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

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 om 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

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

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 • I 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 • I 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 • I 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

LIFE GOALS & DESTINATION Journey of Critical Life Transitions/Events

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 • I 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

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

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

MSMRD SE SSI ONS • I ntro duc tio n + 4 Ha lf da y + o ne 3 mo nth fo llo w up • F irst 2 se ssio ns fo c us o n b uilding individua l re silie nc e : • E xplo ring ide ntitie s, re silie nc e e xpe rie nc e s a nd re so urc e s • I 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 • L a st 2 se ssio ns fo c us o n b uilding c o mmunity re silie nc e : • E xplo re c o mmunity histo ry, re so urc e s a nd le g a c y • I 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

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 • I 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

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+

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 or mat and L ogistic 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

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 oup (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

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- oppression 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)

I NT E RVE NT I ON F ORMAT / DE SI GN • L ve ntion (4 ha lf da ys): e ngth of inte r • 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 o ve rnig ht, we e knig ht e ve ning s

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

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

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

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

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 V T re a tme nt Ne two rk