text:
Peer Knowledge and Roles in Supporting Access to Care and Treatment
- First Online:
DOI: 10.1007/s10900-010-9250-9
- Cite this article as:
- Tobias, C.R., Rajabiun, S., Franks, J. et al. J Community Health (2010) 35: 609. doi:10.1007/s10900-010-9250-9
People living with HIV (PLWHIV) have been involved in the continuum of HIV care since the early days of the epidemic providing education and prevention services. There is a growing interest in utilizing HIV positive peers to support access to care and treatment, but little is known about the range of roles these peers perform and what they need to know to do this work. This study of 186 HIV-positive peers currently providing community health services in eight states found that peers perform a wide range of roles, including assistance with care and treatment, emotional support, and service referrals. Over 80% discussed medications with clients. On average, experienced peers provided correct responses to 73% of questions about HIV and AIDS, and 65% of questions about the appropriate role of a peer. Peers living with HIV for more than 5 years, in paid employment with more than a high school education had higher HIV knowledge scores than volunteers. Higher education, length of time living with HIV, age and speaking English as the primary language were associated with higher peer knowledge scores. This study suggests that we cannot assume that peers already working in the field are fully knowledgeable about HIV care and treatment or peer roles. It is important to address gaps in knowledge through continuing education and to create common standards for the training and skills that peers who work in community health settings need to have.
KeywordsHIV AIDS Peers Training Treatment adherence Community health worker
People living with HIV (PLWHIV) have been involved in the continuum of HIV care as community health workers since the 1980's, providing outreach, HIV education and buddy services [1, 2, 3, 4]. Over the years we have learned a great deal about the roles that PLWHIV perform as peers in prevention work [5, 6]; what they need to know to do this work [7, 8, 9] and models that appear to work [7, 10, 11, 12]. The evidence suggests that peer interventions can decrease HIV transmission risk behaviors, provide HIV-related education and promote healthier behaviors [1, 2, 12, 13, 14, 15]. Based, in part, upon the success of peer interventions to reduce transmission, there is a growing interest in utilizing HIV positive peers to improve access to HIV primary care and adherence to treatment [12, 16, 17, 18, 19, 20, 21].
The interest in using HIV positive peers to support care and treatment also stems from the search to find community health interventions that effectively help PLWHIV overcome some of the barriers to health care. As many as 30% of those who know their HIV status in the United States are not receiving appropriate medical care [22, 23, 24] for a variety of reasons, including financial barriers, logistical problems in accessing care, and patient-specific concerns [25, 26]. Even when financial barriers are removed, however, untreated depression, homelessness, health beliefs, negative experiences with health care providers, stigma and distrust of the health care system have a significant impact on the receipt of appropriate HIV care [26, 27, 28]. A recent study of people who were not receiving regular HIV medical care found that several health beliefs influenced their care-seeking behavior. People reported that they did not want to be reminded of their illness, did not feel sick enough to seek care or felt that medications did more harm than good [29]. In light of these beliefs and the stigma that still surrounds the diagnosis of HIV disease, there is a growing interest in strategies that employ HIV positive peers who may be uniquely positioned to address these concerns and can serve as role models [9, 16].
Most of the existing literature on peer work to support HIV care and treatment describes experimental interventions such as support groups, directly observed therapy or risk reduction interventions with HIV positive individuals (prevention with positives). In order for this research to be applied successfully in routine clinical settings, a better understanding is needed of the range of roles performed by HIV-positive peers currently working in community health settings. We also need to learn more about the skills and knowledge required to be effective in this work. While there is some overlap with the knowledge and skills required to work in HIV prevention, peers who work in care and treatment settings may need a more thorough understanding of the HIV life cycle, medications and side effects, drug resistance and adherence. In addition to HIV knowledge, peers need to learn about the appropriate role for peers working as part of a clinical team, when to make referrals, how to handle boundary and confidentiality issues and how to take care of themselves in the workplace setting. The published literature is remarkably silent in all of these areas, even when outcomes of experimental interventions are described.
This article describes the results of a survey on peer roles and knowledge that was administered to HIV-positive peers as part of a series of peer training programs in eight states from 2006 to 2008. The Health Resources and Services Administration (HRSA) HIV/AIDS Bureau, through funding from the Minority AIDS Initiative, supported organizations in Oakland, CA, St. Louis and Kansas City, MO, and New York, NY to provide training to HIV-positive peers to engage other people living with HIV/AIDS in care and treatment. A fourth organization in Boston, MA served as a multi-site evaluation and support center to conduct an evaluation of the initiative. The results described below provide insight into the range of roles performed by HIV-positive peers in the United States who are currently working to help HIV-positive clients access the health care system and medical treatment. The article also describes peers' knowledge about HIV treatment and essential peer roles.
A total of 423 peers, defined as people living with HIV and non-clinician members of the affected community, participated in the peer training programs. The results reported below come from 186 of the peers (44%) who responded "yes" to the question: "Are you currently working or volunteering as a peer?," and also reported working or volunteering for 6 months or more. This group of experienced peers was selected because we were interested in the knowledge strengths and gaps of those already working in the field, as well as the roles they performed during the previous 6 months. Both inquiries required peers to have current work experience.
Design and Instruments
A baseline survey was administered to training participants prior to the first training session. The survey instrument consisted of four parts: Socio-demographic information (age, race/ethnicity, gender, education and prior peer work experience); Knowledge questions (15 questions about HIV and peer roles); Peer roles (13 items that describe activities peers perform in their work); and HIV self-care (health care utilization, medication adherence, and risk reduction practices). At the time of study implementation, there were no validated instruments to measure HIV knowledge, other than knowledge of transmission and prevention [8, 30], and no instruments that measured knowledge of peer roles. The knowledge and peer role portions of the survey were developed through a literature review of existing measures for HIV knowledge and peer skills, a review of instruments used by peer training organizations and in consultation with the program and training directors to confirm that the survey reflected the core competencies that would be addressed through the training programs. These competencies were originally identified by HRSA in the project design [31] and later through discussion and analysis among peer program and training directors, peer trainers, and evaluators from the participating organizations. The core competencies include HIV/AIDS: the viral life cycle, medications and resistance, risk and harm reduction, and treatment adherence; Peer roles: workplace expectations, boundaries, confidentiality, counseling, navigating the health care system, working as part of a clinical team, communicating with providers, readiness to be a peer, self-care; and Communication skills: stages of change, listening skills, open-ended questions, cultural awareness, and non-judgmental behaviors. The instruments were field tested in both English and Spanish to check for comprehension and appropriate literacy levels. All sites obtained Institutional Review Board approval for this study.
Composite measures were created to categorize the different peer roles and knowledge items. Peer roles were grouped into 5 categories: Provide emotional support (1 item), HIV care and treatment support (4 items), Harm reduction and behavior change (3 items), Care referrals (2 items) and Other peer roles (3 items). Participants were asked how often they performed these roles with clients in the past 6 months with response options of never, 1 or 2 times, 3–10 times or more than 10 times.
The knowledge questions were grouped into 2 categories: HIV knowledge and peer role knowledge. HIV knowledge consisted of 11 items (7 true/false, 4 multiple choice) related to HIV transmission, the viral life cycle, treatment adherence and managing side effects. Peer role knowledge consisted of 4 multiple choice items about knowledge of specific activities related to peer work.
Data Analysis
Basic descriptive analyses were used to describe peer characteristics, evaluate individual items in the knowledge scores, and describe the roles performed by peers. To avoid ceiling effects for the knowledge score, two items that were answered correctly by 95% of participants were removed. Items answered "don't know" or "missing" were considered incorrect answers. Items answered correctly were summed to create the mean knowledge scores. Mean scores were calculated for HIV knowledge based on 9 items and for peer role knowledge based on 4 items.
We used an iterative model building procedure based on linear regression models to identify factors associated with the knowledge scores. The following factors of interest were evaluated: gender, race, age, education, language, employment status as a peer, years working as a peer, place of work, and time HIV-infected. We first fit unadjusted analysis for each factor of interest. The normality assumption was tested and verified for the two knowledge scores and Tukey's Test was used to control for type 1 experiment wise error rate. Factors significantly associated with knowledge scores at a significance level of 0.15 were included together in a single multivariable model. Factors that were no longer significant at the 0.15 level in the multivariable model were removed one at a time. Finally, factors not significant in unadjusted analyses were included one at a time in the multivariable model to assess their significance in the presence of other variables. The final model was determined using this iterative approach. Prior to regression modeling, we assessed bivariate correlations between all independent variables. To avoid potential collinearity, no pair of variables with a Spearman correlation coefficient greater than 0.40 was included in the same model. Although a significance level criterion of 0.15 was used for entry and retention in the model building process, a two-sided alpha level of 0.05 was used to test whether a factor was significantly associated with the HIV knowledge score and the peer role knowledge score. Data analysis was performed using SAS version 9.1 (SAS Institute Inc., Cary, NC).
Characteristics of experienced peers (n = 186)
n (%)
126 (67.7)
57 (30.7)
101 (55.5)
33 (18.1)
Hispanic or latino/a
36 (19.8)
12 (6.6)
6 (3.3)
112 (61.5)
50 and older
64 (35.2)
High school or less
73 (39.7)
>High school
111 (60.3)
Primary language
165 (88.7)
21 (11.3)
Other training in the last 2 years
157 (84.9)
28 (15.1)
Employment status as a peer
114 (61.3)
72 (38.7)
Years working as a peer
<5 years
94 (50.5)
5 years or more
92 (49.5)
Place of work
7 (3.8)
Hospital or clinic
47 (25.4)
115 (62.2)
16 (8.6)
Years HIV positive
5 years or less
27 (14.8)
>5 years
155 (85.2)
Taking HIV meds
160 (86.0)
26 (14.0)
Experienced peers who performed specific roles and the frequency of performance in the previous 6 months (n = 186)
Frequency of performance
n (%)
One or two times
Three–ten times
More than ten times
Provide emotional support
13 (7.1)
29 (15.8)
49 (26.6)
93 (50.5)
HIV care and treatment support
Help a client talk openly with his or her doctor
36 (19.7)
50 (27.3)
38 (20.8)
59 (32.2)
Help a client understand how HIV medications can improve their health
30 (16.3)
26 (14.1)
49 (26.6)
79 (42.9)
Help a client to take HIV medications correctly
58 (33.1)
42 (24.0)
40 (22.9)
35 (20.0)
Go with a client to health care or social service appointment
82 (45.1)
46 (25.3)
32 (17.6)
22 (12.1)
Harm reduction and behavior change
Help a client decide to reduce their drug use
55 (30.6)
45 (25.0)
37 (20.6)
43 (23.9)
Discuss with a client how to have safer sex
25 (13.6)
27 (14.7)
44 (23.9)
88 (47.8)
Talk with a client about a behavior change that impacts their health
26 (14.1)
40 (21.7)
43 (23.4)
75 (40.8)
Care referrals
Help a client find or choose HIV services
34 (18.8)
42 (23.2)
54 (29.8)
51 (28.2)
Help a client find or choose social or support services
26 (14.4)
38 (21.0)
58 (32.0)
59 (32.6)
Other peer roles
Help a client make choices about disclosing HIV status
52 (28.7)
57 (31.5)
41 (22.7)
31 (17.1)
Set clear boundaries with clients
41 (22.5)
38 (20.9)
47 (25.8)
56 (30.8)
Help a client understand what confidentiality means
25 (13.7)
37 (20.2)
53 (29.0)
68 (37.2)
Correct responses of experienced peers to HIV and peer knowledge questions (n = 186)
HIV knowledge questions
n (%)
Average correct response rate across nine questions below
People who have AIDS get opportunistic infections because HIV weakens the immune system
168 (90.3)
If you have an undetectable viral load, you cannot give HIV to your partner (T/F)
167 (89.8)
Taking HIV medications does not cure HIV (T/F)
167 (89.8)
HIV medications help to reduce your viral load
152 (81.7)
Everyone should start taking HIV medications as soon as they are diagnosed (T/F)
149 (80.1)
It is better to take half of your HIV medications than to take none at all (T/F)
148 (79.6)
The HIV test looks for HIV antibodies
130 (69.9)
If a person with HIV has diarrhea, they should drink a lot of water
120 (64.5)
A viral load less than 200 means you have AIDS (T/F)
71 (38.2)
Peer knowledge questions
Average correct response rate across four questions below
If a person with HIV has the following problem, you should refer him or her to a mental health counselor: All of the above (throws up after eating, feels down or depressed for a long time, thinking everyone is out to get him or her)
152 (81.7)
Harm reduction means: All of the above (reducing the amount of alcohol you drink, entering a drug treatment program, wearing condoms when you have sex)
144 (77.4)
Which activity is not appropriate for a peer? Letting a client know which medications to stop taking
134 (72.0)
Which of the following is an open-ended question? How do you feel about telling your partner about your HIV
55 (29.6)
Experienced peer characteristics and associated knowledge scores (n = 186)
HIV knowledge score (0–9)
mean (SD)
P value
Peer role
Score (0–4)
mean (SD)
P value
All respondents
6.8 (1.7)
2.6 (1.0)
6.8 (1.7)
2.6 (1.0)
6.9 (1.7)
2.5 (1.0)
6.8 (1.8)
2.7 (1.0)
7.3 (1.6)
3.1 (1.0)
6.7 (1.5)
2.1 (1.0)
6.9 (0.8)
2.4 (0.8)
Black versus Hispanic/Latino
White versus Hispanic/Latino
7.5 (1.9)
3.5 (0.5)
6.9 (1.3)
2.6 (1.0)
6.6 (2.1)
2.5 (1.1)
High school or less
6.3 (1.9)
2.2 (1.0)
>High school
7.2 (1.3)
2.9 (0.9)
Primary languageb
2.7 (0.9)
6.3 (1.7)
1.6 (1.1)
Employment status as a peerb
6.6 (1.7)
2.6 (1.)
7.2 (1.6)
2.7 (1.0)
Years working as a peerb
<5 years
7.1 (1.4)
2.7 (0.9)
5 years or more
6.5 (1.8)
2.5 (1.1)
Place of worka
7.4 (1.0)
2.6 (1.3)
Hospital or clinic
7.0 (1.5)
2.7 (1.0)
6.8 (1.7)
2.5 (1.0)
5.9 (1.9)
2.8 (1.0)
Years HIV positiveb
5 years or less
6.1 (1.7)
2.3 (1.1)
>5 years
7.0 (1.5)
2.7 (1.0)
Multivariable analysis of characteristics associated with higher knowledge scores among experienced peers (n=186)
HIV knowledge score (0–9)
Peer role score (0–4)
β (Standardized β)
β (Standardized β)
0.82 (0.14)
0.17 (0.08)
>High school
0.77 (0.25)
0.62 (0.29)
Primary language
English versus other
0.95 (0.29)
Employment status as peer
Working versus volunteer
0.50 (0.16)
Years HIV positive
>5 years
0.69 (0.16)
0.41 (0.14)
The purpose of this study was to identify the activities HIV positive peers perform to support access to HIV care and treatment and to better understanding the level of peer knowledge in order to inform the development of peer training and supervision programs. In the literature, peer roles are often defined by the specific intervention being studied, such as modified directly observed therapy [17, 18, 19, 20, 25, 32, 33, 34], social support [25, 35] or prevention for positives [9, 12, 14, 15, 33]. In this sample of peers working in eight states it appears that HIV positive peers conduct a wide range of activities in natural (non-study) settings that encompass the roles described above, as well as helping clients find HIV and social support services, coaching clients in communications with their providers, helping clients make choices about disclosure, and helping clients understand confidentiality and boundaries. Although peers are likely to spend more time providing emotional support or encouraging risk reduction than engaging in direct discussions of medications or provider interactions, most peers in this study were engaged in both types of activities.
Given the diverse roles for peers, it is important to think broadly about the skills and knowledge people living with HIV need in order to support other people in HIV care and treatment. Several studies of peer interventions emphasize the importance of working with peers who have a solid knowledge of HIV and demonstrate the ability to manage their own HIV disease [21, 27, 32, 36], including an understanding of the HIV viral life cycle, medications and side effects, and adherence. This knowledge is important in helping clients to talk openly with providers or understanding how and why to take their medications. Other important peer skills include strong communication skills, the ability to be a role model, empathy and the ability to establish strong relationships, and the ability to maintain confidentiality [32, 36, 37].
Although tests of HIV knowledge regarding care and treatment are fairly new, they are important if we want peers involved in this work to impart accurate information to their clients. When this study was initially designed, the published literature on HIV knowledge focused on transmission rather than care and treatment [8, 38]. There was only one published HIV knowledge test at the time, a five-item test conducted among HIV positive patients in New York, which was associated with self-reported adherence. Since then, two scales have been published, one by Nachega [39] and one by Balfour [30]. While the Nachega scale still focuses heavily on transmission, Balfour's HIV Treatment Knowledge Scale was designed to identify gaps in treatment knowledge, particularly among HIV-positive individuals. Both our scale and Balfour's scale contain items that are very important for peers to know in order to educate other clients. For example, both scales include a true/false question "It is better to take half of your medications than none at all." In the Balfour sample, 63% of HIV-positive patients answered this question correctly, while in our peer sample 80% answered correctly. While it is encouraging that HIV-positive individuals working as peers are more likely to answer this question correctly than patients in general, it is also reasonable to ask the question: "Shouldn't all peers working to support HIV care and treatment know the answer to this question?" It is also concerning that only 38% of experienced peers in this study answered "false" to the statement that "a viral load less than 200 means you have AIDS." Understanding the difference between viral load and CD4 count values is essential for peers who help clients interpret their own lab values and discuss the implications with their providers. While we can expect that experienced peers may answer an occasional HIV care and treatment question incorrectly on a test, it is reasonable for peers to demonstrate a floor of knowledge before talking with clients about the HIV viral life cycle, medications, side effects and adherence. These results highlight knowledge gaps among peers which indicate a need for continuing education and a strong peer/supervisor relationship to support ongoing peer learning and to help peers apply this learning in their work.
Progress is being made in the testing of HIV treatment knowledge, but the HIV peer literature contains no mention of measures that test knowledge or awareness of other peer skills. Most descriptions of training for peer interventions are brief, when they exist at all. A few descriptions mention training topics such as communication skills, non-judgmental approaches, stages of change, disclosure, boundaries, codes of conduct and motivational interviewing [6, 9, 19, 21, 32]. However, we found nothing that formally evaluates peer knowledge or understanding of these skills. The four peer role knowledge items included in this study are not a validated peer role knowledge test, but rather represent an initial effort to measure the understanding of communication skills and peer roles. The fact that fewer than 75% of peers correctly answered the question "What is not an appropriate role for a peer?" suggests that peer training programs need to provide more coverage of appropriate peer roles, including boundaries and the roles of other team members. It is also concerning that only 30% of experienced peers could correctly identify an open-ended question, suggesting a need for more training and skills practice in communication skills. Measures that assess the understanding of peer roles are as important in evaluating peer functions as the health information contained in the HIV knowledge tests.
Peers in paid employment with higher education had higher HIV knowledge scores than volunteers. This finding is not surprising and may reflect employer recruitment and hiring practices when hiring individuals for paid positions and greater attention to the continuing education and supervision of peers in paid employment. However, peers in both paid employment and volunteer settings need regular supervision with a strong peer development component. Primarily English-speaking and younger peers had higher peer role knowledge scores. This highlights the importance of effectively translating, adapting and teaching peer skills to peers whose primary language is not English, and ensuring the opportunity to understand and practice these skills.
There are several limitations to this study. First, the study draws upon the experiences and knowledge of a convenience sample of active experienced peers who were recruited to participate in peer training programs through a variety of different recruitment methods. Thus the results do not necessarily reflect the general experiences of all peers in the United States. However, to our knowledge there are no other studies of peer roles and peer knowledge that include such a robust sample of peers and peer experiences across organizational settings and geographic locations. Second, the survey instrument was offered only in English and Spanish. Peers whose primary language was neither Spanish nor English may have been at a disadvantage when answering some of the peer knowledge questions, thus contributing to their lower scores. However, there were only eleven people in the sample whose primary language was neither Spanish nor English. Third, the questions asked are not part of a validated HIV or peer knowledge scale. More research is needed to develop a validated scale to measure peer knowledge of appropriate peer roles and behavior.
As this study demonstrates, we cannot assume that peers working in the field are fully knowledgeable about HIV care and treatment or peer roles. Gaps in knowledge or skills can be addressed in peer training programs, but are also important to address subsequent to initial training in peer supervision, continuing education and professional development. This study also highlights the breadth of roles that HIV-positive peers perform. In light of this finding, it is important to create common standards for the training and skills that peers who work in community health settings need to have. Although some important peer skills cannot be measured by a true/false or multiple choice test, such as the ability to be an active listener or empathy, other concepts can be tested. These include identifying examples of when confidentiality is breached or when to refer clients to other members of the clinical team. Peer training programs could be improved by regular evaluation of trainee knowledge and implementation of continuing education programs based on the results of these evaluations.
This study was supported by grants from the Health Resources and Services Administration, HIV/AIDS Bureau, Division of Training and Technical Assistance, U20HA08557.
Open Access
This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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CSO Perspectives Roadshow Interview - Mark Loveless "Simple Nomad" Senior Security Researcher at Duo Security


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A Few Simple Rules 05/22/2017Sailing Anarchy is a very lightly moderated site. This is by design, to afford a more free atmosphere for discussion. There are plenty of sailing forums you can go to where swearing isn't allowed, confrontation is squelched and, and you can have a moderator finger-wag at you for your attitude. SA tries to avoid that and allow for more adult behavior without moderators editing your posts and whacking knuckles with rulers. We don't have a long list of published "thou shalt nots" either, and this is by design. Too many absolute rules paints us into too many corners. So check the Terms of Service - there IS language there about certain types of behavior that is not permitted. We interpret that lightly and permit a lot of latitude, but we DO reserve the right to take action when something is too extreme to tolerate (too racist, graphic, violent, misogynistic, etc.). Yes, that is subjective, but it allows us discretion. Avoiding a laundry list of rules allows for freedom; don't abuse it. However there ARE a few basic rules that will earn you a suspension, and apparently a brief refresher is in order. 1) Allegations of pedophilia - there is no tolerance for this. So if you make allegations, jokes, innuendo or suggestions about child molestation, child pornography, abuse or inappropriate behavior with minors etc. about someone on this board you will get a time out. This is pretty much automatic; this behavior can have real world effect and is not acceptable. Obviously the subject is not banned when discussion of it is apropos, e.g. talking about an item in the news for instance. But allegations or references directed at or about another poster is verboten. 2) Outing people - providing real world identifiable information about users on the forums who prefer to remain anonymous. Yes, some of us post with our real names - not a problem to use them. However many do NOT, and if you find out someone's name keep it to yourself, first or last. This also goes for other identifying information too - employer information etc. You don't need too many pieces of data to figure out who someone really is these days. Depending on severity you might get anything from a scolding to a suspension - so don't do it. I know it can be confusing sometimes for newcomers, as SA has been around almost twenty years and there are some people that throw their real names around and their current Display Name may not match the name they have out in the public. But if in doubt, you don't want to accidentally out some one so use caution, even if it's a personal friend of yours in real life. 3) Posting While Suspended - If you've earned a timeout (these are fairly rare and hard to get), please observe the suspension. If you create a new account (a "Sock Puppet") and return to the forums to post with it before your suspension is up you WILL get more time added to your original suspension and lose your Socks. This behavior may result a permanent ban, since it shows you have zero respect for the few rules we have and the moderating team that is tasked with supporting them. Check the Terms of Service you agreed to; they apply to the individual agreeing, not the account you created, so don't try to Sea Lawyer us if you get caught. Just don't do it. Those are the three that will almost certainly get you into some trouble. IF YOU SEE SOMEONE DO ONE OF THESE THINGS, please do the following: Refrain from quoting the offending text, it makes the thread cleanup a pain in the rear Press the Report button; it is by far the best way to notify Admins as we will get e-mails. Calling out for Admins in the middle of threads, sending us PM's, etc. - there is no guarantee we will get those in a timely fashion. There are multiple Moderators in multiple time zones around the world, and anyone one of us can handle the Report and all of us will be notified about it. But if you PM one Mod directly and he's off line, the problem will get dealt with much more slowly. Other behaviors that you might want to think twice before doing include: Intentionally disrupting threads and discussions repeatedly. Off topic/content free trolling in threads to disrupt dialog Stalking users around the forums with the intent to disrupt content and discussion Repeated posting of overly graphic or scatological porn content. There are plenty web sites for you to get your freak on, don't do it here. And a brief note to Newbies... No, we will not ban people or censor them for dropping F-bombs on you, using foul language, etc. so please don't report it when one of our members gives you a greeting you may find shocking. We do our best not to censor content here and playing swearword police is not in our job descriptions. Sailing Anarchy is more like a bar than a classroom, so handle it like you would meeting someone a little coarse - don't look for the teacher. Thanks.
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About jerryj2me
jerryj2me replied to burnt chef's topic in Fix It AnarchyOverkill much?
jerryj2me replied to DryArmour's topic in Sailing Anarchyhttps://www.facebook.com/groups/sailorsinsd/ Join there, that will get you to over 900 people PDQ.
jerryj2me replied to Owen's topic in Fix It AnarchyEBay vendors sell the stuff
jerryj2me replied to soak_ed's topic in Political AnarchyA 9mm and a .380 both have the same size bullet and barrel bore size. The 9mm is very popular in pistols of all sizes and the .380 has a slightly shorter brass casing. Consequently very small pistols use a 380 which fits better in the design of the smaller grip, shorter barrel, shorter slide dimensions of a small pistol.
jerryj2me replied to cubfan's topic in Sailing AnarchyMy bow girl got bonked on the head (spin pole) a month back by a newbie in pit that did not know WTF they were doing. Concussion, hell of a headache and a hospital visit for an MRI. Thankfully she was ok. Told her if she wanted a helmet I would pay for it. The helmets out there are cheap ($30-40) lightweight, pretty effective and comfortable. What's the problem? Macho guys don't wear helmets? Had that stupidity in the NFL, NHL and a few other places as well. A friend of mine got hit by a car while cycling, once they finished gluing him back together he put the helmet he was wearing on his desk and the damage to the helmet told the story. If people want to wear helmets, so be it.
jerryj2me replied to Alex W's topic in Fix It AnarchyThe asymmetric aspect is a big clue - I would look at the vertical alignment between gear faces and see if they align properly. Just a guess, but I wonder if some form of spacer is missing underneath something so that the two gears are not aligning properly? Is the gear that this drives the winch drum? Does that have a similar wear pattern?
jerryj2me replied to Soho's topic in Fix It AnarchyCouple suggestions - depends on how handy you are with electronics - If the readout has nothing more than voltage readings, you can substitute an outboard electrical meter. If the readout also has some intelligence to it (digital control info) and you need a plug in compatible replacement, consider opening up the old unit, see if you can find manufacturer and part number on the display, and go looking for a LCD replacement. If you are not soldering iron friendly, get the parts and find a local electronics tech to R&R for you. Also, check to see if it is the backlight to the display that has died.
jerryj2me replied to plenamar's topic in Fix It Anarchyhttps://www.w8ji.com/dielectric_grease_vs_conductive_grease.htm Give the above a read.
jerryj2me replied to BboySlug's topic in Sailing AnarchyAuckland has better wind and better craft brew beer. Newport has better lobster, fried clams, and the stereotypical "yachtie culture"
jerryj2me replied to Sportboat Jeff's topic in Sailing AnarchyWhat town-marina/YC is this in?
jerryj2me replied to benwynn's topic in Political AnarchyFive days in from the election and he had already changed position on 9 key items of his campaign promises. Words of wisdom: "Be careful what you ask for because you may actually get it." And, an ancient Chinese curse, one of my favorites "may you live in interesting times" Or, Like they say in Dixie "I'll pray for you..." http://www.independent.co.uk/news/world/americas/us-elections/donald-trump-nine-times-betrayed-voters-us-election-2016-mexico-clinton-muslims-a7413341.html Nine times Donald Trump has already betrayed the US voters who put their faith in himWithin days the President-elect has rowed back or ditched a string of his bizarre promises
jerryj2me replied to Shortforbob's topic in Political Anarchyhttps://en.wikipedia.org/wiki/Gold_Codes Give it a read it is actually not that difficult.
jerryj2me replied to Parma's topic in Fix It Anarchyteflon (PTFE) dry lube from Home Depot is essentially the same and a fraction the cost.
jerryj2me replied to Diamond Jim's topic in Fix It Anarchyhttp://www.digikey.com/product-search/en/boxes-enclosures-racks/boxes/2163622 Start there. Or as others are saying, build something from scratch. Wood or lay up fiberglass.
jerryj2me replied to Code 2's topic in Fix It AnarchyWD40? Um.... No. Plastic to plastic binding? Clean it all up and use some PTFE dry lubricant instead.


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Cross Keys Hotel - 36 37, The Square Kelso TD5 7HL
Distance: 1.0 miles
Rating\Stars: 3 | Prices from: £89.00 | Customer rating: 5\6Check prices and availability
The Cross Keys Hotel is superbly situated in the heart of Kelso's picturesque French-style cobbled square. The present hotel was built in 1769, but in other forms a Cross Keys hotel has occupied this site since the earliest days of Scottish coaching inns. The Cross Keys today provides a warm and friendly welcome to its guests and excellent service from attentive, friendly staff. The hotel is an ideal centre for business or pleasure - situated in a peaceful corner of Scotland, yet still within easy reach of Edinburgh and Newcastle. Ideal for groups of cyclists, walkers, fishing and shooting parties, accommodating bikes securely on site if required. A central venue for meetings, conferences, weddings, family gatherings, lunches and dinner celebrations and all family occasions. The Cross Keys is a family run hotel who provide that personal touch that makes all the difference to their guests. We take pride in welcoming and looking after our guests and pride ourselves on our long serving staff members who cater for your every need.
Ednam House Hotel - Bridge Street Kelso TD57HT
Distance: 1.1 miles
Rating\Stars: 3 | Prices from: £94.00 | Customer rating: 5\6Check prices and availability
Edam House is a gorgeous Georgian Mansion sitting in 3 acres of gardens overlooking the famous River Tweed, yet in the heart of the charming town of Kelso. Whilst the original building has been updated and extended through the years, it oozes charms and retains its character; the original woodwork, plaster ceilings & marble fireplaces are truly magnificent. Owned and run by the Brooks family since 1928, you can be assured of a warm welcome by your hosts Ralph and Anne. They will treat you to genuine Scottish hospitality and authentic food during your stay. Let them take you back in time in this beautiful historical setting with friendly personal service and an informal atmosphere. Our hotel has 32 lovely rooms, all individually decorated in traditional style, a riverside restaurant offering a daily delicious menu using fresh local ingredients, as well a cosy lounges to relax and a warm and welcoming bar. Plus you can use Free Wifi in our public spaces. Besides using local fresh ingredients you will be interested to learn that we also smoke our own salmon, have bee hives and produce honey for your breakfast, raise free range pork, bake fresh bread, and have our own Whisky brand. In our modern Deli, 'Pharlanne', located at the entrance of the hotel, you can also buy these fresh ingredients and produce to take home with you. The hotel is ideally located in the heart of the Scottish Borders, perfect for exploring the wonderful countryside and visiting all the surrounding castles, abbeys, historic houses and gardens. For more active holidays, the Cheviots hills provide wonderful walks, there is salmon fishing on the river Tweed, enjoy stunning horse riding routes, easy access to the surrounding 22 golf courses, go cycling or mountain biking and Kelso also has its own horse race course.
Castle Hotel - 11 High Street Coldstream Berwickshire TD12 4AP
Distance: 7.3 miles
Rating\Stars: | Prices from: £65.0 | Customer rating: 5\6Check prices and availability
The Castle Hotel, occupying a prominent site on the main street of "the first true border toon" of Coldstream, offers comfortable accommodation, traditional home cooked food and a welcoming and friendly atmosphere. The hotel offers en suite accommodation, Restaurant and Bar lounge area and off road parking in the adjacent car park. The hotel is in a popular location which is ideal for golfing parties and the Hirsel Golf Club is less then 10 minutes walk away. The River Tweed is only minutes away and can provide excellent fishing. Coldstream itself offers a selection of local shops including many antique shops and only minutes walk away from the Hirsel Craft Centre. Coldstream is also home of the "Coldstream Guards" and in the town square you can find the Coldstream Guards Museum. Kelso is situated only 9 miles away and Berwick upon Tweed is just 12 miles which makes the Castle Hotel an ideal location to stay and enjoy some Scottish hospitality whilst discovering the beauty of the Scottish borders.
Little Bethel Cottage - 79 High Street Coldstream TD12 4DH
Distance: 7.5 miles
Rating\Stars: 4 | Prices from: £200.00 | Customer rating: 6\6Check prices and availability
This fantastic luxury stone cottage in the heart of this Scottish Borders Town. Excellent location with car parking, shops and eating places on your doorstep. This is the perfect cottage has everything you'll need for your stay and is the ideal location for a visit to Scotland. The cottage has 2 double bedrooms and one single bedroom and will sleeps 5 comfortably. There is loads to see and do - and Edinburgh is only 1 hour drive.
Apartment - 76 High Street - 76 HIGH STREET COLDSTREAM TD12 4DH
Distance: 7.5 miles
Rating\Stars: 3 | Prices from: £175.00 | Customer rating: 5\6Check prices and availability
Large 2 bedroom Apartment which sleep 4 adults (& 2 children). One bedroom with King Bed, Single bed and pull out bed and also a twin bedroom & sofabed. Sitting room with tv, dvd & freeview digital channels. Extra beds available on request. Fully equipped kitchenette with cooker, microwave, fridge, washing machine & drier. Coldstream is right on the England and Scotland border next to the River Tweed. Lovely River walks nearby. Shops open in town till 10pm most nights and superb new tea room with full breakfast, lunches and teas available. Parking at the front door. Phone owner for keys & longer stay rates. Pets welcome but must have their own beds as not allowed in bedrooms. A £10 extra charge per pet.
Bank House - 88 HIGH STREET COLDSTREAM TD12 4AG
Distance: 7.5 miles
Rating\Stars: 4 | Prices from: £85.00 | Customer rating: 5\6Check prices and availability
Large character guest rooms ideal for anyone visiting the Scottish Borders/Scotland. These wonderful very large self catering rooms are ideal for more than one night and you can even make your own breakfast! Rooms include Towels, large tv's with freeview channels, dvd player/dvd library, free wireless internet, extra beds available on request, microwave, fridge, cutlery/plates, and have stunning views of the River Tweed! Coldstream is right on the England and Scotland and there is lovely relaxing walks along the riverside to enjoy. Lovely eating places and shops one minute's walk away. Shops and restaurants nearby so you can eat in or eat out. Excellent accommodation for holiday weekends or summer holiday visits, couples, families and single professionals.


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Search the Community: Showing results for tags 'bad juju'.
Found 11 results
Corwin posted a topic in The NeverbornIf Bad Juju with Eternal Fiend is buried and then reduced to 0 wounds by one of the things that can hurt buried things, what happens. Would he not be killed healed and reburied? I see that he could mess with a Tara themed crew quite a bit, expensive and probably not worth having your 10ss guy hiding in the mud but would be fun to mess up a lot of their tricks.
Phinn posted a topic in Miniature ShowcaseHi everyone, today I finished first model for my Zoraida crew - leaping Silurid, so I thought that I would share some pictures and thoughts. The hardest part was the colour scheme. I wanted the model to look natural, so I looked up a lot of pictures of frogs, catfishes and lizards on internet and tried to imitate features that they have in common (e.g. light abdomen and dark dorsum). The colour scheme is mostly inspired by frogs, because their life cycle reminds me of the Silurids' one the most. Eggs hatch into Gupps and Gupps mature into Silurids (and some Silurids metamorphose into Spawn Mothers). Well... they are actually more like salamanders and newts, but those are usually not green so I decided to go with frogs. Another issue was the model's posture. When i dry-fitted it to the base it looked very unnatural. In the end I pinned its leg and kept repositioning it until it looked like on the render and I was sattisfied. Originally, I wanted to finish the model with Citadel Technical 'Ardcoat, a gloss varnish, to make it look wet/slimy, but when I applied matt varnish and it was still wet, I realized that that's how it would look like and decided against it. Next model will be crouching Silurid. That one and the one standing on a rock have crests much taller, so theirs will be either brighter towards the top (off-white or orange) or painted off-white with pink/blue shades.
.Per. posted a question in Malifaux Rules DiscussionHello Wyrdos! Someone kills my Bad Juju, I play my upgrade A Thousand Faces: Avange Our Brethren, after that I activate my ability Eternal Fiend: Eternal. Cool, cool, cool or no, no, no?
Corrgon posted a gallery image in Members Albums Category
PhisherKing posted a topic in The NeverbornHey guys I had a quick question concerning Bad Juju's Eternal Fiend upgrade in a shifting loyalties campaign. I'm curious if the death replacement effect from Eternal Fiend means I wouldn't need to make a finished off flip or if the shifting loyalties rules overwrite that. Bad Juju: Eternal Fiend: "When this model is killed (not sacrificed), it is not killed. Instead, bury this model." Shifting Loyalties (pg 13): A model only ever flips to be Finished Off the first time it is killed or sacrificed, even if it has some unusual way of coming back. Models which are buried when the game ends count as killed and therefore flip to be Finished Off as normal (cheating is allowed from any cards the player had in their hand at the end of the game). It looks like RAW Bad Juju wouldn't have to make the finished off flip, but going by RAI I could see the part about "unusual way of coming back" including Eternal Fiend so he'd have to make the flip. Thanks ahead of time for your input!
Shirkattack posted a topic in The NeverbornThis last weekend I tried out an experimental henchmen list for a local fixed faction fixed henchmen tournament at 35ss. The strats/schemes were standard and you could only choose one henchmen in the list. I pieced together a Bad Juju Swampfiend only list with the goal to make a theme list competitive. Although I didn't win the tournament, I didn't lose a game and placed 5th out of 24. The build was really successful at schemey intensive pools but definitely suffered on the killy side of things. I thought I would share this list with the community. In the future I'd like to build upon this for a Lilith swampfiend crew. Any feedback will be well received. Below is the list: Bad Juju Eternal Fiend + 2 {Fears Given Form + 1} or {Hexed Among You +1} Silurid + 7 Silurid + 7 Waldgeist + 6 Waldgeist + 6 Gupps + 4 Primordial Magic + 2 (*I know the primordial magic is not a swampfiend, so I made one out of greenstuff to look the part)
Clement posted a question in Malifaux Rules DiscussionSo this came up over the weekend... Appetizing from the slop hauler says it "Reduces their DF to 4". Bad Juju already has a native defense of 3 though, so does Appetizing do anything here?
The Grue posted a topic in The NeverbornAfternoon everyone. Thought I would try my hand at putting together a crew. This is my first time actually putting together a crew all the way and posting it so any critique is appreciated and welcomed. Neverborn Crew - 50 - Scrap Zoraida -- 4 Pool +Crystal Ball [2] +Hexed Among You [1] +Tarot Reading [2] Bad Juju [8] +Eternal Fiend [2] Bayou Gator [5] Bayou Gator [5] Doppleganger [7] McTavish [10] +Fears Given Form [1] Silurid [7] I just figured that with Zoraida and her control she could benefit from some heavy Melee and the heavy melee would benefit from her casting actions as the crew goes about achieving their schemes. I also wanted to capitalize on Bad Juju's Eternal Friend and have everything a swampfiend, though the mental image of a Doppleganger taking a bite out of someone after Mimicing a Bayou Gator or Mctavish was funny enough to put her in. Let me know what you think. As always, The Grue
Aerhed posted a gallery image in Members Albums Category
AtomicKeen posted a topic in Miniature ShowcaseSo I've been fiddling with a Voodoo inspired proxy crew (with a Mambo and Loup Garou), and this is my homemade WIP Bad Juju. A clay sculpt with shells and some found plastic bits. Not done yet, as each time I work on him the urge to change his reed mohawk into vine dreadlocks grows. I will also be able to try out water effects on his base, which I've never done before. Haven't yet decided if I want to paint over the sand to give his mud some areas of texture... I've been out of the painting game now for... wow, since 2007?!? Jeez... My skills are a bit rusty with a brush so I'm working on a few larger models to get myself back into the groove before I paint up my crew. What do you guys think so far? Any tips on making him look as natural and earthy as possible?
Omenbringer posted a topic in Miniature ShowcaseFinally got around to finishing my Zoraida crew and figured I would post'em. "Voodoo Queen" Zoraida From the Back The Voodoo Doll "Big" Bad Juju Waldgeist from the Grassy Knoll Waldgeist in the Bushes "Mean Mugging" "What you looking at?" "Rarrrgh!" Links to some of my other stuff; Gremlins Cult of December and Lady Justice As always comments and criticisms are welcome.


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Disclaimer: The TMNT is a registered trademark of Mirage Studios, so don't sue.
My 17-year old sister Tina wrote this story on my laptop while I was out for a couple of minutes. Didn't notice what she'd done until several days later, when I found this mysterious document in my computer that I really couldn't remember writing… After scolding her, I discovered that the 'story' was actually quite funny… at least, that's what I thought. I don't really believe that she thought I'd translate it into English and then post it on the internet, but I'm doing it anyway. But don't worry, I've told her. And I'm writing a couple of TMNT stories myself, though it might take a while before I post them – I have an X-Men Evolution story to finish, and there's always school…
All the Little Turtles and their Godforsaken Day in the Park
One day, Splinter put on his Sunday dress and made a dramatic, drastic and dramaturgic decision.
"My sons! We shall go to the park and feed unfamiliar ducks! Except for those that smell of booze, they're not good moral examples."
And the maladjusted turtles without lives thought that the giant rat's suggestion was as good (or bad) as anything else. So they all dressed up in doctor's coats and wandered in an asymmetric row to the park.
The ducks in the park looked swarthy and dangerous – they were smoking fat cigars lying on the shore. Every now and then, some of them said 'quack' in a deterrent tone. Michelangelo panicked and jumped up into Leonardo's muscular arms. Right then, a nonconformist passed by and started to preach for them both about the word 'gaj' and about cancer tumours. Donatello wanted to analyze interesting duck's faeces but got eczema and had to take a break and think over his life. Raphael had a heart- and/or vessel disease and kept lying down. Splinter started to regret his mysterious idea but then discovered that he had much in common with the nonconformist and converted to Jehovah's witnesses. Because of Michelangelo's and Leonardo's exhibited homosexual tendencies, they were executed on the spot and then the pious made their way home to confess their sins and to prepare for the destruction of the world.
And that's how their pointless day in the park ended.
Please review!


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Has your mother ever been so worried that her husband is cheating on her that she sends you to go undercover where he works? No? Well, mine did. Just to clear it all up my father works as a teacher for an ALL boys college. ------
Claire Martez had a pretty normal life, she had just recently graduated a few months ago and had great grades. Recommended for some scholarships. But she didn't exactly plan to go to an all boys college after High School. Nope, not at all. She Especially didn't expect to room with the Caiden Anderson. No, this isn't your basic love story. This is a story that involves secrets, fights and heartbreaks.
»»Book 3 of The Undercover Saga. You don't have to read the other 2 books, but you do have to read them for the 4th book and there will be spoilers in this book for the others.««
• Lovely cover is made by @heights
• Highest rating: #4 in Teen Fiction ( 9/12/15) <-- I stopped checking this so could have been higher for all I know.
Snazzy_Zebra Apr 16
Okay...:I'm mentally prepping myself for finding out who took over the agency. I GOT TO KNOW!
torizhu Apr 12
I make trailers if you still need one lmao (check out 'Free Cover's on my profile; there are examples) :)) (btw i love this book SM i've read it at least 6 times !!)
TearStainedFlowers May 02
Ok but Thomas is who I'm here for screw the others like cmon boo
Kookie_Mookie Mar 30
don't all love stories on wattpad have secrets, fights, and heartbreak?
kandi_rocker12355 Mar 27
They're not in a specific order for anyone who's wondering at least I don't think cuz I read this first
Bassys_Boo Mar 20
That one part reminded me of a deodorant or sports drink add


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Event Sponsors
Open Superbike Race
Sponsor: Torqtronix
Armoy Motorcycle Road Racing Club are delighted that Davie Wishart from Torquetronix bespoke tuning company will return as the Superbike Open Race sponsor in 2017 for the third year.
Read More
Supersport Race 1
Sponsor: First4Printing
Coleraine based, First4Printing, are returning as sponsor for the Supersport (1) Race. The long established graphic design and printing services company has been printing the Armoy programme since its inception in 2009.
Supersport Race 2
Sponsor: Bayview Hotel
Trevor Kane & the Bayview Hotel is a great supporter of the Armoy Races and has been sponsoring the 125 Race since our beginning in 2009 and when a chance came to sponsor the Supersport (2) race in 2015, Trevor stepped forward.
Senior Support (Race 1) Sponsors
Senior Support (Race 2) Sponsor
Junior Support Race Sponsors
Joint Sponsors: Mermaid Club and Armoy Homes
The Mermaid Club may be unfamiliar to most of you reading this, but a great bunch of road racing fans from the Mermaid Pub in Kircubbin Co. Down. Armoy Homes, (McCook family are also joint sponsors of the Junior Support race and the family who provided us with the land for the new infamous Armoy Homes Chicane.
Lightweight Supersport Race Sponsors
Joint Sponsors: Diamond Bar and JW Hickinson Insurance Brokers
The Diamond Bar in Ballymoney are great supporters and fundraisers for the Armoy Races and Martin Doyle, Proprietor, has sponsored a race at Armoy since 2011. In 2017, Martin will continue to sponsor this reclassified race alongside JW Hickinson & Co Insurance Brokers.
Moto3 / 125GP Race
Sponsor: Molly's Restaurant
THE Armoy Road Racing Club are delighted to have returning sponsor for the Moto3 GP 125cc Race, Molly's Bar and Restaurant of Ballymoney, Co.Antrim.
Supertwin Race
Sponsor: Clyde Shanks Planning Development
Clyde Shanks is NI's fastest growing planning consultancy. They are specialists in guiding development projects through the planning process.
Classic Race
Miss Armoy Competition
Sponsor: Harrigans Fuel


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Product Description▼▲
Resin tablets look like stone, engraved with matching Christian sentiments for each line of Scripture. Ten Commandments dimensional banner; dove accent; dark wood frame with goldtone details.
31.5" x 29.5"; ready to hang; heirloom quality gift for your home or house warmings.
Respect the Lord God and those He has placed in authority over you.
Thou shalt not make any graven images.
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Guard your speech and always try to communicate effectively and respectfully.
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Product Information▼▲
|Format: Gift
Vendor: Carpentree, Inc
|Publication Date: 2013
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Davis2 Stars Out Of 5DisappointedAugust 7, 2015DavisQuality: 2Value: 2Meets Expectations: 1I think this is the mist disappointed ive ever been on a purchase. Not heirloom qualiety in any way. this is just a computer generated image with a thin metal cross in the center. looks so fake in real life.
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Unfortunately, these are already framed from the manufacturer. We do not offer them for sale without the frame.


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