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National Institute of Mental Health Project Accept Study Materials
Introduction
Community Preparedness
Community Mobilization
Community-based Voluntary Counseling & Testing
Post-test Support Services
Utilization
Project Support
National Institute of Mental Health Project Accept
Contact
Gertrude Khumalo-Sakutukwa, MSW, MMS
Links
UCSF Center for AIDS Prevention Studies
Project Accept Website (UCLA)
CAPS Project Summary

The National Institute of Mental Health (NIMH) Project Accept is an HIV prevention trial in which 34 communities in Africa (in South Africa, Tanzania, and Zimbabwe) and 14 communities in Thailand are being randomized to receive either a community-based HIV voluntary counseling and testing (CBVCT) intervention plus standard clinic-based VCT (SVCT), or SVCT alone. The CBVCT intervention has three major strategies: (1) to make VCT more available in community settings; (2) to engage the community through outreach; and (3) to provide post-test support. These strategies are designed to change community norms and reduce risk for HIV infection among all community members, irrespective of whether they participated directly in the intervention.

A community-level intervention based on modifying community norms can change the environmental context in which people make decisions about HIV risk, and has the potential to alter the course of the HIV epidemic in developing countries. This is the first international randomized controlled Phase III trial to determine the efficacy of a behavioral/social science intervention with an HIV incidence endpoint.

NIMH Project Accept is funded as a National Institute of Mental Health Cooperative Agreement (grants 5U01MH066687, 5U01MH066688, 5U01MH066701, and 5U01MH066702) involving the NIMH and several U.S. and international institutions. The HIV Prevention Trials Network (HPTN) is also providing support to the project (HPTN 043)); support has also been provided by the Office of AIDS Research of the National Institutes of Health.

See the Protocol Summary for more information about Project Accept.

Introduction
Protocol Summary
Community Preparedness
Standard Operating Procedures Manual [PDF 250KB]
Community Mobilization
Standard Operating Procedures Manual [PDF 450 KB]
Community-Based Outreach Volunteer Training Curriculum [PDF 266KB]
Staff Training Manual: Community Mobilization [PDF 230KB]
Community Mobilization Training Appendices [PDF 250KB]
CM Study Forms
CBOV Meeting Log [PDF 9KB]
CM Hours Log [PDF 17KB]
Community Outreach Log [PDF 21KB]
CM QA/QC Guidelines and Evaluation Forms
CM Quality Assurance and Quality Control Guidelines [PDF 148KB]
CM Community-Based Outreach Volunteer QC Evaluation Form [PDF 108KB]
CM Community-Based Outreach Volunteer Outreach-Support Session QC Evaluation Form [PDF 123KB]
CM Identifying Social Networks and Opinion Leaders QC Evaluation Form [PDF 111KB]
CM Staff QC Evaluation Form [PDF 95 KB]
Community-based Voluntary Counseling & Testing
Standard Operating Procedures Manual [PDF 266KB]
VCT Participant's Manual [PDF 2.2MB]
VCT Training Resources Manual [PDF 188KB]
Appendices and Support Files
VCT Basics
Overheads O-1 to O-13. [PPT 252KB]
Motivational Interviewing
Presentation [PPT 144KB]
Risk Assessment
Overheads 1-1 to 1-3 [PPT 109KB]
Flow Chart 2. Parallel versus Serial Testing
Overhead 4b [PPT 117KB]
Four phases of the HIV negative role play
Overhead 5-1 [PPT 106KB]
Treatment for HIV Positive Clients
Overheads 6-1 to 6-26 [PPT 53 KB]
Topics related to women
Overhead 8a-1-7. [PPT 47KB]
What is stress? What is burnout?
Overhead 9-1 [PPT 46KB]
VCT Study Forms
CBVCT Referral Log [PDF 24KB]
VCT Hours Log [PDF 15KB]
VCT Hours Worksheet [PDF 10KB]
VCT QA/QC Guidelines and Evaluation Forms
VCT Quality Assurance and Quality Control Guidelines [PDF 166KB]
VCT QC Evaluation Form [PDF 119KB]
Post-test Support Services
Standard Operating Procedures Manual [PDF 217KB]
Guidelines for Facilitating Groups: Information Sharing Sessions and Support Groups Trainer's Guide [PDF 234 KB]
Techniques and Guidelines for Facilitating Groups: Information Sharing Sessions and Support Groups [PDF 277 KB]
Facilitating Group Sessions Information Sharing and Support Groups Appendices [PDF 155 KB]
Stigma Reduction Training [PDF 222 KB]
Crisis Management Manual [PDF 126 KB]
One-Day Coping Effectiveness Training Manual [PDF 480 KB]
PTSS Study Forms
PTSS Activity Log [PDF 23KB]
PTSS Consent Log [PDF 9KB]
PTSS Intake Log [PDF 26KB]
PTSS Referral Log [PDF 24KB]
PTSS Hours Log [PDF 15KB]
PTSS Hours Worksheet [PDF 16KB]
PTSS QA/QC Guidelines and Evaluation Forms
PTSS Quality Assurance and Quality Control Guidelines [PDF 154KB]
PTSS Stigma Reduction QC Evaluation Form [PDF 111KB]
PTSS Coping Effectiveness Training QC Evaluation Form [PDF 127KB]
PTSS Crisis Counseling QC Evaluation Form [PDF 108KB]
Utilization
Standard Operating Procedures Manual [PDF 440KB]
Supervisor's Training Manual [PDF 245 KB]
Project Support

This research was sponsored by the U.S. National Institute of Mental Health as a cooperative agreement, through contracts U01MH066687 (Johns Hopkins University - David Celentano, PI); U01MH066688 (Medical University of South Carolina - Michael Sweat, PI); U01MH066701 (University of California, Los Angeles - Thomas J. Coates, PI); and U01MH066702 (University of California, San Francisco - Stephen F. Morin, PI). In addition, this work was supported as HPTN Protocol 043 through contracts U01AI068613 (HPTN Network Laboratory - Susan Eshleman, PI); U01AI068617 (SCHARP - Deborah Donnell, PI); and U01AI068619 (HIV Prevention Trials Network - Sten Vermund, PI) of the Division of AIDS of the U.S. National Institute of Allergy and Infectious Diseases; and by the Office of AIDS Research of the U.S. National Institutes of Health. Views expressed are those of the authors, and not necessarily those of sponsoring agencies.

Many aspects of the NIMH Project Accept Intervention were coordinated through the UCSF Center for AIDS Prevention Studies (NIMH 5P30MH062246, Stephen F. Morin, PhD, Principal Investigator). We are providing the implementation resources in response to numerous requests. See the Protocol Summary for more information about Project Accept.