Viviendo Valiente AIDS Arms Inc Martha A Guerrero

Viviendo Valiente AIDS Arms, Inc. Martha A. Guerrero, BA Program Director Manisha H. Maskay, Ph. D. Principal Investigator Executive Director, Community & Client Services

Objectives Ø Identify and recruit HIV + and at high risk individuals of Mexican descent, 18 years of age or older Ø Remove barriers to testing and care Ø Link and engage HIV+ individuals in care/treatment

Intervention Description Priority population Service delivery setting Mexican, 18 or older, positive or at high risk for HIV o Dallas, TX Staffing Staff certification / training § § § 3 Promotores de Salud Data Management Specialist Evaluation Specialist Program Director Principal Investigator o Zip codes with high HIV incidence rates ü Promotor Certification -Texas DSHS ü NIH Protecting Human Research Participants Certification ü ARTAS training ü Healthcare Marketplace C. A. C. ü Motivational Interviewing techniques ü HIPAA compliance training ü Others as needed

Intervention Strategies • Identification of potential study participants Outreach activities § Community stakeholder referrals § Internal AIDS Arms referrals § • Linkage-to-care / Study recruitment / Retention Promotor de Salud role: § Provide support for those who test HIV + or are out of care § from linkage to engagement in medical care Use linkage to care strategies (e. g. , ARTAS) within the context of specific cultural needs of each client to ensure retention § Base frequency of contact based on the individual client’s needs assessment § Fade into background once the client is fully engaged in care but will re-engage upon client request or if client is at risk of dropping out of care § Program Director role: § Consent eligible clients who opt to engage in medical care at AIDS Arms and agree to participate in the study

Intervention Strategies, cont. Stigma reduction strategies: � Individual interventions will address stigma related to self-perception of the client and increase his/her capacity to cope with felt stigma. � Outreach and educational programs will address stigma at the community level. � The community assessment will guide the development of additional approaches. Client incentives § Testing Bus passes, gift cards • T-shirts, caps with Viviendo Valiente messages § Attendance of medical appointment • Bus passes, gift cards § Participation in evaluation activities • Bus passes, gift cards •

HIV Care Continuum Targets of Intervention Activities Categorize intervention activities within the HIV Care Cascade by placing an “X” in the appropriate boxes below. Only include activities funded by HRSA/SPNS. Stigma reduction Identification Linkage Outreach activities x x x Eban intervention, modified x Intervention Activities: Retention Media presence Latino MSM websites x x x Radio (culturally-relevant) x x x Print (culturally-relevant) x x x ARTAS intervention Promotores de Salud x Incentives x x x

Intervention Update Adaptation of evidence-based interventions: • Eban Health Promotion model, Farm Worker Justice (FWJ) HIV intervention Documentation of procedures to be used in intervention: • Specific protocols and procedures will be developed to guide how the interventions will be conducted, documented and reported Changes to be made to our intervention: • • Eban model • Language • Cultural relevance • Number of sessions per community feedback • Inclusion of strategies used in Farm Worker Justice HIV Intervention such as use of fotonovelas Promotores de Salud will remain engaged with the client for a longer period of time than previously proposed in order to ensure client is fully engaged in care and to promote retention in care Challenges faced in design/implementation of our intervention: • N/A Timeline for implementation of our intervention: • Year 2 - Quarter 1, on-going

Stakeholder survey Promotion of VV efforts Collaboration Access to Mexican pop. LULAC – Rainbow Chapter x x Vickery Meadow Management Corp. Action Team x x Promise House x x x N. Dallas Shared Ministries x x LBU Community Clinic x x First United Methodist – Richardson x x First United Methodist - Plano x x Casa Linda United Methodist Church x x Centro de Mi Salud – Behavioral Ctr. x x AIDS Interfaith Network x x Partners / collaborators to date

Thank y 0 u! Manisha H. Maskay - Principal Investigator Tel. 214 -521 -5191, ext. 3315 manisha. maskay@aidsarms. org Martha A. Guerrero - Program Director Tel. 214 -521 -5191, ext. 3387 martha. guerrero@aidsarms. org Nicole S. Chisolm – Evaluation Specialist Tel. 214 -521 -5191 nicole. chisolm@aidsarms. org