Process Evaluation of HIV Prevention Peer Groups in Malawi: A Look inside the Black Box

Autor/inn/en	McCreary, Linda L.; Kaponda, Chrissie P. N.; Kafulafula, Ursula K.; Ngalande, Rebecca C.; Kumbani, Lily C.; Jere, Diana L. N.; Norr, James L.; Norr, Kathleen F.
Titel	Process Evaluation of HIV Prevention Peer Groups in Malawi: A Look inside the Black Box
Quelle	In: Health Education Research, 25 (2010) 6, S.965-978 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyq049
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Intervention; Group Activities; Formative Evaluation; Prevention; Hospitals; Peer Groups; Foreign Countries; Peer Teaching; Volunteers; Health Education; Health Personnel; Rural Areas; Urban Areas; Adults; Adolescents; Interpersonal Competence; Program Descriptions; Records (Forms); Malawi + Suchen Sie Ihr Suchwort? Gruppenaktivität; Prävention; Vorbeugung; Krankengymnast; Krankenhaus; Gleichaltrigengruppe; Peer Group; Ausland; Peer group teaching; Peer Group Teaching; Freiwilliger; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Medizinisches Personal; Rural area; Ländlicher Raum; Urban area; Stadtregion; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Interpersonale Kompetenz; Formularsammlung
Abstract	This paper reports the process evaluation of a peer group intervention for human immunodeficiency virus (HIV) prevention which had positive outcomes for three target groups in Malawi: rural adults, adolescents and urban hospital workers. The six-session intervention was delivered to small groups of 10-12 participants by 85 trained volunteer peer leaders working in pairs. A descriptive, observational mixed methods design was used with a convenience sample of 294 intervention sessions. Using project records and a conceptually based observation guide, we examined five aspects of the implementation process. The context was favorable, but privacy to discuss sensitive issues was a concern for some groups. In study communities, program reach was 58% of rural adults, 70% of adolescents and nearly all hospital workers. Session records confirmed that all peer groups received the intended six sessions (dose delivered). The dose received was high, as evidenced by high participant engagement in peer group activities. Peer leaders were rated above the median for three indicators of peer group content and process fidelity: session management skills, interpersonal facilitation skills and whether more like a peer group than classroom. Documenting that this HIV prevention peer group intervention was delivered as intended by trained peer volunteers supports widespread dissemination of the intervention. (Contains 7 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10