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eurosupport 5
project > DESCRIPTION OF THE PROJECT

Eurosupport 6 (2009-2012) will develop an evidence based training and resource package (TRP), focusing on sexual risk reduction and fertility-related issues. The project builds on the evidence accumulated during the previous project, Eurosupport 5, which collected evidence on SRH needs of PLWH, as well as on existing gaps in actual service provision. Eurosupport 6 uses this and other current evidence on sexual risk taking to develop and evaluate brief counselling interventions for clinical and community based HIV care settings.
 


The TRP will support service providers in their daily work to address SRH and positive prevention with HIV positive service users.

The TRP will be developed by a group of experts (HIV-treatment centres, research and patient organizations in 10 European countries) using rigorous scientific methods, e.g.: the intervention mapping model (Bartholomew et al. 2006). Innovative elements such as computer-assisted interventions and e-learning tools for service providers will be incorporated and tested for effectiveness using an experimental research design. Meaningful participation of service providers and people living with HIV throughout the whole development process will ensure that the final product will meet the needs of both providers and service users.

Eurosupport 6 has four specific objectives:

Developing evidence-based and theory guided interventions to improve SRH of PLWH (specifically targeted to both MSM and migrants). This will be achieved through the development of 2 sets of brief counselling interventions including computer assisted tools. Service providers will deliver these in clinical and community based HIV care settings. The change will be measured through a pre- and post test experimental design.
Developing a training and resource package for service providers in an integrated field of HIV/AIDS and SRH (including organizational policies to support implementation in service delivery). The achievement of this specific objective can be measured by the timely delivery of the two training events foreseen (March 2010 and March 2012), the development of the online training tools to reach a larger group of stakeholders (incl. collaborative partners) and the delivery of the full TRP.
Development of organizational policies on ways to integrate SRH related interventions in routine service delivery.
Maintaining a network of HIV and SRH experts and field organizations in Europe. This specific objective aims at increasing the number of stakeholders to be involved in the Eurosupport 6 network, which will be gradually expanded throughout the projects running time. Specific tools such as the adapted website and the ES 6 newsletters serve to disseminate information (incl. the TRP) and to facilitate mutual exchange of expertise.

By achieving these objectives, Eurosupport 6 will contribute to improving the quality of life of PLWH and to reducing new HIV infections.



Project design

Research and development track to develop and evaluate counseling interventions for clinical care and community based settings.

Capacity building track to develop tools for service providers for implementation including training events and the development of online training tools for service providers.


Methodology

Research and development track:

Intervention Mapping method (Bartholomew 2006; Kok 2006) will be used as theoretical guidance for the development of comparable interventions across settings.

The brief counseling interventions will be based on empirically tested behavioural theories (Stages of Change model, Prochaska et al. 1992; Information-motivation-behavioural skills model, Fisher and Fisher, 2000) and evidence based tools (motivational interviewing; client centered counseling). The intervention will be evaluated in various clinical care and community based settings. The effectiveness will be tested by using a randomized prospective experimental design (pre- and post test and 9 month follow up).

Capacity building track:

The intervention manuals will be the core piece of the TRP, which will also include additional materials, such as a trainer manual for service providers (incl. video material on DVD), user- friendly tools on how to adapt the tested interventions to other settings and online training tools for a wider group of stakeholders.

The training workshops will be built on core exercises serving the two main objectives of the workshops; e.g. capacity building to perform the intervention according to a structural pathway and capacity building to train other service providers in performing the intervention. Core exercises can be role play, modeling exercises and skills enhancing exercises (Oomkes, 2004). To achieve these objectives a series of specific exercises will be developed to support service providers in implementing and adapting the interventions to their own settings. The exercises will be illustrative, cases studies will be used to demonstrate how the intervention is carried out and which necessary steps participants have to consider when performing the intervention. The training workshops are guided by the learning cycle of Kolb (also guided by the Experiential Learning Theory “learning by doing”). In this sense, the use of different learning styles and methods enables the transmission and training of the necessary knowledge, attitudes, skills, emotions and support (KAVES principle) of service providers.


Outcomes

1) Outcomes on the level of the target groups of PLWH

PLWH are the ultimate target group and beneficiaries of the SRH interventions with focus on sexual risk reduction to be developed. The outcome of the SRH intervention research is the decrease in sexual risk behaviour.

2) Outcomes on the level of the service providers

Service providers in different settings (clinical health care settings, community-based settings) are the project’s intermediary target group. The project’s final output (the TRP) targets service providers in an integrated area of HIV and SRH with the ultimate objective to improve the SRH of PLWH and thereby also preventing onwards HIV infections and the transmission of STIs.

 
   
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