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AIDS and Behavior
Published in: AIDS and Behavior 4/2015

01-04-2015 | Original Paper

Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care

Authors: Iliana A. Garcia, Arthur E. Blank, Elizabeth A. Eastwood, Alison Karasz

Published in: AIDS and Behavior | Issue 4/2015

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Abstract

The use of evidence-based strategies to increase access to medical care and improve health outcomes for people living with HIV is a major public health priority in the United States. As part of a multi-site evaluation funded under the Health Resources and Services Administration (HRSA), a process evaluation was conducted with the goal of understanding barriers and facilitators to the implementation of eleven heterogeneous interventions designed to engage and retain HIV positive women of color (WoC) in medical care. Findings identified barriers and facilitators to program implementation at five levels: (1) program; (2) team; (3) agency; (4) partner network; and (5) the larger socio-ecological context. We conclude with a series of recommendations that may be useful for the implementation of similar interventions focused on recruitment and retention of WoC in HIV medical care.
Literature
1.
Dieffenbach CW, Fauci AS. Thirty years of HIV and AIDS: future challenges and opportunities. Ann Intern Med. 2011;154(11):766–71.CrossRefPubMed
2.
Palella FJ Jr, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. N Engl J Med. 1998;338(13):853–60.CrossRefPubMed
3.
Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefPubMedCentralPubMed
4.
Quinn TC, Wawer MJ, Sewankambo N, Serwadda D, Li C, Wabwire-Mangen F, et al. Viral load and heterosexual transmission of human immunodeficiency virus type 1. N Engl J Med. 2000;342(13):921–9.CrossRefPubMed
5.
Attia S, Egger M, Müller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–404.CrossRefPubMed
6.
7.
8.
9.
Higa DH, Marks G, Crepaz N, Liau A, Lyles CM. Interventions to improve retention in HIV primary care: a systematic review of US studies. Current HIV/AIDS Reports. 2012;9(4):313–25.CrossRefPubMed
10.
Bradford JB. The promise of outreach for engaging and retaining out-of-care persons in HIV medical care. AIDS Patient Care STDS. 2007;21(S1):S-85–91.
11.
Rumptz MH, Tobias C, Rajabiun S, Bradford J, Cabral H, Young R, et al. Factors associated with engaging socially marginalized HIV-positive persons in primary care. AIDS Patient Care STDS. 2007;21(S1):S-30–9.CrossRef
12.
Tobias C, Cunningham WE, Cunningham CO, Pounds MB. Making the connection: the importance of engagement and retention in HIV medical care. AIDS Patient Care STDS. 2007;21(S1):S-3–8.CrossRef
13.
Gardner LI, Marks G, Craw JA, Wilson TE, Drainoni M, Moore RD, et al. A low-effort, clinic-wide intervention improves attendance for HIV primary care. Clin Infect Dis. 2012;55(8):1124–34.CrossRefPubMedCentralPubMed
14.
Hightow-Weidman LB, Smith JC, Valera E, Matthews DD, Lyons P. Keeping them in “STYLE”: finding, linking, and retaining young HIV-positive black and Latino men who have sex with men in care. AIDS Patient Care STDS. 2011;25(1):37–45.CrossRefPubMedCentralPubMed
15.
Naar-King S, Outlaw A, Green-Jones M, Wright K, Parsons JT. Motivational interviewing by peer outreach workers: a pilot randomized clinical trial to retain adolescents and young adults in HIV care. AIDS Care. 2009;21(7):868–73.CrossRefPubMed
16.
Purcell DW, Latka MH, Metsch LR, Latkin CA, Gómez CA, Mizuno Y, et al. Results from a randomized controlled trial of a peer-mentoring intervention to reduce HIV transmission and increase access to care and adherence to HIV medications among HIV-seropositive injection drug users. JAIDS J Acquir Immune Defic Syndr. 2007;46:S35–47.CrossRef
17.
Kelly JA, Somlai AM, DiFranceisco WJ, Otto-Salaj LL, McAuliffe TL, Hackl KL, et al. Bridging the gap between the science and service of HIV prevention: transferring effective research-based HIV prevention interventions to community AIDS service providers. Am J Public Health. 2000;90(7):1082.CrossRefPubMedCentralPubMed
18.
Rebchook GM, Kegeles SM, Huebner D. Translating research into practice: The dissemination and initial implementation of an evidence-based HIV prevention program. AIDS Educ Prev. 2006;18(Supp):119–36.CrossRefPubMed
19.
Wingood GM, DiClemente RJ. The ADAPT-ITT model: a novel method of adapting evidence-based HIV interventions. JAIDS J Acquir Immune Defic Syndr. 2008;47:S40–6.CrossRef
20.
Norton WE, Amico KR, Cornman DH, Fisher WA, Fisher JD. An agenda for advancing the science of implementation of evidence-based HIV prevention interventions. AIDS Behav. 2009;13(3):424–9.CrossRefPubMedCentralPubMed
21.
Damschroder L, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice : a consolidated framework for advancing implementation science. Implement Sci. 2009;4(1):50.CrossRefPubMedCentralPubMed
22.
Durlak J, DuPre E. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Comm Psychol. 2008;41:327–50.CrossRef
23.
Greene JC. Qualitative program evaluation: practice and promise. In: Dentin NK, Lincoln YS, editors. The handbook of qualitative research. Thousand Oaks, CA: Sage Publications; 1994. p. 530–44.
24.
25.
26.
Blank AE, Espino SLR, Eastwood B, Matoff-Stepp S, Xavier J. The HIV/AIDS women of color initiative improving access to and quality of care for women of color. J Health Care Poor Underserved. 2013;24(1):15–26.CrossRefPubMed
27.
Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage; 2008.
28.
Richard L, Potvin L, Kishchuk N, Prlic H, Green LW. Assessment of the integration of the ecological approach in health promotion programs. Am J Health Promot. 1996;10(4):318–28.CrossRefPubMed
29.
Elder JP, Lytle L, Sallis JF, Young DR, Steckler A, Simons-Morton D, et al. A description of the social–ecological framework used in the trial of activity for adolescent girls (TAAG). Health Educ Res. 2007;22(2):155–65.CrossRefPubMedCentralPubMed
30.
Green LW, Kreuter MW. Health program planning: an educational and ecological approach. New York: McGraw-Hill New; 2005.
31.
Bartholomew L, Parcel G, Kok G, Gottlien N. Planning health promotion programs. San Francisco: Jossey-Bass; 2006.
32.
Hodder SL, Justman J, Hughes JP, Wang J, Haley DF, Adimora AA, et al. HIV acquisition among women from selected areas of the United States a cohort study. Ann Intern Med. 2013;158(1):10–8.CrossRefPubMedCentralPubMed
Metadata
Title
Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care
Authors
Iliana A. Garcia
Arthur E. Blank
Elizabeth A. Eastwood
Alison Karasz
Publication date
01-04-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0837-5

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