counselor/Professional
  18. 18. Background and Overview (Cont.)Other Required Resources Space Funding – About $121K for 8 cycles Intervention materials and supplies Incentives, childcare, transportation “Nutritional Supplements”
  19. 19. Background and Overview (Cont.)WILLOW Diffusion Activities WILLOW did not go through the REP process Six pilot trainings conducted between 2008- 2010 Three CBAs funded for WILLOW training and TA One TOT conducted in 2010 Nine CBOs funded for WILLOW implementation Four CBOs funded for WILLOW evaluation (CMEP) TOFs began in January 2011
  20. 20. Background and Overview (Cont.)WILLOW Diffusion Activities (Cont.) As of August 2011 (all total):  Have conducted 12 TOFs (6 pilots)  Have trained staff from over 20 CBOs, 4 HDs, and 3 medical centers/health clinics  Have trained approximately 170+ facilitators from 16 states and DC  Over 50% of facilitators are women living with HIV/AIDS  WILLOW TOFs have a 97% attendance rate
  21. 21. G. Chezia Carraway, Public Health Educator, Capacity BuildingBranch, Training and Development Team, Division of HIV/AIDSPrevention, Centers for Disease Control and PreventionCURRICULUM AND MATERIALSDEVELOPMENT
  22. 22. Curriculum and Materials DevelopmentCurriculum Development Target population considerations and context for curriculum development activities Walk-through conducted with Master Trainers Dry-run conducted with women living with HIV/AIDS Expanded activities and exercises based on target population and intervention needs Initial pilots indicated need to alter training curriculum from a 4-day to 5-day format Initial pilots indicated need to switch sessions two and four of the training Three subsequent pilots on 5-day training
  23. 23. Curriculum and Materials Development (Cont.)Materials Development Target population and facilitator considerations and context for materials development activities Initial draft developed by researcher and staff Extensive reviews and revisions by Technical Monitor and Diffusion Team Connected handouts to activities and exercises Intervention package revised for 5-day format Heavily scripted Implementation Manual to assist novice facilitators
  24. 24. Dana P. Williams, Co-founder and Executive Director, TheCommunity Wellness Project, St. Louis, MO – WILLOW MasterTrainerTRAINING CONSIDERATIONS ANDCHALLENGES
  25. 25. Training Considerations and ChallengesTraining Identification and Selection of Peers Facilitation Skills Impact of Training Challenges with Training Identification of a Peer Trainer CBO Implementation Planning Program Budget
  26. 26. Training Considerations and Challenges (Cont.)Agency Capacity Agency Resources Agency Infrastructure Agency Funding Sources Community-based (CBO) Readiness to Implement
  27. 27. Training Considerations and Challenges (Cont.)Challenges Adaptation Issues Resources and Experience to Adapt Evaluation
  28. 28. Joan R. Ferguson, Independent Public Health Consultant, LucidCommunications, St. Louis, MO – WILLOW Master TrainerIMPLEMENTATION ISSUES ANDREFLECTIONS
  29. 29. Implementation Issues and Reflections Specific Considerations for the Peer Facilitator The Role of the Mental Health Counselor/Professional Mental Health Challenges with Peers and Participants Cultural Competence and HIV/AIDS Cultural Competence and WILLOW
  30. 30. Implementation Issues and Reflections (Cont.) Implementation Experiences – St. Louis WILLOW Facilitation
  31. 31. PERSONAL REFLECTIONS ONWILLOW FROM PEERS
  32. 32. Conclusion Personal Reflections from a WILLOW Peer Trainer
  33. 33. Conclusion Personal Reflections from a WILLOW Peer Facilitator
  34. 34. AcknowledgementsMembers of the SISTA, SIHLE, WILLOW Diffusion Team of the Capacity Building Branch Dr. Miriam Phields, Diffusion Team Lead G. Chezia Carraway Dr. Arlene Edwards Jacqueline Elliott Andrea Kelly Jasmine Minaya Dr. Carolyn P. Parks Patricia Patrick Alberto Santana
  35. 35. Acknowledgements The WILLOW TrainersJoan and Dana with Kneeshe Davis Joan with Carolyn Massey and Ashley Ramsey – The Balm in Gilead Dana with Traci Joan and Dana with Bivens and LaVera Kneeshe Davis Anom - APLA
  36. 36. Contact Information for WILLOWDr. Carolyn P. Parks, WILLOW Technical Monitor1600 Clifton Road NE, MS E-40, Atlanta, GA 30333Telephone: (404) 639-8166Fax: (404) 639-0964E-mail: cup8@cdc.gov National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Place Division name here
  37. 37. Thank You!Questions?

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