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Final Products ReportFinal Products Report
Jeffrey A. Sheldon, Ed. M.Jeffrey A. Sheldon, Ed. M.
Applied Social Science Research & Evaluation InternApplied Social Science Research & Evaluation Intern
Psycho-social Support & Counselling ProgrammePsycho-social Support & Counselling Programme
Sinikithemba HIV/Aids Care CentreSinikithemba HIV/Aids Care Centre
&&
Ph. D. Student (2)Ph. D. Student (2)
School of Behavioral & Organizational SciencesSchool of Behavioral & Organizational Sciences
Claremont Graduate UniversityClaremont Graduate University
Claremont, California, USAClaremont, California, USA
Motivations:Motivations:
• The current organizational climate at Sinikithemba &The current organizational climate at Sinikithemba &
McCord Hospital is one of readiness and commitment toMcCord Hospital is one of readiness and commitment to
change and growth.change and growth.
• Moving forward the quality improvement processesMoving forward the quality improvement processes
already begun around the systems that support HIV+already begun around the systems that support HIV+
patients towards achieving the highest possible level ofpatients towards achieving the highest possible level of
ARV adherence.ARV adherence.
• Continued systemization of processes and functions.Continued systemization of processes and functions.
Intentions:Intentions:
• Producing tools that initiate discussions, compel action,Producing tools that initiate discussions, compel action,
and inform decisions around the process of continuousand inform decisions around the process of continuous
quality improvement.quality improvement.
• Work that can be implemented without my furtherWork that can be implemented without my further
involvement.involvement.
• Serving as a point of departure for other applied socialServing as a point of departure for other applied social
scientists and evaluators.scientists and evaluators.
Process:Process:
• Ten weeks & approximately 400 hours working closelyTen weeks & approximately 400 hours working closely
with both the psycho-social support team and counselingwith both the psycho-social support team and counseling
staff.staff.
• Observations, reviewing documents, and discussionsObservations, reviewing documents, and discussions
with staff about processes and functions.with staff about processes and functions.
The “Compendium:”The “Compendium:”
• Provides a rationale for each project.Provides a rationale for each project.
• Delineates implementation and management tasks, andDelineates implementation and management tasks, and
what has been done to date.what has been done to date.
• Offers implementation and management tasks yet to beOffers implementation and management tasks yet to be
undertaken as suggestions for future project direction.undertaken as suggestions for future project direction.
Projects Started & Developed:Projects Started & Developed:
• On-going Counselling Pilot StudyOn-going Counselling Pilot Study
• Sinikithemba ART Patient Training Knowledge, Attitudes, &Sinikithemba ART Patient Training Knowledge, Attitudes, &
Beliefs Assessment Pilot StudyBeliefs Assessment Pilot Study
• Situational Analysis of McCord Hospital’s HIV/Aids CounsellingSituational Analysis of McCord Hospital’s HIV/Aids Counselling
ProgrammeProgramme
• Psycho-social Screening Tool Additions toPsycho-social Screening Tool Additions to TrakTrak HealthHealth
• Sinikithemba Counselling Programme Situational Analysis &Sinikithemba Counselling Programme Situational Analysis &
Training Needs AssessmentTraining Needs Assessment
• Sinikithemba Forms & Training Materials EvaluationSinikithemba Forms & Training Materials Evaluation
On-Going Counselling PilotOn-Going Counselling Pilot
Study:Study:
• Purpose:Purpose: Testing the concept of on-going counselingTesting the concept of on-going counseling
from the perspective of a more proactive approach tofrom the perspective of a more proactive approach to
engaging with patients.engaging with patients.
• Utility:Utility: Ready for full implementation - the protocol,Ready for full implementation - the protocol,
counsellor guidelines, and a data collection tool havecounsellor guidelines, and a data collection tool have
been developed.been developed.
ART Patient TrainingART Patient Training
Assessment Methods PilotAssessment Methods Pilot
Study:Study:
• Purpose:Purpose: To test which of the proposed knowledgeTo test which of the proposed knowledge
assessment methods, or some combination thereofassessment methods, or some combination thereof
works best with our patient population.works best with our patient population.
• Utility:Utility: There is a pool of questions – oral, written, andThere is a pool of questions – oral, written, and
pictorial from which to draw items for testing which modepictorial from which to draw items for testing which mode
of assessment or some combination thereof is mostof assessment or some combination thereof is most
effective. One type of study (quasi-experimental, post-effective. One type of study (quasi-experimental, post-
only) has been designed and there is a protocol that canonly) has been designed and there is a protocol that can
be followed for its implementation.be followed for its implementation.
Situational Analysis OfSituational Analysis Of
McCord Hospital’s HIV/AidsMcCord Hospital’s HIV/Aids
Counselling Programme:Counselling Programme:
• Purpose:Purpose: 1) Increasing the awareness of how patients1) Increasing the awareness of how patients
move throughout the system, in particular wheremove throughout the system, in particular where
counselling is used as an intervention, and 2) what thecounselling is used as an intervention, and 2) what the
ideal patient process might entail from that perspective.ideal patient process might entail from that perspective.
• Utility:Utility: Serving as a point of departure for 1) evaluatingServing as a point of departure for 1) evaluating
the gaps between the current patient system and thethe gaps between the current patient system and the
ideal patient system, and 2) beginning a dialogue aroundideal patient system, and 2) beginning a dialogue around
the development of a planning and implementationthe development of a planning and implementation
process for filling in those gaps.process for filling in those gaps. Sometimes, awarenessSometimes, awareness
is enough to compel action.is enough to compel action.
Psycho-Social Screening ToolPsycho-Social Screening Tool
Additions ToAdditions To TrakTrak Health:Health:
• Purpose:Purpose: Improving the quality and quantity ofImproving the quality and quantity of
information about patients such that non-adherence risk-information about patients such that non-adherence risk-
factors can be “red flagged” earlier in the system andfactors can be “red flagged” earlier in the system and
interventions put in place.interventions put in place.
• Utility:Utility: Serving as a catalyst for discussions about qualityServing as a catalyst for discussions about quality
improvements in the flow and management of patientimprovements in the flow and management of patient
information and providing a mock-up of what pagesinformation and providing a mock-up of what pages
might look like on themight look like on the TrakTrak Health system.Health system.
Counselling ProgrammeCounselling Programme
Situational Analysis &Situational Analysis &
Training Needs Assessment:Training Needs Assessment:
• Purpose:Purpose: Continuing the work started by Monty &Continuing the work started by Monty &
Stephanie Thomas around development of a counselorStephanie Thomas around development of a counselor
training program through integration of additionaltraining program through integration of additional
evidenced-based counselor competencies andevidenced-based counselor competencies and
standards.standards.
• Utility:Utility: Serving as a catalyst that will bring together forServing as a catalyst that will bring together for
dialogue existing, yet disparate elements of a formal,dialogue existing, yet disparate elements of a formal,
comprehensive counselor training program, e.g., thecomprehensive counselor training program, e.g., the
Training Centre, the Resource Centre, the PsychologyTraining Centre, the Resource Centre, the Psychology
Department,Department, et alet al..
Sinikithemba Forms &Sinikithemba Forms &
Training Materials Evaluation:Training Materials Evaluation:
• Purpose:Purpose: Creating awareness of 1) all the forms that areCreating awareness of 1) all the forms that are
used either directly or indirectly by counseling staff andused either directly or indirectly by counseling staff and
how patient information moves throughout the system,how patient information moves throughout the system,
and 2) all the printed materials that are used byand 2) all the printed materials that are used by
counselors or provided to patients during training.counselors or provided to patients during training.
• Utility:Utility: Serving as a catalyst for discussions about theServing as a catalyst for discussions about the
utility of each form to determine 1) revisions that need toutility of each form to determine 1) revisions that need to
be made, if any; 2) which forms currently in use wouldbe made, if any; 2) which forms currently in use would
better serve in an electronic format; 3) the types of formsbetter serve in an electronic format; 3) the types of forms
that need to be added; and 4) the accessibility vis-à-visthat need to be added; and 4) the accessibility vis-à-vis
quality and quantity of the information patients receive.quality and quantity of the information patients receive.
External Research &External Research &
Evaluation Proposal:Evaluation Proposal:
• Purpose:Purpose: Providing a list of questions to be asked ofProviding a list of questions to be asked of
potential external researchers and evaluators as anpotential external researchers and evaluators as an
indication of their general competency in conductingindication of their general competency in conducting
research or evaluation and the motive behind such work.research or evaluation and the motive behind such work.
• Utility:Utility: Can be used to pre-screen external researchersCan be used to pre-screen external researchers
and evaluators by the Ethics Committee and anyone elseand evaluators by the Ethics Committee and anyone else
impacted by the proposed work.impacted by the proposed work.
The Final Analysis:The Final Analysis:
• This work should be utilized wholly at the discretion ofThis work should be utilized wholly at the discretion of
those who are charged with implementing these projectsthose who are charged with implementing these projects
and studies.and studies.
• This work should be reviewed by more than one personThis work should be reviewed by more than one person
and that as time permits, discussions take place as aand that as time permits, discussions take place as a
collective so any resulting decisions about the use ofcollective so any resulting decisions about the use of
these materials are mutually agreed upon.these materials are mutually agreed upon.
• Any one project or study is likely to impact multiple areasAny one project or study is likely to impact multiple areas
across both Sinikithemba and McCord so involvement ofacross both Sinikithemba and McCord so involvement of
the many will be more beneficial than involvement of thethe many will be more beneficial than involvement of the
few.
Thank You
&
God Bless

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Final Products Report Summary

  • 1. Final Products ReportFinal Products Report Jeffrey A. Sheldon, Ed. M.Jeffrey A. Sheldon, Ed. M. Applied Social Science Research & Evaluation InternApplied Social Science Research & Evaluation Intern Psycho-social Support & Counselling ProgrammePsycho-social Support & Counselling Programme Sinikithemba HIV/Aids Care CentreSinikithemba HIV/Aids Care Centre && Ph. D. Student (2)Ph. D. Student (2) School of Behavioral & Organizational SciencesSchool of Behavioral & Organizational Sciences Claremont Graduate UniversityClaremont Graduate University Claremont, California, USAClaremont, California, USA
  • 2. Motivations:Motivations: • The current organizational climate at Sinikithemba &The current organizational climate at Sinikithemba & McCord Hospital is one of readiness and commitment toMcCord Hospital is one of readiness and commitment to change and growth.change and growth. • Moving forward the quality improvement processesMoving forward the quality improvement processes already begun around the systems that support HIV+already begun around the systems that support HIV+ patients towards achieving the highest possible level ofpatients towards achieving the highest possible level of ARV adherence.ARV adherence. • Continued systemization of processes and functions.Continued systemization of processes and functions.
  • 3. Intentions:Intentions: • Producing tools that initiate discussions, compel action,Producing tools that initiate discussions, compel action, and inform decisions around the process of continuousand inform decisions around the process of continuous quality improvement.quality improvement. • Work that can be implemented without my furtherWork that can be implemented without my further involvement.involvement. • Serving as a point of departure for other applied socialServing as a point of departure for other applied social scientists and evaluators.scientists and evaluators.
  • 4. Process:Process: • Ten weeks & approximately 400 hours working closelyTen weeks & approximately 400 hours working closely with both the psycho-social support team and counselingwith both the psycho-social support team and counseling staff.staff. • Observations, reviewing documents, and discussionsObservations, reviewing documents, and discussions with staff about processes and functions.with staff about processes and functions.
  • 5. The “Compendium:”The “Compendium:” • Provides a rationale for each project.Provides a rationale for each project. • Delineates implementation and management tasks, andDelineates implementation and management tasks, and what has been done to date.what has been done to date. • Offers implementation and management tasks yet to beOffers implementation and management tasks yet to be undertaken as suggestions for future project direction.undertaken as suggestions for future project direction.
  • 6. Projects Started & Developed:Projects Started & Developed: • On-going Counselling Pilot StudyOn-going Counselling Pilot Study • Sinikithemba ART Patient Training Knowledge, Attitudes, &Sinikithemba ART Patient Training Knowledge, Attitudes, & Beliefs Assessment Pilot StudyBeliefs Assessment Pilot Study • Situational Analysis of McCord Hospital’s HIV/Aids CounsellingSituational Analysis of McCord Hospital’s HIV/Aids Counselling ProgrammeProgramme • Psycho-social Screening Tool Additions toPsycho-social Screening Tool Additions to TrakTrak HealthHealth • Sinikithemba Counselling Programme Situational Analysis &Sinikithemba Counselling Programme Situational Analysis & Training Needs AssessmentTraining Needs Assessment • Sinikithemba Forms & Training Materials EvaluationSinikithemba Forms & Training Materials Evaluation
  • 7. On-Going Counselling PilotOn-Going Counselling Pilot Study:Study: • Purpose:Purpose: Testing the concept of on-going counselingTesting the concept of on-going counseling from the perspective of a more proactive approach tofrom the perspective of a more proactive approach to engaging with patients.engaging with patients. • Utility:Utility: Ready for full implementation - the protocol,Ready for full implementation - the protocol, counsellor guidelines, and a data collection tool havecounsellor guidelines, and a data collection tool have been developed.been developed.
  • 8. ART Patient TrainingART Patient Training Assessment Methods PilotAssessment Methods Pilot Study:Study: • Purpose:Purpose: To test which of the proposed knowledgeTo test which of the proposed knowledge assessment methods, or some combination thereofassessment methods, or some combination thereof works best with our patient population.works best with our patient population. • Utility:Utility: There is a pool of questions – oral, written, andThere is a pool of questions – oral, written, and pictorial from which to draw items for testing which modepictorial from which to draw items for testing which mode of assessment or some combination thereof is mostof assessment or some combination thereof is most effective. One type of study (quasi-experimental, post-effective. One type of study (quasi-experimental, post- only) has been designed and there is a protocol that canonly) has been designed and there is a protocol that can be followed for its implementation.be followed for its implementation.
  • 9. Situational Analysis OfSituational Analysis Of McCord Hospital’s HIV/AidsMcCord Hospital’s HIV/Aids Counselling Programme:Counselling Programme: • Purpose:Purpose: 1) Increasing the awareness of how patients1) Increasing the awareness of how patients move throughout the system, in particular wheremove throughout the system, in particular where counselling is used as an intervention, and 2) what thecounselling is used as an intervention, and 2) what the ideal patient process might entail from that perspective.ideal patient process might entail from that perspective. • Utility:Utility: Serving as a point of departure for 1) evaluatingServing as a point of departure for 1) evaluating the gaps between the current patient system and thethe gaps between the current patient system and the ideal patient system, and 2) beginning a dialogue aroundideal patient system, and 2) beginning a dialogue around the development of a planning and implementationthe development of a planning and implementation process for filling in those gaps.process for filling in those gaps. Sometimes, awarenessSometimes, awareness is enough to compel action.is enough to compel action.
  • 10. Psycho-Social Screening ToolPsycho-Social Screening Tool Additions ToAdditions To TrakTrak Health:Health: • Purpose:Purpose: Improving the quality and quantity ofImproving the quality and quantity of information about patients such that non-adherence risk-information about patients such that non-adherence risk- factors can be “red flagged” earlier in the system andfactors can be “red flagged” earlier in the system and interventions put in place.interventions put in place. • Utility:Utility: Serving as a catalyst for discussions about qualityServing as a catalyst for discussions about quality improvements in the flow and management of patientimprovements in the flow and management of patient information and providing a mock-up of what pagesinformation and providing a mock-up of what pages might look like on themight look like on the TrakTrak Health system.Health system.
  • 11. Counselling ProgrammeCounselling Programme Situational Analysis &Situational Analysis & Training Needs Assessment:Training Needs Assessment: • Purpose:Purpose: Continuing the work started by Monty &Continuing the work started by Monty & Stephanie Thomas around development of a counselorStephanie Thomas around development of a counselor training program through integration of additionaltraining program through integration of additional evidenced-based counselor competencies andevidenced-based counselor competencies and standards.standards. • Utility:Utility: Serving as a catalyst that will bring together forServing as a catalyst that will bring together for dialogue existing, yet disparate elements of a formal,dialogue existing, yet disparate elements of a formal, comprehensive counselor training program, e.g., thecomprehensive counselor training program, e.g., the Training Centre, the Resource Centre, the PsychologyTraining Centre, the Resource Centre, the Psychology Department,Department, et alet al..
  • 12. Sinikithemba Forms &Sinikithemba Forms & Training Materials Evaluation:Training Materials Evaluation: • Purpose:Purpose: Creating awareness of 1) all the forms that areCreating awareness of 1) all the forms that are used either directly or indirectly by counseling staff andused either directly or indirectly by counseling staff and how patient information moves throughout the system,how patient information moves throughout the system, and 2) all the printed materials that are used byand 2) all the printed materials that are used by counselors or provided to patients during training.counselors or provided to patients during training. • Utility:Utility: Serving as a catalyst for discussions about theServing as a catalyst for discussions about the utility of each form to determine 1) revisions that need toutility of each form to determine 1) revisions that need to be made, if any; 2) which forms currently in use wouldbe made, if any; 2) which forms currently in use would better serve in an electronic format; 3) the types of formsbetter serve in an electronic format; 3) the types of forms that need to be added; and 4) the accessibility vis-à-visthat need to be added; and 4) the accessibility vis-à-vis quality and quantity of the information patients receive.quality and quantity of the information patients receive.
  • 13. External Research &External Research & Evaluation Proposal:Evaluation Proposal: • Purpose:Purpose: Providing a list of questions to be asked ofProviding a list of questions to be asked of potential external researchers and evaluators as anpotential external researchers and evaluators as an indication of their general competency in conductingindication of their general competency in conducting research or evaluation and the motive behind such work.research or evaluation and the motive behind such work. • Utility:Utility: Can be used to pre-screen external researchersCan be used to pre-screen external researchers and evaluators by the Ethics Committee and anyone elseand evaluators by the Ethics Committee and anyone else impacted by the proposed work.impacted by the proposed work.
  • 14. The Final Analysis:The Final Analysis: • This work should be utilized wholly at the discretion ofThis work should be utilized wholly at the discretion of those who are charged with implementing these projectsthose who are charged with implementing these projects and studies.and studies. • This work should be reviewed by more than one personThis work should be reviewed by more than one person and that as time permits, discussions take place as aand that as time permits, discussions take place as a collective so any resulting decisions about the use ofcollective so any resulting decisions about the use of these materials are mutually agreed upon.these materials are mutually agreed upon. • Any one project or study is likely to impact multiple areasAny one project or study is likely to impact multiple areas across both Sinikithemba and McCord so involvement ofacross both Sinikithemba and McCord so involvement of the many will be more beneficial than involvement of thethe many will be more beneficial than involvement of the few.