http://www.apeb.org
AIDS Project East Bay collaborates with the Sexual Minority Alliance of Alameda County (SMAAC) and Alameda County Medical Center (ACMC) in this project. New and adapted programs, within an existing network of programs, will comprise a youth-directed, community-based outreach based through a variety of approaches.     

The local evaluation design includes a prospective, repeated measures design, which also compares enrollees with a control group of those receiving other East Bay AIDS Center (EBAC) services. Local evaluation of outreach and testing activities is through process evaluation and comparison of previous periods in a historical cohort approach. A faculty member of the University of California San Francisco will participate in the local site evaluation.

[click here to see Site Presentation given at January 2005 Grantee Meeting]

Intervention

• Outreach, counseling, testing, and referral (CTR), and linkages into community-based programs 
• Screen at ACMC (eventually developing rapid testing mobile van) 
• Cohort design, with repeated measures 
• Historical comparison group 
• Target population: African American

Outputs 

• Youth centered outreach n=7,500 high-risk young African American 
• Rapid testing to n=450 
• Link into care n=35 
• Link to community involvement, prevention with positives, and self-empowerment for n=50 
• Then enroll in Mpowerment and/or TLC 
• Repeated measures design. ni=3,050 (total N=6100); control group is those receiving other EBAC; cross-sectional for rest

Short Term Outcomes

• Increased awareness of HIV risks and benefits of HIV counseling/testing among African American MSM 
• Increased knowledge of serostatus among high risk MSMs 
• Increased engagement and retention of HIV+ into care 
• Decreased risk behaviors by HIV+ in care 
• Reduced risk behaviors among African American MSM

Long Term Outcomes 

• Improve health and wellbeing, and quality and length of life of HIV+ MSM

Proposed Local Evaluation Strategy 

• Outreach and testing to general population; process evaluation. Compare with historical data 
• Intervention participants vs. stages of change 
• Focus groups in first six months with members of target population 
• Cohort design 
• Process evaluation 
• Outcome evaluation: primary outcomes include: improved clinical outcomes, adherence to treatment and appointments, improved CD4 and viral load measurements, improved safer sex behavior