Dissemination of a Community-level Intervention for Black MSM

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Part 1: Overview of d-up!

Part 2: The dissemination of d-up!

• First Steps: Choosing d-up!

• Trainings on d-up!

• Support for health departments

Presentation Roadmap

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Purpose of this Presentation

• Present the 2008-09 dissemination plan for d-up!

• The dissemination plan is intended to build the capacity of HDs to train agencies in implementing d-up!

• 1 of 2 presentations: intended to help agencies understand what is involved with the dissemination of d-up!

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Part 1 – OVERVIEW of d-up!

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d-up: Defend Yourself!Cultural adaptation of Popular Opinion Leader (POL):• Developed by and for Black MSM

• Reflects the cultural nuances, communication styles, and preferences of Black MSM

• Same theoretical background & implementation structure

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How d-up! Was Developed

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What is d-up: Defend Yourself!

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Community level intervention designed to change norms around condom use

What is d-up: Defend Yourself!

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Community level intervention designed to change norms around condom use

Directed at Black MSM who are in a social network with other Black MSM

What is d-up: Defend Yourself!

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Community level intervention designed to change norms around condom use

Identifies and trains opinion leaders—trusted and respected members of the targeted social network

Directed at Black MSM who are in a social network with other Black MSM

What is d-up: Defend Yourself!

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Community level intervention designed to change norms around condom use

Opinion leaders are deployed to have conversations with friends and acquaintances to

promote condom use and promote self-worth

Directed at Black MSM who are in a social network with other Black MSM

Identifies and trains opinion leaders—trusted and respected members of the targeted social network

What is d-up: Defend Yourself!

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Community level intervention designed to change norms around condom use

Over time, condom use becomes the social norm among the friendship groups and the

social network as a whole

Directed at Black MSM who are in a social network with other Black MSM

Identifies and trains opinion leaders—trusted and respected members of the targeted social network

Opinion leaders are deployed to have conversations with friends and acquaintances to

promote condom use and promote self-worth

Agency Capacity

At a minimum, an agency seeking to implement d-up! should have:

•Staff trained in recruitment & training

•Experience with Black MSM

•Access to Black MSM

•Access to venues frequented by Black MSM

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Agency Capacity

At a minimum, an agency seeking to implement d-up! should have:

•At least 1 social network of Black MSM with 100 or more members

•Resources to train 15% of each friendship group as opinion leaders

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Implementation Steps

I. Start-up/Pre-implementationa) Assess agency capacityb) Community Discovery to identify, map out, and

target a social network of Black MSM and venue(s)

II. Implementationa) Recruit opinion leadersb) Provide 4-session training of opinion leadersc) Deploy opinion leaders to have 14+ risk

reduction conversations each

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Questions About d-up! the

Intervention?

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Part 2 – DISSEMINATION of d-up!

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I. First Steps: Choosing d-up!II. Trainings on d-up!III. Support for health departments

I. Choosing d-up!

• Two introductory webinars:– The dissemination of d-up!

Nov. 6, 2008– Monitoring d-up!

Nov. 13, 2008

• Intervention overview documents available online

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Four Steps

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Four Steps

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Four Steps

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Four Steps

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Step 1—HD hosts a TOF• Health Departments host Trainings of

Facilitators (TOFs)• HDs request and coordinate TOFs using a

simple online system– http://www.effectiveinterventions.org – http://meetingsmacro.com/profile/web/index.cf

m?PKwebID=0x761fd29&varPage=home

• These TOFs have reserved slots for HD trainers Assign at least 2 trainers now!

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Step 2—Attend a HD-Hosted TOF• TOF is delivered by master trainers• Purpose:

– Build HD capacity to disseminate the intervention

• Expectation:– HDs commit their trainers to attend a TOT and

to subsequently train the intervention

• Slots are reserved for HDs: – 6 seats per TOF reserved for HD trainers

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TOFsTrainings Delivered by Master Trainers:• October: ATL, NYC• Washington, DC – December 2-5, 2008• Chicago, IL – December 9-12, 2008• Florida – January 13-16, 2009• Houston, TX – January 27-30, 2009• Philadelphia, PA February 10-13, 2009• NC currently scheduling• More TOFs by master trainers available for scheduling!

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Step 3—Trainers attend a TOT

• Delivered by master trainers

• Participants must have attended a TOF before the TOT

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TOTs

1. ATL: Week of Feb 23rd

2. Northeastern US, late winter early spring

3. West or Midwest, summer

4. ? Early Fall

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Step 4—HD delivers TOFs

• To begin in March 2009

• All HD-delivered TOFs are to take place by October 1, 2009

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Types of available support

• Online registration for participants

• Help with coordinating TOFs

• Coaching and TA for trainers

• Materials

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d-up! Materials

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Request to host & train your trainers

TODAY!www.effectiveinterventions.org

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Attend Part 2 Webinar on

d-up! monitoring ** Nov. 13 **

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For more information:

d-up@macrointernational.com

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DISCUSSION, Q&A

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CDC Contacts

Capacity Building Branch

David Whittier

david.whittier@cdc.hhs.gov

Office: (404) 639-3879

Dwayne Banks

dwayne.banks@cdc.hhs.gov

Office: (404) 639-3873

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