Longitudinal Observation of an HIV Prevention Community Planning Group (CPG)

Abstract

HIV prevention community planning groups were formed to increase stakeholder participation and develop evidence-based comprehensive HIV prevention plans. To date, it is not well understood what factors affect group behavior as the planning group prepares for data-informed decision making. In this observational case study, the authors videotaped 18 meetings of a community planning group (CPG) to observe how a group's behavior changes over time in response to modifications in its structure and function. Discussions on authority and conflict were common, particularly during presentations on prioritized populations and interventions. Changes in the frequency of data-informed discussions were not statistically significant. Observed group conflict may have been an unintended consequence of efforts to improve equity. The authors suggest that formal and informal mechanisms to manage conflict and agreed-on procedures for decision making should be incorporated into the technical assistance offered to CPGs. Future studies should address whether data-informed decisions increase once contentious issues are resolved.

Keywords

community planning group CPG organizational development group behavior HIV AIDS prevention HIV community planning

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References

Academy for Educational Development & Centers for Disease Control. (1994). Handbook for HIV prevention community planning. Washington, DC: Author.

Amaro, H. , Blake, S.M. , Morrill, A.C. , Cranston, K. , Logan, J. , Conron, K.J. , et al. (2005). HIV prevention community planning: Challenges and opportunities for data-informed decision-making. AIDS and Behavior, 9(Suppl. 2), 9-27.

Batchelor, K. , Freeman, A.C. , Robbins, A. , Dudley, T. , & Phillips, N. (2005). Special issue: A formative assessment of the use of behavioral data in HIV prevention in Texas. AIDS and Behavior , 9(Suppl. 2), 29-40.

Butterfoss, F.D. , Houseman, C. , Morrow, A.L. , & Rosenthal, J. (1997). Use of focus group data for strategic planning by a community-based immunization coalition. Family & Community Health, 20, 49-59.

Centers for Disease Control and Prevention. ( 1993). Supplemental guidance on HIV prevention community planning for non-competing continuation of cooperative agreements for HIV prevention projects. Atlanta, GA: Author.

Centers for Disease Control and Prevention. ( 1998). HIV prevention community planning: Shared decision making in action. Atlanta, GA: Author.

Centers for Disease Control and Prevention. ( 2003). HIV prevention community planning guide. Atlanta, GA: Author.

Cherniss, C. , & Deegan, G. (2000). The creation of alternative settings. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology (pp. 359-377). New York: Kluwer/Plenum.

Dearing, J.W. , Larson, R.S. , Randall, L.M. , & Pope, R.S. (1998). Local reinvention of the CDC HIV prevention community planning initiative. Journal of Community Health, 23, 113-126.

10.

Hammond, K.R. (1996). Human judgment and social policy. New York: Oxford.

11.

Jenkins, R.A. , & Carey, J.W. (2005). Decision making for HIV prevention planning: Organizational considerations and influencing factors. AIDS and Behavior , 9(Suppl. 2), S1-S7.

12.

Jenkins, R.A. , Cranston, K. , Robbins, A.H. , Amaro, H. , Morrill, A. , Blake, S.M. , et al. (2005). Improving the use of data for HIV prevention decision making: Lessons learned. AIDS and Behavior, 9(Suppl. 2), 87-99.

13.

Jenkins, R.A. , Robbins, A. , Cranston, K. , Batchelor, K. , Freeman, A.C. , Amaro, H. , et al. (2005). Bridging data and decision making: Development of techniques for improving the HIV prevention community planning process . AIDS and Behavior, 9(Suppl. 2), 41-53.

14.

Kahneman, D. , & Tversky, A. (1982). Judgment under uncertainty: Heuristics and biases . In D. Kahneman , P. Slovic , & A. Tversky (Eds.), Judgment under uncertainty: Heuristics and biases (pp. 3-23). Cambridge , UK: Cambridge University Press.

15.

Koepsell, T.D. , Wagner, E.H. , Cheadle, A.C. , Patrick, D.L. , Martin, D.C. , Diehr, D.H. , et al. (1992). Selected Methodological issues in evaluating community-based health promotion and disease prevention programs. Annual Review of Public Health, 13, 31-57.

16.

Kruskal, W.H. , & Wallis, W.A. (1952). Use of ranks in one-criterion variance analysis . Journal of the American Statistical Association, 260, 583-621.

17.

Morrill, A.C. , Amaro, H. , Blake, S.M. , Cranston, K. , Averbach, A.R. , Logan, J.A. , et al. (2005). HIV prevention community planning: Enhancing data-informed decision-making. AIDS and Behavior, 9(Suppl. 2), 55-70.

18.

Neal, J.J. , & McNaghten, A.D. (1998, June-July). Trends in the use of epidemiological data in HIV prevention community planning in the United States, 1994 through 1997. Presentation at the 12th International Conference on AIDS, Geneva, Switzerland.

19.

Pettigrew, A.M. (1985). Contextualist research: A natural way to link theory and practice. In E. E. Lawler (Ed.), Doing research that is useful in theory and practice (pp. 222-249). San Francisco: Jossey-Bass.

20.

Rajagopalan, N. , Rasheed, A. , Datta, D.K. , & Spreitzer, G.M. (1997). A multi-theoretic model of strategic decision-making processes. In V. Papadakis & P. Barwise (Eds.), Strategic decisions (pp. 229-249). Boston: Kluwer.

21.

Valdiserri, R.O. (1996). Managing system-wide change in HIV prevention programs. Public Administration Review, 56, 545-553.

22.

Valdiserri, R.O. , Aultman, T.V. , & Curran, J.W. (1995). A national strategy to improve HIV prevention programs. Journal of Community Health, 20, 87-100.

23.

Valerie, R. , Gomez, C. , & Valencia-Garcia, D. (2003). Do community planning groups (CPGs) influence HIV prevention policy? An analysis of California CPGs . AIDS Education & Prevention, 15, 172-183.

24.

White, W.F. (1984). Learning from the field: A guide from experience . Beverly Hills, CA: Sage.