[PPT] - NO MUD, NO L OT US: UNE AR T HING R E SIL IE NCE ST R AT PowerPoint Presentation

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NO MUD, NO L OT US: UNE AR T HING R E SIL IE NCE ST R AT E GIE S AMONGST ASIAN MSMS: Insights fr

m the MSM R

e silie nc y Dialogue s Pilot E xpe r ie nc e s 2016 Nov OHT N Confe r e nc e

Alan L i, De ng Min Chuang

SLIDE 2

PRE SE NT E RS DI SCL OSURE

We ha ve no re la tio nship with a ny c o mme rc ia l

inte re sts

SLIDE 3

HOW I T CAME ABOUT :

2013: Asia n MSM Pa thwa ys to Re silie nc y Re se a rc h:
51 Asia n MSM (13PHA) + 12 Se rvic e pro vide rs
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de ntifie d ke y life tra nsitio ns tha t impa c t se xua l he a lth: Co ming Out, Mig ra tio n, Se x & re la tio nship, HI V

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de ntifie d c ro ss c utting re silie nc e stra te g ie s a c ro ss life c ha lle ng e s

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de ntifie d ke y a re a s fo r skills de ve lo pme nt

Pilo te d e xpe rie ntia l e xe rc ise s to pro mo te re fle c tive le a rning

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LIFE GOALS & DESTINATION Journey of Critical Life Transitions/Events

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MSMRD DE VE L OPME NT

Re vie w e xisting lite ra ture o n re silie nc e pro mo tio n inte rve ntio ns
L

e a rn fro m c urre nt lo c a l re se a rc h & inte rve ntio n e xpe rie nc e s:

CHAMP- impro ve psyc ho -fle xib ility & so c ia l justic e c a pa c ity b uilding skills
L

e g a c y – fo ste r inte rg e ne ra tio na l le a rning & c o mmunity b uilding

De sig n uniq ue re silie nc e pro mo tio n c urric ulum a ims to pro mo te :
Re c o g nitio n o f se lf re silie nc e a nd stre ng th
Re c o nc ile c ultura l stre ng ths a nd o ppre ssio ns
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nc re a se fle xib ility to tra nsfe r skills a c ro ss life c ha lle ng e s

Build suppo rtive c o mmunitie s
Build skills to e ffe c t b ro a de r so c ia l c ha ng e s

SLIDE 6

MSMRD CONCE PT UAL F RAME WORK

Mindfulne ss
Psyc ho lo g ic a l fle xib ility
So c ia l justic e a wa re ne ss
Ca pa c ity b uilding
GI

PA/ MI PA

Co lle c tive e mpo we rme nt

SLIDE 7

L E VE L S OF RE SI L I E NCE = RE SI ST ANCE

Societal Resilience: environment, communities, institutions

Organizational resilience: resources, policies/practices, responsiveness

Interpersonal resilience: trust, support, mobilization Self resilience: awareness, knowledge, skills, preparedness

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MSMRD SE SSI ONS

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ntro duc tio n + 4 Ha lf da y + o ne 3 mo nth fo llo w up

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irst 2 se ssio ns fo c us o n b uilding individua l re silie nc e :

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xplo ring ide ntitie s, re silie nc e e xpe rie nc e s a nd re so urc e s

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nc re a sing psyc ho lo g ic a l fle xib ility to a da pt skills a c ro ss c ha lle ng e s

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a st 2 se ssio ns fo c us o n b uilding c o mmunity re silie nc e :

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xplo re c o mmunity histo ry, re so urc e s a nd le g a c y

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nc re a se a c c e ss to c o mmunity a nd inte rg e ne ra tio na l suppo rt

Cre a tive pro je c ts to b uild c o mmunity re so urc e s

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OBJE CT I VE S OF T HE PI L OT :

Ga in e xpe rie nc e o f inte rve ntio n to info rm fe a sib ility fo r future imple me nta tio n
Pilo t re se a rc h instrume nts fo r re spo nse s a nd re fine me nt
Pilo t re se a rc h inte rve ntio ns fo r re spo nse s a nd re fine me nt
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nc re a se c o mmunity e ng a g e me nt a nd c a pa c itie s in c o -de ve lo ping a nd imple me nting the pro je c t

SLIDE 10

PI L OT PART I CI PANT S

2 F

a c ilita to rs, 9 Pa rtic ipa nts:

Me a n Ag e : 28 (23-42)
90% Ha s Po st-se c o nda ry E

duc a tio n

45% F

irst g e ne ra tio n immig ra nts

55% Sing le
33% HI

V+

SLIDE 11

WHAT DI D WE E VAL UAT E ?

R

e se ar c h Instr ume nt: (Pr e - and Post- inte r ve ntion Que stionnair e s)

a ppro pria te ne ss, re lia b ility, o utc o me s
Inte r

ve ntion De sign & Ac tivitie s

Pa rtic ipa nt e xpe rie nc e s, a c tivity fo rma t, e ffe c tive ne ss
F
r

mat and L

gistic s of inte r

ve ntion

L

e ng th, timing , ve nue , lo g istic s

Sugge stions for

Change

R

e adine ss for e ngage me nt

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HOW DI D WE E VAL UAT E ?

Comple tion of pr

e - and post-inte r ve ntion que stionnair e :

o utc o me e ffe c tive ne ss, instrume nt re lia b ility
Imme diate post-inte r

ve ntion de br ie fing se ssion:

e xpe rie nc e with re se a rc h q ue stio nna ire & inte rve ntio n lo g istic s
Post-inte r

ve ntion anonymous online sur ve y (within 4 we e ks)

e xpe rie nc e s with spe c ific inte rve ntio n a c tivitie s, pe rc e ptio n o n tra ining

e ffe c tive ne ss, inte rve ntio n struc ture , pro c e sse s, sug g e stio ns fo r c ha ng e s

Post-inte r

ve ntion foc us gr

up (3 months late r

)

Re fle c tio n o n re te ntio n o f skills le a rnt & a pplic a tio n in pe rso na l a nd c o mmunity

se tting s, re a dine ss fo r future e ng a g e me nt

SLIDE 13

PRE / POST I NT E RVE NT I ON QUE ST I ONNAI RE S

Scales used include: 1. Psychoflexibility, 2. Individual resilience scale, 3. Post-

traumatic growth, 4. Self health efficacy, 5. Safer sex efficacy, 6. Anti-

ppression readiness, 7. Community Resilience Scale, 8. Social connection

and support, 9. Community engagement, 10. HIV risk behavior, 11. Mental wellness

Participants finds (3) difficult to understand, (9) needs clarification/specification of

which community it refers to, and (10) stigmatizing, especially for PHAs.

Instrument Reliability: Alpha >0.70 for all scales except (1) & (5)
Participant Results: Mean improved in all scales except (1), (5) & (11)

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I NT E RVE NT I ON F ORMAT / DE SI GN

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e ngth of inte r ve ntion (4 ha lf da ys):

45% a b o ut rig ht, 25% to o sho rt, 30% to o lo ng
T

iming of se ssions:

I

n o rde r o f pre fe re nc e : We e ke nd ha lf-da y, we e ke nd full da y, we e ke nd

ve rnig ht, we e knig ht e ve ning s

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PL E ASERAT E HOW E F F E CT I VE WAS T HE WHOL ET RAI NI NG I N ACHI E VI NG T HE OVE RAL LL E ARNI NG OBJE CT I VE S.

11 Skippe d: 0

4.00 se lf re silie nc e 4.00 c o ntrib uting fa c to rs 4.09 c ultura l stre ng ths/ c ha lle ng e s 3.73 a c c e ssing c ultura l stre ng ths 3.91 c ultura l c o nne c tio ns 4.00 o ptio ns stra te g ie s 4.18 se nse o f c o mmunity

SLIDE 16

RAT E T HE F OL L OWI NG T RAI NI NG PROCE SSE S AS T O HOW E F F E CT I VE T HE Y CONT RI BUT ET O T HE L E ARNI NG OBJE CT I VE S

Answe re d: 11 Skippe d: 0

SLIDE 17

SUGGE ST I ONS F OR CHANGE S

Mo re time fo r trust b uilding a nd mo re in-de pth sha ring , inc luding mo re se lf-

disc lo sure fro m (pe e r) fa c ilita to rs

L

e ss tra ining a c tivitie s b ut mo re de b rie fing time pe r a c tivitie s

Re a rra ng e tra ining a c tivitie s to ha ve e xe rc ise s tha t a ddre ss stig ma tize d issue s

e a rlie r (e .g . e xc lusio n c irc le ) to pro mo te se nsitivity a nd sha ring

Pro vide struc ture d wa ys fo r pa rtic ipa nts to ta b le diffic ult issue s a no nymo usly

in g ro up wo rk witho ut ne c e ssa ry se lf disc lso ure

SLIDE 18

NE XT ST E PS

Re fining & Upda ting I

nte rve ntio n:

E

ng a g e d pa rtic ipa nt a nd re se a rc h te a m in c urric ulum re visio n c o mmitte e to upda te / re vise inte rve ntio n a c tivitie s b a se d o n pilo t e xpe rie nc e a nd fe e db a c k

T

ra in-the T ra ine rs:

Applie d fo r tra in-the -tra ining a c tivitie s fo r tra ining po o l o f pe e r fa c ilita to rs
Re se a rc h & Pro g ra m F

unding

K

no wle dg e e xc ha ng e a c tivitie s (c o nfe re nc e s, ne two rks, a rtic le s)

Pa rtne rship b uilding s: Bro a de r Ra c ia lize d MSM c o mmunitie s, PHA c o mmunitie s

SLIDE 19

ACK NOWL E DGE ME NT

AMP2R & MSMRD Re se a rc h T

e a m:

Co -PI

: K e nne th F ung , Jo se phine P.H. Wo ng ,

A.W. L

e e , Alvi Da nda l, Ba rry Ada m, Bria n L y, Christia n Hui, Ja me s Murra y, No ulmo o k Sutdhib ha silp, Ma uric e Po o n, Ric ha rd Uta ma , Ro b e rt Dia z, Rya n T ra n

AMP2R Co mmunity Adviso ry Co mmitte e
MSMRD Curric ulum Re visio n Co mmitte e
AMP2R Pa rtic ipa nts
MSMRD Pilo t Pa rtic ipa nts
CI

HR HI V CBR Ca ta lyst Gra nts

Onta rio HI