WINGS NYC — We conducted a NIDA-funded randomized controlled trial of WINGS IPV SBIRT model comparing computerized self-paced model of WINGS versus the same IPV SBIRT model delivered by a facilitator among 191 WWUD in community corrections.

We have integrated WINGS core components into an evidence-based behavioral HIV prevention intervention entitled E-WORTH for Black/African American WWUD in community corrections. We are currently evaluating the effectiveness and cost-effectiveness of E-WORTH in a randomized controlled trial.

WINGS India (Pankh), Pune, India –  The South Asia Alliance Regional Technical Hub and Sahara, an NGO in Pune have adapted the two session version of WINGS with HCT to identify and address IPV and other culturally specific forms of GBV with women who inject drugs in collaboration with GLORI and GHRCCA. GHRCCA and GLORI trained Sahara to implement WINGS which they call Pankh. Sahara is planning to enroll 36 women in a pilot trial of Pankh that is funded by the Alliance of Public Health.  The Regional Technical Hub will evaluate the feasibility and preliminary effects of Pankh on identifying and reducing different types of IPV and GBV.

WINGS of HOPE KG Kryla Nadejda – We adapted and evaluated the effectiveness of implementing WINGS combined with HIV counseling and testing (HCT) in harm reduction programs for women who inject drugs in Kyrgyzstan with GlORI Foundation, a local NGO and NOVIC a collaborative community advisory board formed for this project. WINGS of Hope expanded the screening tool and brief intervention to identify and address culturally specific forms of GBV (e.g. violence by in laws). This study, which was funded by the Open Society Institute, found significant decreases in the experience of physical and injurious violence from intimate partners (IPV) and others (GBV) from baseline to the 3-month follow-up as well as decreases in drug use, and increased access to IPV and HIV services. Over 90% of participants agreed to complete HIV counseling and testing (HCT) of whom 8% tested positive for HIV and all were linked to HIV care. We subsequently adapted WINGS of Hope for sex workers in Kyrgyzstan. We are currently collaborating with GLORI and Novic to evaluate the effectiveness of implementing WINGS of Hope in a range of harm reduction settings.

HOW DO I ADAPT WINGS FOR MY COMMUNITY

Adapting WINGS involves customizing delivery of the intervention and ensuring that messages are appropriate for WINGS participants served by your agency or within your community without altering, deleting, or adding to the intervention’s Core Elements. When adapting the intervention, remember to consider the needs of the population to be served, the resources and capabilities of your agency, and the Core Elements of the intervention.

Adaptation refers to the “who,” “what,” “how,” “when,” and “where” of WINGS as it will be implemented at your agency. An example of an adaptation is deciding whether to include a follow up visit for WINGS participants who disclose experiencing IPV to assess their progress in meeting their goals and linking to services. In the original WINGS research, facilitators only met with women for the single WINGS session. However, post-evaluation assessments suggest that some women who are in need of IPV services may benefit from an additional follow-up visit to work through barriers in accessing IPV services or meeting their goals.

Adaptations should not affect the Core Elements of the intervention. Instead, they should enhance delivery of the intervention at your agency, and allow your staff to be creative and to develop ownership of the program.