Tuesday, January 03, 2006
Accepted Submission to the Society for Applied Anthropology Annual Meeting, Vancouver
Dear Peter Levesque:
Congratulations! Your abstract submission has been accepted for the SfAA 2006 Annual Meeting at the Hyatt Regency Hotel in Vancouver, British Columbia, March 28-April 2.
Information on the date and time of your presentation is below. If you have more then one presentation scheduled, all will be listed below.
Within the next few weeks, we will have an electronic version of the preliminary program posted on the SfAA annual meeting web site. You will receive another e-mail notice when the preliminary program is ready for review. Please review the posted preliminary program carefully, as presentation dates and times may change.
You may visit the annual meeting web site at: http://www.sfaa.net/sfaa2006.html
You will also find information about the annual meeting hotel, travel, and Vancouver attractions. Make your hotel and travel arrangements soon! We have added an entire day (March 28) to the meetings. This day will be devoted to sessions, tours, and other activities that highlight the region we are visiting.
We look forward to seeing you in Vancouver!
Sincerely,
Orit Tamir and Bruce Miller
SfAA 2006 Program Co-Chairs
_______________________
Presentation Day, Date, and Time:Fri, March 31
_______________________
Submission:
Sessions Abstract
Multi-Level Community-Based Culturally Situated Intervention Science (Sessions I and II)
Jean J. Schensul
Change efforts in health have argued for multilevel approaches that can include advocacy for policy change, campaigns, community mobilization models, norms change through peer influence, dyads and small group interventions combined with targeted individual change efforts. Multilevel intervention studies are substantial, and multisectoral. They are simultaneously theoretically driven and locally situated. They utilize unconventional research design and evaluation strategies and though costly in the short run, may offer the best hope for sustainability. This two-part session will consider strategic, methodological and political implications of multilevel community based interventions with illustrated examples of work conducted by anthropologist-led interdisciplinary teams. Session I: Theory, Method, and
Political Infrastructure
Introduction: Jean Schensul
Paper I: Community intervention theory: a shift from ‘program’ thinking to ‘system’ thinking
Penny Hawes, Ph.D., University of Calgary
Overly technological ways of viewing interventions dominate in population health, affecting how intervention integrity is defined and implementation measured. Non compromising rules on adaptation may affect sustainability. A newly funded International Collaboration on Complex Interventions links an interdisciplinary group of investigators in Canada, USA, UK and Australia in a six year program to explore these issues. The collaboration addresses key program areas - ethics and community engagement; intervention theory; intervention x context interaction; and the economic valuation of social benefits that accrue at levels higher than the individual. Thinking of interventions as “events” in systems helps to recast methodological assumptions.
Paper II: Multi-Level Community Interventions: Ecological Considerations of Design and Implementation
Edison J. Trickett and Susan Ryerson Espino, University of Illinois at Chicago
Multilevel community-based interventions pose conceptual and pragmatic questions related to design and implementation. This paper applies an ecological framework to such interventions. It highlights (a) the development of local knowledge as prelude to intervention; (b) the value of collaborative relationship building; and (c) community development or enhancing local social capital as a prime intervention objective. Embedded is the importance of creating alternative designs to randomized controlled trial and new intervention roles to document the ripple effects of such interventions. We include an analysis of existing multi-level interventions to assess the degree to which they fulfill these ecological criteria.
Paper III: Do multilevel interventions increase sustainability of effects?
Jean J. Schensul, ICR
This presentation addresses the critical interface between multilevel collaborative or participatory interventions and sustainability. Multilevel interventions are designed to bring about changes in health status, health access and health disparities at the individual, social and societal levels. A major challenge in prevention or intervention research is sustainability of intervention results over time. Sustainability involves both immediate and long term outcomes, and the ability to adapt interventions to changing conditions. We explore the question of whether and under what conditions multilevel interventions can improve intervention sustainability and whether embedding an intervention in local culture can achieve sustainability without broader structural changes.
Political Will: Promoting Multilevel Intervention Community Based Partnership Research at the National Level
Levesque, Peter (Institute for Population Health, University of Ottawa)
The conditions that sustain international efforts at CBR include active adjusting of incentives and infrastructure within university, government, and civic organizations. As Deputy Director (Knowledge Mobilization) and program officer (CURA) at SSHRC, I engaged in knowledge brokering, incentive and infrastructure adjustment, and policy entrepreneurship to support the conditions that allowed for the development and growth of CBR in Canada and Europe. An active discursive process between disciplines such as Anthropology, Economics, and Sociology, with leaders in policy, community, and business, is necessary for successful on-going political support of multilevel CBR efforts.
Discussant: Anthony Davis
Session II: Theory driven illustrations
V.I.P. Vaccinate for Influenza Prevention, a multilevel empowerment intervention to increase flu vaccination uptake in older minority adults.
McElhaney, Janet, Radda, Kim, and Schensul, J.
Vaccine acceptance is promoted via changes in national and international policies, campaigns and targeted vaccination through primary health care and community situated clinics. Factors affecting vaccination decisions and rates include availability (production, supply and distribution), acceptability (belief in efficacy versus risk), and affordability (whether cost is bearable). In the United States, a country without a coordinated national health care system, disparities in these areas are notable among poor and ethnic minority populations. This paper describes a theory-driven comprehensive multilevel model to reach and empower older low-income adults in senior housing to activate and sustain efforts to obtain influenza vaccine annually.
Changing Drug-users’ Risk Environments: Peer Health Advocates as Multi-level Community Change Agents
Margaret Weeks, Julia Dickson-Gomez, Maria Martinez, Mark Convey
Peer driven, social oriented HIV prevention and other interventions conducted with networks of high-risk groups are increasingly popular for addressing broader contexts of health risk beyond individual factors. To the degree that these models take on multiple levels of risk and change, they become more effective mechanisms to support sustained health improvement. The Risk Avoidance Partnership, conducted with drug users in Hartford, CT, builds on individual identity of trained Peer Health Advocates as social change agents, group processes of norm modification for harm reduction, and community engagement in advocacy for broad health enhancement.
A Site-Based Social Marketing Intervention to Prevent Party Drug Use
Diamond, Sarah and Bermudez, Rey, ICR
This presentation provides an overview of a theoretically-driven, multi-level substance use intervention model that combines social marketing, entertainment-education and cognitive behavior change methodologies. We have developed an innovative site-based drug prevention program to address environmental and social influences of party culture in promoting drug use. Through organizing and promoting drug-free parties, which incorporate drug prevention messages into the entertainment, this intervention aims to create new social contexts, networks, and motivations to support non-drug use among hard-to-reach urban youth. Some of the challenges in evaluation design will also be addressed.
Cultural, Community, And Health System Approaches To The Prevention Of Hiv/Sti In Mumbai, India.
Schensul, Stephen L. and Mekki-Berrada, Abdelwahed (U of Connecticut Hlth. Ctr.)
This paper reports on the results of formative research and intervention conducted through a five-year, NIMH-funded, Indo-US project in economically marginal, migrant communities in Mumbai. The project utilizes a multilevel intervention focusing on culturally-based sexual health concerns centered on performance dysfunctions (gupt rog) as a means of engaging men in health services. The intervention involves the training and support of non-allopathic providers in one community and an allopathic male health clinic in a governmental primary care facility in another community. The study utilizes a quasi-experimental design to test the efficacy of the intervention at the community, provider and patient levels.
Discussant: Edison Trickett ¶ 2:09 p.m.
Congratulations! Your abstract submission has been accepted for the SfAA 2006 Annual Meeting at the Hyatt Regency Hotel in Vancouver, British Columbia, March 28-April 2.
Information on the date and time of your presentation is below. If you have more then one presentation scheduled, all will be listed below.
Within the next few weeks, we will have an electronic version of the preliminary program posted on the SfAA annual meeting web site. You will receive another e-mail notice when the preliminary program is ready for review. Please review the posted preliminary program carefully, as presentation dates and times may change.
You may visit the annual meeting web site at: http://www.sfaa.net/sfaa2006.html
You will also find information about the annual meeting hotel, travel, and Vancouver attractions. Make your hotel and travel arrangements soon! We have added an entire day (March 28) to the meetings. This day will be devoted to sessions, tours, and other activities that highlight the region we are visiting.
We look forward to seeing you in Vancouver!
Sincerely,
Orit Tamir and Bruce Miller
SfAA 2006 Program Co-Chairs
_______________________
Presentation Day, Date, and Time:Fri, March 31
_______________________
Submission:
Sessions Abstract
Multi-Level Community-Based Culturally Situated Intervention Science (Sessions I and II)
Jean J. Schensul
Change efforts in health have argued for multilevel approaches that can include advocacy for policy change, campaigns, community mobilization models, norms change through peer influence, dyads and small group interventions combined with targeted individual change efforts. Multilevel intervention studies are substantial, and multisectoral. They are simultaneously theoretically driven and locally situated. They utilize unconventional research design and evaluation strategies and though costly in the short run, may offer the best hope for sustainability. This two-part session will consider strategic, methodological and political implications of multilevel community based interventions with illustrated examples of work conducted by anthropologist-led interdisciplinary teams. Session I: Theory, Method, and
Political Infrastructure
Introduction: Jean Schensul
Paper I: Community intervention theory: a shift from ‘program’ thinking to ‘system’ thinking
Penny Hawes, Ph.D., University of Calgary
Overly technological ways of viewing interventions dominate in population health, affecting how intervention integrity is defined and implementation measured. Non compromising rules on adaptation may affect sustainability. A newly funded International Collaboration on Complex Interventions links an interdisciplinary group of investigators in Canada, USA, UK and Australia in a six year program to explore these issues. The collaboration addresses key program areas - ethics and community engagement; intervention theory; intervention x context interaction; and the economic valuation of social benefits that accrue at levels higher than the individual. Thinking of interventions as “events” in systems helps to recast methodological assumptions.
Paper II: Multi-Level Community Interventions: Ecological Considerations of Design and Implementation
Edison J. Trickett and Susan Ryerson Espino, University of Illinois at Chicago
Multilevel community-based interventions pose conceptual and pragmatic questions related to design and implementation. This paper applies an ecological framework to such interventions. It highlights (a) the development of local knowledge as prelude to intervention; (b) the value of collaborative relationship building; and (c) community development or enhancing local social capital as a prime intervention objective. Embedded is the importance of creating alternative designs to randomized controlled trial and new intervention roles to document the ripple effects of such interventions. We include an analysis of existing multi-level interventions to assess the degree to which they fulfill these ecological criteria.
Paper III: Do multilevel interventions increase sustainability of effects?
Jean J. Schensul, ICR
This presentation addresses the critical interface between multilevel collaborative or participatory interventions and sustainability. Multilevel interventions are designed to bring about changes in health status, health access and health disparities at the individual, social and societal levels. A major challenge in prevention or intervention research is sustainability of intervention results over time. Sustainability involves both immediate and long term outcomes, and the ability to adapt interventions to changing conditions. We explore the question of whether and under what conditions multilevel interventions can improve intervention sustainability and whether embedding an intervention in local culture can achieve sustainability without broader structural changes.
Political Will: Promoting Multilevel Intervention Community Based Partnership Research at the National Level
Levesque, Peter (Institute for Population Health, University of Ottawa)
The conditions that sustain international efforts at CBR include active adjusting of incentives and infrastructure within university, government, and civic organizations. As Deputy Director (Knowledge Mobilization) and program officer (CURA) at SSHRC, I engaged in knowledge brokering, incentive and infrastructure adjustment, and policy entrepreneurship to support the conditions that allowed for the development and growth of CBR in Canada and Europe. An active discursive process between disciplines such as Anthropology, Economics, and Sociology, with leaders in policy, community, and business, is necessary for successful on-going political support of multilevel CBR efforts.
Discussant: Anthony Davis
Session II: Theory driven illustrations
V.I.P. Vaccinate for Influenza Prevention, a multilevel empowerment intervention to increase flu vaccination uptake in older minority adults.
McElhaney, Janet, Radda, Kim, and Schensul, J.
Vaccine acceptance is promoted via changes in national and international policies, campaigns and targeted vaccination through primary health care and community situated clinics. Factors affecting vaccination decisions and rates include availability (production, supply and distribution), acceptability (belief in efficacy versus risk), and affordability (whether cost is bearable). In the United States, a country without a coordinated national health care system, disparities in these areas are notable among poor and ethnic minority populations. This paper describes a theory-driven comprehensive multilevel model to reach and empower older low-income adults in senior housing to activate and sustain efforts to obtain influenza vaccine annually.
Changing Drug-users’ Risk Environments: Peer Health Advocates as Multi-level Community Change Agents
Margaret Weeks, Julia Dickson-Gomez, Maria Martinez, Mark Convey
Peer driven, social oriented HIV prevention and other interventions conducted with networks of high-risk groups are increasingly popular for addressing broader contexts of health risk beyond individual factors. To the degree that these models take on multiple levels of risk and change, they become more effective mechanisms to support sustained health improvement. The Risk Avoidance Partnership, conducted with drug users in Hartford, CT, builds on individual identity of trained Peer Health Advocates as social change agents, group processes of norm modification for harm reduction, and community engagement in advocacy for broad health enhancement.
A Site-Based Social Marketing Intervention to Prevent Party Drug Use
Diamond, Sarah and Bermudez, Rey, ICR
This presentation provides an overview of a theoretically-driven, multi-level substance use intervention model that combines social marketing, entertainment-education and cognitive behavior change methodologies. We have developed an innovative site-based drug prevention program to address environmental and social influences of party culture in promoting drug use. Through organizing and promoting drug-free parties, which incorporate drug prevention messages into the entertainment, this intervention aims to create new social contexts, networks, and motivations to support non-drug use among hard-to-reach urban youth. Some of the challenges in evaluation design will also be addressed.
Cultural, Community, And Health System Approaches To The Prevention Of Hiv/Sti In Mumbai, India.
Schensul, Stephen L. and Mekki-Berrada, Abdelwahed (U of Connecticut Hlth. Ctr.)
This paper reports on the results of formative research and intervention conducted through a five-year, NIMH-funded, Indo-US project in economically marginal, migrant communities in Mumbai. The project utilizes a multilevel intervention focusing on culturally-based sexual health concerns centered on performance dysfunctions (gupt rog) as a means of engaging men in health services. The intervention involves the training and support of non-allopathic providers in one community and an allopathic male health clinic in a governmental primary care facility in another community. The study utilizes a quasi-experimental design to test the efficacy of the intervention at the community, provider and patient levels.
Discussant: Edison Trickett ¶ 2:09 p.m.
