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Dissemination and Evaluation Center


Highlights

  • Adoption of evidence-informed HIV care interventions has been limited.
  • Identifying barriers and facilitators to implementation can increase intervention uptake.
  • Abt and Boston University will deliver a multi-year/site implementation study.
The Challenge

Approaches to link and retain vulnerable people living with HIV (PLWH) in HIV primary care are critical to ending the HIV epidemic. While evidence-informed interventions exist, they have not been broadly adopted. That’s why the Health Resources and Services Administration HIV/AIDS Bureau Special Projects of National Significance funded a five-year project to create four Care and Treatment Interventions (CATIs) implementation manuals. CATIs will integrate implementation science and patient outcome research to facilitate rapid intervention uptake without extensive training or technical assistance.

The Approach

Using the Proctor Model for Implementation Research evaluation framework, the DEC is studying four interventions to improve HIV health outcomes for PLWH using:

  • peers and patient navigators to engage women of color in care.
  • transitional care coordination to link incarcerated PLWH to care upon release.
  • buprenorphine in HIV primary care.

To execute the mixed methods evaluation, the DEC designed and implemented tools, including client encounter forms, audio recording fidelity checklists, key informant interviews and demonstration site-level monthly reports.

The Results

The DEC is currently analyzing qualitative and quantitative data collected from the 12 demonstration sites. Final data will be available in year five of the project (2020) and will be disseminated through the CATIs, a series of webinars, case studies and project briefs.