http://www.mochaproject.org
The purpose of this project is to modify and adapt comprehensive, theory based, and culturally appropriate prevention intervention programs for use with HIV-infected YCMSM, establish an effective outreach program which identifies infected YCMSM and links them into care, and increase counseling and testing of this population.     

This project will adapt the Many Men, Many Voices (3MV) curriculum for the younger target audience they will be enrolling and validate associated instruments; they also propose a randomized trial of the intervention. Finally, they will intensify outreach and co-locate services and expand other services to enhance outreach. The local evaluation will be conducted by a University of Rochester School of Nursing research team.

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

Intervention

• Intensified outreach via provider presentations, case finding and high-risk education in community settings, presence at community events, monthly newsletter, website, speakers bureau, and peer-led support group 
• Co-location of CTR and referral services with intensified outreach and MOCHA office activities 
• Enhanced CTR and referrals for services via a care collaborative 
• Primary care and case management via the care collaborative 
• Individualized prevention counseling with HIV+ using revised Rochester STD/HIV Behavioral Counseling (RoSHBeC) model 
• Small group level prevention intervention with HIV+ and peers using adapted 3MV curriculum  

Outputs 

•  A revised RoSHBeC model and a revised 3MV curriculum
• A clearly established network with identified responsibilities and sufficient links and capacity to provide culturally competent comprehensive care to HIV+
• Two focus groups and four pilot test groups involving 48 persons to adapt 3MV

Short Term Outcomes

• Increase awareness in the community of purpose and goals of MOCHA and the care collaborative
• Increase use of website
• Increase availability of culturally competent care and support services
• Increase knowledge of individual serostatus and early identification of HIV+ clients and enrollment into care systems at earlier disease stages
• Increase the number of providers who are competent with the revised RoSHBeC model and 3MV curriculum
• Increase the number of clients involved in behavior change via RoSHBeC counseling and 3MV groups

Long Term Outcomes 

• Increase understanding among YMSM of factors that influence risk behavior 
• Decrease risk taking behaviors among YMSM  

Proposed Local Evaluation Strategy 

•  Focus groups to assess and adapt (if needed) individual- and group-level curricula
• Evaluation of process data/fidelity to the intervention focusing on process, utilization, and programmatic
• Randomized controlled trial “feasibility pilot test” comparing ni=16 (N=32) YCMSM at their office, recruited with fliers, HIV prevention intervention, and the general healthy/career development group; each has two-hour weekly MMMV group sessions for six weeks
• Evaluations for this pilot at pretest, Week 6, and Month 3