VIVIENDO VALIE

NTE

A I DS A R M S , I N

C .

M A R T H A A . G U E R R E R O , B A

P R O G R A M D I R E C T O R

M A N I S H A H . M A S K A Y , P h . D .

P R I N C I P A L I N V E S T I G A T O R

E X E C U T I V E D I R E C T O R , C O M M U N I T Y & C L I E N T S E R V I C E S

VIVIENDO VALIENTE PROJECT OVERVIEWImportance of Viviendo Valiente Latinos - 38% of the 2,368,139 Dallas Co. population (Census, 2010) Mexicans - 83% of Dallas Co. Latino population (Pew Hispanic Center) Dallas area Latinos were most likely to receive late dx - 2005-09

(Ryan White, 2010) 36% - AIDS dx within one year of HIV dx (Ryan White, 2010) 29% - AIDS dx within one month of HIV dx (Ryan White, 2010)

Mexican = 83%

Other Latinos = 17%

Core ObjectivesIdentify and recruit HIV positive and at-risk

individuals of Mexican descent, 18 years of age or older

Link and engage HIV+ individuals in care/treatmentRemove barriers to testing and care

VIVIENDO VALIENTE PROJECT OVERVIEW

What makes this project unique and innovative?Use of a multi-layered approach to promote prevention, HIV testing and linkage to care, address stigma and other key factors to promote engagement:• Family and community orientation• Community engagement using a health/wellness

approach• Significant collaboration with community partners

within and outside of the HIV continuum of care• Leveraging of opportunities provided by cultural,

festive, sports and other events

PARTNERS AND COLLABORATORS

Internal Programs Intensive linkage to care Case management Prevention Behavioral Health Peabody Health Ctr. Trinity Health/Wellness

Ctr. The

Community Partners Los Barrios Unidos Clinic LULAC Dallas Rainbow

Council Univision DFW Trans Pride Initiative Proyecto Inmigrante Kaliente (Gay, Latino bar) Mexican Consulate …

Strengthen Collaborations

Latino Cultural Center Teatro Dallas AIDS Interfaith Network AIDS Education & Training

Ctr Dallas Concilio Dallas City Council County Commissioners …

INTERVENTION DESCRIPTION Service delivery setting • Dallas County

Priority population • Mexican, 18 or older, positive

or at high risk for HIV

Staffing• 3 Promotores de Salud (PdS)• Data Management Specialist• Program Director• Principal Investigator

INTERVENTION DESCRIPTION Viviendo Valiente services and activities will occur at the community, family , group and individual level and will include–

• Community assessment to understand needs, barriers and ‘what matters’ to priority population• Community events planned and implemented in partnership with priority

population, the advisory board and community partners• framed by overall health & wellness objectives• set within cultural, festive, health, and family themes• providing HIV education and testing when appropriate

• Family level relationship building by PdS to build trust, address stigma, promote healthy behaviors

• Group intervention, Eban to be tailored for priority population and provided to participants

• Individual guidance and support provided by PdS to promote linkage to care for HIV positive individuals and ensure retention

INTERVENTION DESCRIPTION Recruitment strategies –

• Engage priority population to clarify needs, barriers to care, preferences• Outreach at community events by volunteers and PdS• Social media • Traditional referrals

Enrollment and linkage to care strategy –• Motivational Interviewing to achieve readiness• Use of the Intensive Linkage to Care strategy based on ARTAS• Strategic use of incentives to promote participation

Retention strategy -• Ongoing engagement with PdS and/or case manager to resolve barriers to care• EBAN intervention to promote empowerment• Engagement with activities sponsored by the HIVE and Viviendo Valiente• Close monitoring of attendance at medical and other appointments and quick

follow up when appointments are missedClient incentives –

• Strategically provided to promote participation in study activities, getting tested, attendance at medical appointments and retention

LOCAL EVALUATION Goals and objectives of the local evaluation• To determine whether the key components of the Viviendo Valiente

model were developed and implemented as set forth in the plan• To determine whether existing AIDS Arms programs provide culturally

congruent services to the priority population• To evaluate the effectiveness of the EBAN intervention for the priority

population • To select one critical priority area brought forth by the Community

Assessment for further in depth study

IRB: who will prepare protocol and which IRB will you work with? • AIDS Arms Evaluator/PI• Independent IRB - TBD

LOCAL EVALUATION Methods to be used• Focus groups• Surveys• Key informant and client interviews• Client record review

Desired study participants and their role in the evaluation• As previously described

Data collection instruments and strategies to be employed • TBD

LOCAL EVALUATION Data analysis approaches to be used • TBD

Agency’s dissemination of key findings• Workshops offered through local, regional and national forums

including conferences• Meetings with partner agencies through the AIDS Arms Network of

Affiliated Agencies, Ryan White Planning Council, etc.• White papers• Articles published in journals focusing on practice and services.• Others TBD

PROJECT TIMELINE FOR YEAR 1Start up activities (months 1-6)• Notify key stakeholders • Hire/train program director and

staff• Form local evaluation team/plan• Initiate IRB approval process.• Engage collaborators• Create Advisory Council

Evaluation planning & implementation • Participate in initial meeting with

ETAC

Initiation of demonstration project (months 7-12)• Conduct community assessment • Develop marketing materials• Develop protocols • Launch programs and activities• Conduct process monitoring• Modify Eban Model to be Mexican-centric

Key programmatic milestones• Program Director hired• Process of PdS selection started

¡GRACIAS!

Martha A. Guerrero, BAProgram Director | Viviendo Valiente

martha.guerrero@aidsarms.org214.521.5191

Manisha H. Maskay, Ph.D.Principal Investigator

Executive Director, Community and Client Services | AIDS Arms, Inc.manisha.maskay@aidsarms.org

214.521.5191