Bienestar's Department of Research and Evaluation conducts research projects that involve the diverse populations served by the organization. The Department disseminates research findings through academic journal articles, book chapters, policy briefs, research reports and various other information channels. Our research is also communicated through oral and poster presentations at national academic conferences and community meetings.
The Department often collaborates with academic institutions and public health organizations on its research projects. Recent collaborations have included:
- Arizona State University
- California State University
- Charles R. Drew University of Medicine and Science
- Columbia University
- Harvard University
- Los Angeles County Department of Public Health
- Medical College of Wisconsin
- RAND Corporation
- San Francisco State University
- University of California, Los Angeles (UCLA)
- University of Southern California
The Department is also involved in the evaluation of Bienestar's programs and services. This contributes to continual program monitoring and improvement as well as the creation of new programs and services.
The Department also provides prestigious research internships for graduate level students. Most recently, we have mentored a doctoral student in social psychology and a master's level student in statistics. Through these commitments, Bienestar's Research and Evaluation Department participates in the training of future generations of professionals who will conduct research with the populations served by our organization.
For more information on the Department of Research and Evaluation, please contact:
Joanna Barreras, Associate Director
(866) 590-6411 ext. 121
All of the current and ongoing research endeavors of our Department of Research and Evaluation are indicated here.
NIMH: Perceived Immigration Laws Impact on Hispanic Immigrants HIV Health Behavior
In collaboration with the Medical College of Wisconsin, this project explores the relationships between perceptions of immigration laws and the HIV health behaviors of Hispanic immigrants in the US. The beliefs and concerns of Hispanic immigrants regarding current immigration laws and policies will be measured in accordance with their willingness to utilize and active utilization of various health services such as HIV testing or alcohol and drug dependency services.
This project will take place across four US metropolitan areas with diverse immigration law and enforcement environments.
1R01MD011573 (PI: Galletly– Medical College of Wisconsin) 10/1/16 – 5/31/21
NIMH: Mobile Technology and Incentives (MOTIVES) for Racial and Ethnic Minorities in Los Angeles, CA
In partnership with the RAND Corporation, the Mobile Technology and Incentives (MOTIVES) proposes a novel approach to disseminate and improve HIV prevention messages and knowledge retention.
By targeting men who have sex with men (MSM) and transgender women (TGW) with weekly text messages in combination with behavioral economics-based incentives, the MOTIVES study aims to increase the frequency of HIV testing and ultimately reducing seroconversion.
This project takes place in the Greater Los Angeles metropolitan area.
1R34MH109373-01A1 (PI: Linnemayr– RAND) 07/01/16 – 06/30/19
NIMH: Siempre Seguiré: A Pilot Intervention to Improve Coping with Discrimination and Adherence among HIV Positive Latino MSM
Through a partnership with the RAND Corporation, this project will develop and test a pilot intervention to improve the coping skills and abilities of HIV-positive Latino men who have sex with men (MSM).
By helping develop skills to cope with the negative effects of discrimination, this study aims to help increase the adherence to medical treatment among this vulnerable population.
R34 MH113413 (PI: Bogart-RAND) 08/01/17 – 06/30/20
PUBLICATIONS CURRENTLY UNDER REVIEW
Barreras, JL., Linnemayr, S., Galvan, F., MacCarthy, S. “Exploring Knowledge of PrEP among Latino men who have sex with men and transgender women.” LGBT Health. [under review]
Linnemayr, S., MacCarthy, S., Barreras, JL., Galvan, F. “Perfecting the ‘nudge’: What to consider when using incentives for HIV prevention among Latino men who have sex with men and transgender women.” AIDS Care. [under review]
Linnemayr, S., MacCarthy, S., Kim, A., Galvan, F., Giguere, R., Carballo-Dieguez., Barreras, JL., “What is the impact of mobile technology and incentives on HIV knowledge and testing frequency among men who have sex with men and transgender women: a randomized control pilot study.” Trials. [in progress]
MacCarthy, S., Barreras, JL., Galvan, F., Linnemayr, S. “Concrete strategies to improve the use of mobile-technology based interventions with Latino men who have sex with men and transgender women.” LGBT Health. [under review]
Galvan, F.H., Bluthenthal RN, Ani C, Bing EG (2006). Increasing HIV testing among Latinos by bundling HIV testing with other tests. Journal of Urban Health 83(5), 849-859.
Galvan, F.H., Ortiz DJ, Martinez V, Bing EG (2008). Sexual solicitation of Latino male day laborers by other men. Salud Pública de México50(6), 439-446.
Galvan, F.H., Ortiz DJ, Martinez V, Bing EG (2009). The use of female commercial sex workers’ services by Latino day laborers. Hispanic Journal of Behavioral Sciences 31(4), 553-575.
Solorio MR, Galvan, F.H. (2009). Self-reported HIV antibody testing among Latino urban day laborers. Journal of the National Medical Association 101(12), 1214-1220.
Estrada F, Rigali-Oiler M, Arciniega GM, Tracey TJG (2011). Machismo and Mexican American men: An empirical understanding using a gay sample. Journal of Counseling Psychology 50(3), 358-367.
Bazargan M, Galvan, F.H. (2012). Perceived discrimination and depression among low-income Latina male-to-female transgender women. (BMC Public Health, Aug. 15; 12:663; doi: 10.1186/1471-2458-12-663)
Woods JB, Galvan, F.H., Bazargan M, Herman JL, Chen Y-T. (2013). Latina transgender women’s interactions with law enforcement in Los Angeles County. Policing: A Journal of Policy and Practice, 7, 379-391.
Galvan, F.H., Bogart LM, Wagner GJ, Klein DJ, Chen Y-T (2014). Conceptualisations of masculinity and self-reported medication adherence among HIV-positive Latino men in Los Angeles, California, USA. Culture, Health and Sexuality, 16 (6), 697-709.
Galvan, F.H., Wohl AR, Carlos J, Chen Y-T (2015). Chronic stress among Latino day laborers. Hispanic Journal of Behavioral Sciences, 37(1), 75-89.
Galvan, F.H., Wohl AR, Carlos JA, Chen Y-T (2016). A comparison of HIV testing protocols with Latino day laborers. Journal of HIV/AIDS & Social Services, 15(1), 69-82
Bogart LM, Wagner GJ, Galvan, F.H., Landrine H, Klein DJ, Sticklor LA (2011). Perceived discrimination and mental health symptoms among Black men with HIV. Cultural Diversity and Ethnic Minority Psychology 17(3), 295-302.
Bogart LM, Galvan, F.H., Wagner GJ, Klein DJ (2011). Longitudinal association of HIV conspiracy beliefs with sexual risk among Black males living with HIV. AIDS & Behavior 15(6), 1180-1186.
Wohl AR, Galvan, F.H., Myers HR, Garland W, George S, Witt M, Cadden J, Operskalski E, Jordan W, Carpio F, Lee ML (2011). Do social support, stress, disclosure and stigma influence retention in HIV care for Latino and African American men who have sex with men and women? AIDS & Behavior 15(6), 1098-1110.
Wagner GJ, Bogart LM, Galvan, F.H., Banks D, Klein DJ (2012). Discrimination as a key mediator of the relationship between posttraumatic stress and HIV treatment adherence among African American men. Journal of Behavioral Medicine 35(1), 8-18.
Davis EM, Galvan, F.H. (2012). Alcohol use among HIV-positive Latinas and African American women. Affilia 27(4), 435-448.
Bogart LM, Landrine H, Galvan, F.H., Wagner GJ, Klein DJ (2013). Perceived discrimination and physical health among HIV-positive Black and Latino men who have sex with men. AIDS & Behavior 17, 1431-1441.
Fields EL, Bogart LM, Galvan, F.H., Wagner GJ, Klein DJ, Schuster MA (2013). Association of discrimination-related trauma with sexual risk among HIV-positive African American men who have sex with men. American Journal of Public Health 103(5), 875-880.
Wohl AR, Galvan, F.H., Carlos JA, Myers HF, Garland W, Witt MD, Cadden J, Operskalski E, Jordan W, George S (2013). A comparison of MSM stigma, HIV stigma and depression in HIV-positive Latino and African American men who have sex with men (MSM). AIDS & Behavior 17(4), 1454-1464.
Loeb TB, Holloway IW, Galvan, F.H., Wyatt GE, Myers HF, Glover DA, Zhang M, Liu H (2014). Associations between intimate partner violence and posttraumatic stress symptom severity in a multiethnic sample of men with histories of childhood sexual abuse. Violence and Victims, 29 (3), 451-63.
Payne JS, Galvan, F.H., Williams JK, Prusinski M, Zhang M, Wyatt GE, Myers HF (2014). Impact of childhood sexual abuse on the emotions and behaviours of adult men from three ethnic groups in the USA. Culture, Health and Sexuality, Jan 6. [Epub ahead of print]
Dale SK, Bogart LM, Wagner GJ, Galvan, F.H., Klein DJ (2014). Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV. Journal of Health Psychology, Oct 7. [Epub ahead of print]
Galvan, F.H., Bazargan M, Gomez-Bastidas E, Bing EG (2015). Using peer educators to promote HIV awareness among male migrants in Mexico. Journal of HIV/AIDS & Social Services 14, 74-94.
Hoover MA, Green HD, Bogart LM, Wagner GJ, Mutchler MG, Galvan, F.H., McDavitt B (2016). Do People Know I’m Poz?: Factors associated with knowledge of serostatus among HIV-positive African Americans’ social network members. AIDS & Behavior 20(1), 137-146.
Dale SK, Bogart LM, Galvan, F.H., Wagner GJ, Pantalone DW, Klein DJ. Discrimination and hate crimes in the context of neighborhood poverty and stressors among HIV-positive African-American men who have sex with men. (in press, Journal of Community Health)
Shadel WG, Galvan, F.H., Tucker JS. Developing a nicotine patch adherence intervention for HIV-positive Latino smokers. (in press, Addictive Behaviors)
Galvan, F.H. and Keatley J (2012). Latina Transgender Women: The Social Context of HIV Risk and Responsive Multi-level Prevention Capacity Building. K. Organista (Ed.), HIV Prevention with Latinos: Theory, Research and Practice. Oxford: Oxford University Press.
ORAL & POSTER CONFERENCE PRESENTATIONS
Bogart LM, Galvan, F.H., Wagner GJ, Landrine H, Klein DJ. “Perceived discrimination and physical health outcomes among HIV-positive black and Latino men who have sex with men.” 33rd Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine. New Orleans, LA, April 11-14, 2012.
Galvan, F.H.. “DIVAS (Destacadas Intervenciones Variadas Acerca del SIDA), Bienestar’s Theory-based HIV Prevention Intervention Targeting Transgender Latinas in Los Angeles County, California.” Presented at the Turning Research into Practice (TRIP) seminar of the Office of the Director, Office of Health Equity, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA, October 10, 2012.
Shadel WG, Galvan F, Tucker JS. “Improving nicotine patch adherence among HIV-positive Latino smokers.” Society for Research on Nicotine and Tobacco Annual Meeting. Submitted as part of a symposium on Smoking Cessation Interventions in Vulnerable Populations (Chair: J. Tucker), Seattle, WA, February 5-8, 2014.
Galvan, F.H., Wohl AR, Carlos J, Chen Y-T. Chronic stress among urban Latino day laborers in Los Angeles, California. 142nd Annual Meeting of the American Public Health Association, New Orleans, LA, November 15-19, 2014.
Galvan, F.H., Chen Y-T. Interactions of Latina transgender women with law enforcement. Panel on “Transgender Women and Corrections.” 2015 National Transgender Health Summit. Oakland, CA. April 17-18, 2015.
Galvan FG, Chen Y-T. TransActívate: A Linkage to HIV Care Program for Latina Transgender Women. Panel discussion at seminar entitled, “The Transgender Women of Color Initiative: Enhancing Engagement and Retention in HIV Care.” 2015 United States Conference on AIDS, Washington, D.C. September 10-13, 2015.
Galvan F, Brooks R, Liu H, Duran J, Chen Y-T. Using social networking sites with Latino MSM to promote HIV testing, prevention and care. 2015 National HIV Prevention Conference. Atlanta, GA. December 6-9, 2015.
Galvan F, Bing E, Ortiz D, Moreno A, Martinez V. “Use of Prostitutes by Latino Male Urban Day Laborers.” XVI International AIDS Conference. Toronto, Canada, August 13-18, 2006.
Bazargan M, Galvan F, Mizuno L, Chen Y-T. “Predictors of HIV-related Sexual Risk Behaviors in a Primarily Latino Sample.” HIV/AIDS 2011: The Social Work Response / The Twenty-Third Annual National Conference on Social Work and HIV/AIDS, Atlanta, GA, May 26-29, 2011.
Galvan, F.H., Chen YT, Ani C, Bazargan M, Galvan, F.H., Mizuno L. “SAPHER: A Homegrown HIV, Hepatitis and Substance Abuse Prevention Program.” 2011 National HIV Prevention Conference. Atlanta, GA, August 14-17, 2011.
Chen YT, Bazargan M, Mizuno L, Galvan, F.H.. “Effectiveness of a Home-Grown Intervention Program in Reducing Risky Sexual Behaviors among At-Risk Latinos and African Americans in Los Angeles. 2011 United States Conference on AIDS. Chicago, IL, November 10-13, 2011.
Galvan, F.H., Bogart LM, Wagner GJ, Klein DJ. “Conceptualizations of masculinity and medication adherence among HIV-positive Latino men in Los Angeles, California.” XIX International AIDS Conference (AIDS 2012). Washington, D.C., July 22-27, 2012.
Tucker JS, Shadel WG, Galvan, F.H., Naranjo D, Lopez C. Improving nicotine patch adherence among Latino HIV-positive smokers: A pilot randomized controlled trial. 2016 Society for Research on Nicotine and Tobacco 22nd Annual Meeting. Chicago, IL. March 2-5, 2016.
Shadel WG, Galvan F, Naranjo D, Lopez C, Tucker J. Developing an intervention to improve nicotine patch adherence in HIV-positive Latino smokers. 2016 Society for Research on Nicotine and Tobacco 22nd Annual Meeting. Chicago, IL. March 2-5, 2016.
Brooks RA, Chen Y-T, Galvan, F.H., Liu HH, Duran J. “The effective use of gay-oriented social networking applications in recruiting high-risk Latino MSM for HIV testing and linkage to prevention and treatment: Preliminary analyses.” 11th International Conference on HIV Treatment and Prevention Adherence of the International Association of Providers of AIDS Care (IAPAC). Fort Lauderdale, FL. May 9-11, 2016
INSTITUTIONAL REVIEW BOARD
In order to ensure that our research is conducted to the highest ethical and scientific standards, Bienestar’s Department of Research and Evaluation utilizes the Los Angeles County Department of Public Health Institutional Review Board (IRB) to review all of our research endeavors.
The IRB is comprised of an independent body of health professionals and community representatives that are responsible for assuring all research and systematic data collection abide by scientific, ethical and legal standards and regulations.
Through the IRB, Bienestar is able to ensure that all of our public health research:
- Respects the right of research subjects or participants to participate or not participate
- Keeps subject/participant information private and confidential
- Follows sound scientific methods and procedures
- Mitigates risk that is outweighed by the potential benefits to participants and/or society
The Public Health IRB is in turn part of a national system of IRBs (sometimes called “research ethics committees” or “human subjects protection programs”) required by the federal government for any institution or agency that receives federal funds for biomedical, public health or social scientific research.
For more information on the Public Health IRB, please visit their website at: publichealth.lacounty.gov/irb/
QUALITY MANAGEMENT PLAN
Bienestar has an in-house Quality Management Plan (QMP) which describes in detail the process for continually assessing each of our programs’ level of effectiveness within the organization. The plan addresses written policies and procedures of client feedback and the organization’s quality controls.
The QMP also concentrates on each of the five service areas (Client Services for HIV-positive individuals, Education and Prevention, Substance Abuse & Harm Reduction, HIV Counseling, Testing and Evaluation & Research) and the effectiveness of these services. To accomplish this, Bienestar has developed a set of quality indicators based on key activities specific to each service area. These indicators are divided into process and outcome objectives. This plan is inclusive of all Bienestar centers located in Los Angeles County. Funding sources include federal, state, county, and city entities as well as foundations.
EVALUATIONS OF OUR PROGRAMS AND SERVICES
Development of Data Collection Methods
Bienestar has a data collection process in place to collect, analyze, and report data for all of its programs. Managerial staff and the Department of Research & Evaluation will record and keep logs of intervention and client level data variable collected from the instruments weekly. These data variables will be utilized to develop program process and outcome reports and also intervention level aggregate data.
Collection and Analysis of Data Review
Both paper-based and electronic software systems will be utilized to collect program performance data (e.g. Case Watch, Welligent, SPSS and Excel). Successes and challenges obtained from our program evaluation activities will be disseminated to program staff monthly to monitor program progress. Results will be shared with the QMC and Bienestar’s Management team on a biannual basis to ensure the quality of service delivery has been maintained. Dissemination is intended to provide ongoing feedback of the program to staff and management. The data is also used by the local, state and federal agencies to inform them about the importance of services and influence policymakers who may improve policies regarding supportive programs designed and implementation.
Identifying and Sustaining Improvement
Bienestar works closely with program officers to review and develop policies and procedures for management of the programs and oversight of the quality improvement and quality assurance processes. Protocols for the specific programs and the respective interventions will continue to be developed and submitted to funding agencies for approval. These protocols will serve to assist program staff in meeting contractual goals, thereby ensuring that clients receive adequate and consistent support services. The Quality Management (QM) Committee and Program Management will review all protocols and policies on a yearly basis to ensure effective and appropriate delivery of services.
The organization plans on sustaining improvements through several methods. The compliance reports are now reviewed as a tool for improving programs and/or sustaining program performance. All review findings and developed plans of action are presented to the QM committee, program specific staff, Management and Executive Team to ensure quality of care is provided to clients accessing the agencies programs and services.