Skip to main content
Top
Published in: Translational Behavioral Medicine 4/2013

01-12-2013 | Original Research

Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program

Authors: Deborah L Jones, PhD, Maria Lopez, Hannah Simons, Marleny Diaz-Gloster, Jonathan N Tobin, Stephen M Weiss

Published in: Translational Behavioral Medicine | Issue 4/2013

Login to get access

Abstract

Translation of behavioral interventions into community settings for people living with HIV/AIDS can decrease the risk of comorbid conditions. This study was designed to determine whether a multiple health behavior intervention for women with HIV/AIDS could be effectively translated into community health centers (CHCs), delivered by CHC primary care staff. Health Resources and Services Administration-supported CHCs in Miami, FL, and the New York metropolitan area participated. Six health behavior domains were assessed at baseline, 6 months, and 12 months post-intervention: nutrition, physical activity, sexual risk behavior, alcohol use, drug use, and tobacco use. Behavioral outcomes were compared between research staff-led and CHC staff-led intervention groups. Research staff and CHC staff outcomes were similar for the majority of outcomes. Results indicate that complex, multicomponent behavioral interventions can be translated into community-based settings with existing CHC staff and can produce clinical effects similar to those achieved by research staff.
Literature
1.
go back to reference Kelly JA, Somlai AM, DiFrancisco WJ, et al. Bridging the gap between the science and the service of HIV prevention: transferring effective research-based HIV prevention interventions to community AIDS service providers. Am J Public Health. 2002;90:1082-1088. Kelly JA, Somlai AM, DiFrancisco WJ, et al. Bridging the gap between the science and the service of HIV prevention: transferring effective research-based HIV prevention interventions to community AIDS service providers. Am J Public Health. 2002;90:1082-1088.
2.
go back to reference Knowler WC, Barrett-Connor E, Fowler SE, et al. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393-403.CrossRefPubMed Knowler WC, Barrett-Connor E, Fowler SE, et al. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393-403.CrossRefPubMed
3.
go back to reference Lifson AR, Neuhaus J, Arribas JR, et al. Smoking-related health risks among persons with HIV in the Strategies for Management of Antiretroviral Therapy clinical trial. Am J Public Health. 2010;100:1896-1903.CrossRefPubMed Lifson AR, Neuhaus J, Arribas JR, et al. Smoking-related health risks among persons with HIV in the Strategies for Management of Antiretroviral Therapy clinical trial. Am J Public Health. 2010;100:1896-1903.CrossRefPubMed
4.
go back to reference Margolin A, Avants SK, Warburton LA, Hawkins KA, Shi J. A randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users. Heal Psychol. 2003;22:223-228.CrossRef Margolin A, Avants SK, Warburton LA, Hawkins KA, Shi J. A randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users. Heal Psychol. 2003;22:223-228.CrossRef
5.
go back to reference Leserman J. Role of depression, stress, and trauma in HIV disease progression. Psychosom Med. 2008;70:539-545.CrossRefPubMed Leserman J. Role of depression, stress, and trauma in HIV disease progression. Psychosom Med. 2008;70:539-545.CrossRefPubMed
6.
go back to reference Dalessandro M, Conti CM, Gambi F, et al. Antidepressant therapy can improve adherence to antiretroviral regimens among HIV-infected and depressed patients. J Clin Psychopharmacol. 2007;27:58-61.CrossRefPubMed Dalessandro M, Conti CM, Gambi F, et al. Antidepressant therapy can improve adherence to antiretroviral regimens among HIV-infected and depressed patients. J Clin Psychopharmacol. 2007;27:58-61.CrossRefPubMed
7.
go back to reference Ammassari A, Antinori A, Aloisi MS, et al. Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics. 2004;45:394-402.CrossRefPubMed Ammassari A, Antinori A, Aloisi MS, et al. Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics. 2004;45:394-402.CrossRefPubMed
8.
go back to reference Starace F, Ammassari A, Trotta MP, et al. AdICoNA Study Group, NeuroICoNA Study Group. Depression is a risk factor for suboptimal adherence to highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2002;31(Suppl 3):S136-S139.CrossRefPubMed Starace F, Ammassari A, Trotta MP, et al. AdICoNA Study Group, NeuroICoNA Study Group. Depression is a risk factor for suboptimal adherence to highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2002;31(Suppl 3):S136-S139.CrossRefPubMed
9.
go back to reference Mellins CA, Chu C, Malee K, et al. Adherence to antiretroviral treatment among pregnant and postpartum HIV-infected women. AIDS Care. 2008;20:958-968.CrossRefPubMed Mellins CA, Chu C, Malee K, et al. Adherence to antiretroviral treatment among pregnant and postpartum HIV-infected women. AIDS Care. 2008;20:958-968.CrossRefPubMed
10.
go back to reference Anderson EH. Self-esteem and optimism in men and women infected with HIV. Nurs Res. 2000;49:262-271.CrossRefPubMed Anderson EH. Self-esteem and optimism in men and women infected with HIV. Nurs Res. 2000;49:262-271.CrossRefPubMed
11.
go back to reference Laine C, Newschaffer CJ, Zhang D, Cosler L, Hauck WW, Turner BJ. Adherence to antiretroviral therapy by pregnant women infected with human immunodeficiency virus: a pharmacy claims-based analysis. Obstet Gynecol. 2000;95:167-173.CrossRefPubMed Laine C, Newschaffer CJ, Zhang D, Cosler L, Hauck WW, Turner BJ. Adherence to antiretroviral therapy by pregnant women infected with human immunodeficiency virus: a pharmacy claims-based analysis. Obstet Gynecol. 2000;95:167-173.CrossRefPubMed
12.
go back to reference Jones D, Owen MI, Lydston D, Tobin JN, Brondolo E, Weiss S. Self-efficacy and distress in women with AIDS: the SMART/EST Women's Project. AIDS Care. 2010;14:1-10. Jones D, Owen MI, Lydston D, Tobin JN, Brondolo E, Weiss S. Self-efficacy and distress in women with AIDS: the SMART/EST Women's Project. AIDS Care. 2010;14:1-10.
13.
go back to reference Lechner SC, Antoni MH, Lydston D, et al. Cognitive-behavioral interventions improve quality of life in women with AIDS. J Psychosom Res. 2003;54:253-261.CrossRefPubMed Lechner SC, Antoni MH, Lydston D, et al. Cognitive-behavioral interventions improve quality of life in women with AIDS. J Psychosom Res. 2003;54:253-261.CrossRefPubMed
15.
go back to reference Ironson G, Weiss S, Lydston DD, et al. The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS. AIDS Care. 2005;17:222-236.CrossRefPubMed Ironson G, Weiss S, Lydston DD, et al. The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with AIDS. AIDS Care. 2005;17:222-236.CrossRefPubMed
16.
go back to reference Jones D, Weiss SM, Malow RM, et al. A brief sexual barrier intervention for women living with AIDS: acceptability, use and ethnicity. J Urban Health. 2001;78:593-604.CrossRefPubMed Jones D, Weiss SM, Malow RM, et al. A brief sexual barrier intervention for women living with AIDS: acceptability, use and ethnicity. J Urban Health. 2001;78:593-604.CrossRefPubMed
17.
go back to reference Jones DL, Ishii M, LaPerriere A, et al. Influencing medication adherence among women with AIDS. AIDS Care. 2003;15:463-475.CrossRefPubMed Jones DL, Ishii M, LaPerriere A, et al. Influencing medication adherence among women with AIDS. AIDS Care. 2003;15:463-475.CrossRefPubMed
18.
go back to reference Jones DL, Weiss SM, Bhat GJ, Feldman DA, Bwalya V, Budash D. A sexual barrier intervention for HIV+/− Zambian women: acceptability and use of vaginal chemical barriers. J Multicult Nurs Heal. 2004;10:27-31. Jones DL, Weiss SM, Bhat GJ, Feldman DA, Bwalya V, Budash D. A sexual barrier intervention for HIV+/− Zambian women: acceptability and use of vaginal chemical barriers. J Multicult Nurs Heal. 2004;10:27-31.
19.
go back to reference LaPerriere A, Ironson G, Antoni MH, et al. Decreased depression up to one year following CBSM+ intervention in depressed women with AIDS: the Smart/EST Women's Project. J Health Psychol. 2005;10:223-231.CrossRefPubMed LaPerriere A, Ironson G, Antoni MH, et al. Decreased depression up to one year following CBSM+ intervention in depressed women with AIDS: the Smart/EST Women's Project. J Health Psychol. 2005;10:223-231.CrossRefPubMed
20.
go back to reference Lopez E, Jones D, Ishii M, Tobin JN, Weiss SM. HIV medication adherence and substance use: the SMART/EST Women's Project. Am J Infect Dis. 2007;3:239-246. Lopez E, Jones D, Ishii M, Tobin JN, Weiss SM. HIV medication adherence and substance use: the SMART/EST Women's Project. Am J Infect Dis. 2007;3:239-246.
21.
go back to reference Segal-Isaacson CJ, Tobin JN, Weiss SM, et al. Improving dietary habits in disadvantaged women with HIV/AIDS: the SMART/EST Women's Project. AIDS Behav. 2006;10:659-670.CrossRefPubMed Segal-Isaacson CJ, Tobin JN, Weiss SM, et al. Improving dietary habits in disadvantaged women with HIV/AIDS: the SMART/EST Women's Project. AIDS Behav. 2006;10:659-670.CrossRefPubMed
22.
go back to reference Weiss S, Tobin JN, Antoni M, et al. Enhancing the health of women living with HIV: the SMART/EST Women's Project. Int J Women’s Health. 2011;3:63-77. Weiss S, Tobin JN, Antoni M, et al. Enhancing the health of women living with HIV: the SMART/EST Women's Project. Int J Women’s Health. 2011;3:63-77.
23.
go back to reference Weiss SM, Jones DL, Lopez MR, Villar-Loubet O, Chitalu N. The many faces of translational research: a tale of two studies. Transl Behav Med. 2012;1:327-330.CrossRef Weiss SM, Jones DL, Lopez MR, Villar-Loubet O, Chitalu N. The many faces of translational research: a tale of two studies. Transl Behav Med. 2012;1:327-330.CrossRef
24.
go back to reference Glasgow ER, Lichtenstein E, Marcus AC. Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness translation. Am J Public Health. 1993;93:1261-1267.CrossRef Glasgow ER, Lichtenstein E, Marcus AC. Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness translation. Am J Public Health. 1993;93:1261-1267.CrossRef
25.
go back to reference Brimmer DJ, McCleary KK, Lupton TA, Faryna KM, Hynes Reeves WC. A train-the-trainer education and promotion program: chronic fatigue syndrome—a diagnostic and management challenge. BMC Med Educ. 2008;8:49.CrossRefPubMed Brimmer DJ, McCleary KK, Lupton TA, Faryna KM, Hynes Reeves WC. A train-the-trainer education and promotion program: chronic fatigue syndrome—a diagnostic and management challenge. BMC Med Educ. 2008;8:49.CrossRefPubMed
26.
go back to reference Harvey SM, Bird ST, Henderson JT, Beckman LJ, Huszti HC. He said, she said: concordance between sexual partners. Sex Transm Dis. 2004;31(3):185-191.CrossRefPubMed Harvey SM, Bird ST, Henderson JT, Beckman LJ, Huszti HC. He said, she said: concordance between sexual partners. Sex Transm Dis. 2004;31(3):185-191.CrossRefPubMed
27.
go back to reference Islam MM, Topp L, Conigrave KM, et al. The reliability of sensitive information provided by injecting drug users in a clinical setting: clinician-administered versus audio computer-assisted self-interviewing (ACASI). AIDS Care. 2012;24(12):1496-1503.CrossRefPubMed Islam MM, Topp L, Conigrave KM, et al. The reliability of sensitive information provided by injecting drug users in a clinical setting: clinician-administered versus audio computer-assisted self-interviewing (ACASI). AIDS Care. 2012;24(12):1496-1503.CrossRefPubMed
28.
go back to reference Meyer-Bahlberg HFL, Ehrhardt AA, Exner TM, Gruen RS. Sexual risk behavior assessment schedule: adult (SERBAS-A-DF-4) manual. 1990. Meyer-Bahlberg HFL, Ehrhardt AA, Exner TM, Gruen RS. Sexual risk behavior assessment schedule: adult (SERBAS-A-DF-4) manual. 1990.
29.
go back to reference Carver C, Scheier M, Weintraub JD. Assessing coping strategies: a theoretically based approach. J Personal Soc Psychol. 1989;56:267-283.CrossRef Carver C, Scheier M, Weintraub JD. Assessing coping strategies: a theoretically based approach. J Personal Soc Psychol. 1989;56:267-283.CrossRef
30.
go back to reference Prochaska JO, Redding CA, Harlow LL, Rossi JS, Velicer WF. The transtheoretical model of change and HIV prevention: a review. Health Educ Q. 1994;21:471-486.CrossRefPubMed Prochaska JO, Redding CA, Harlow LL, Rossi JS, Velicer WF. The transtheoretical model of change and HIV prevention: a review. Health Educ Q. 1994;21:471-486.CrossRefPubMed
31.
go back to reference Spiegel D, Butler LD, Giese-Davis J, et al. Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: a randomized prospective trial. Cancer. 2007;110(5):1130-1138.CrossRefPubMed Spiegel D, Butler LD, Giese-Davis J, et al. Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: a randomized prospective trial. Cancer. 2007;110(5):1130-1138.CrossRefPubMed
32.
go back to reference Sikkema KJ, Hansen NB, Kochman A, Tate DC, Difranceisco W. Outcomes from a randomized controlled trial of a group intervention for HIV positive men and women coping with AIDS-related loss and bereavement. Death Stud. 2004;28:187-209.CrossRefPubMed Sikkema KJ, Hansen NB, Kochman A, Tate DC, Difranceisco W. Outcomes from a randomized controlled trial of a group intervention for HIV positive men and women coping with AIDS-related loss and bereavement. Death Stud. 2004;28:187-209.CrossRefPubMed
33.
go back to reference Gayner B, Esplen MJ, DeRoche P, et al. A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. J Behav Med. 2012;35:272-285.CrossRefPubMed Gayner B, Esplen MJ, DeRoche P, et al. A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. J Behav Med. 2012;35:272-285.CrossRefPubMed
34.
go back to reference Heckman TG, Carlson B. A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States. AIDS Behav. 2007;11:5-14.CrossRefPubMed Heckman TG, Carlson B. A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States. AIDS Behav. 2007;11:5-14.CrossRefPubMed
35.
go back to reference McCain NL, Gray DP, Elswick RK, et al. A randomized clinical trial of alternative stress management interventions in persons with HIV infection. J Consult Clin Psychol. 2008;76:431-441.CrossRefPubMed McCain NL, Gray DP, Elswick RK, et al. A randomized clinical trial of alternative stress management interventions in persons with HIV infection. J Consult Clin Psychol. 2008;76:431-441.CrossRefPubMed
36.
go back to reference Purcell DW, Latka MH, Metsch LR, et al. the INSPIRE Study Team. 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. J Acquir Immune Defic Syndr. 2007;46(Suppl 2):S35-S47.CrossRefPubMed Purcell DW, Latka MH, Metsch LR, et al. the INSPIRE Study Team. 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. J Acquir Immune Defic Syndr. 2007;46(Suppl 2):S35-S47.CrossRefPubMed
37.
go back to reference Kalichman S, Rompa D, Cage M, et al. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21:84-92.CrossRefPubMed Kalichman S, Rompa D, Cage M, et al. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21:84-92.CrossRefPubMed
38.
go back to reference Koblin BA, Bonner S, Powell B, et al. A randomized trial of a behavioral intervention for black MSM: the DiSH study. AIDS. 2012;26:483-488.CrossRefPubMed Koblin BA, Bonner S, Powell B, et al. A randomized trial of a behavioral intervention for black MSM: the DiSH study. AIDS. 2012;26:483-488.CrossRefPubMed
39.
go back to reference Collins C, Harshbarger C, Sawyer R, Hamdallah M. The diffusion of effective behavioral interventions project: development, implementation, and lessons learned. AIDS Educ Prev. 2006;18(4 Suppl A):5-20.CrossRefPubMed Collins C, Harshbarger C, Sawyer R, Hamdallah M. The diffusion of effective behavioral interventions project: development, implementation, and lessons learned. AIDS Educ Prev. 2006;18(4 Suppl A):5-20.CrossRefPubMed
40.
go back to reference Wingood GM, DiClemente RJ, Mikhail I, et al. A randomized controlled trial to reduce HIV transmission risk behaviors and STDs among women living with HIV: The WiLLOW program. J Acquir Immune Defic Syndr. 2004;37:S58-S67.CrossRefPubMed Wingood GM, DiClemente RJ, Mikhail I, et al. A randomized controlled trial to reduce HIV transmission risk behaviors and STDs among women living with HIV: The WiLLOW program. J Acquir Immune Defic Syndr. 2004;37:S58-S67.CrossRefPubMed
41.
go back to reference Norton WE, Fisher WA, Fisher JD. Achieving the potential of HIV prevention interventions: critical global need for collaborative dissemination efforts. AIDS. 2009;23:139-141.CrossRefPubMed Norton WE, Fisher WA, Fisher JD. Achieving the potential of HIV prevention interventions: critical global need for collaborative dissemination efforts. AIDS. 2009;23:139-141.CrossRefPubMed
42.
go back to reference Owczarzak J, Dickson-Gomez J. Provider perspectives on evidence-based HIV prevention interventions: barriers and facilitators to implementation. AIDS Patient Care STDS. 2011;25:171-179.PubMed Owczarzak J, Dickson-Gomez J. Provider perspectives on evidence-based HIV prevention interventions: barriers and facilitators to implementation. AIDS Patient Care STDS. 2011;25:171-179.PubMed
43.
go back to reference Lewis CC, Simons AD. A pilot study disseminating cognitive behavioral therapy for depression: therapist factors and perceptions of barriers to implementation. Adm Policy Ment Health. 2011;38:324-334.CrossRefPubMed Lewis CC, Simons AD. A pilot study disseminating cognitive behavioral therapy for depression: therapist factors and perceptions of barriers to implementation. Adm Policy Ment Health. 2011;38:324-334.CrossRefPubMed
44.
go back to reference Taylor CB, Chang VY. Issues in the dissemination of cognitive-behavior therapy. Nord J Psychiatry. 2008;62(Suppl 47):37-44.CrossRefPubMed Taylor CB, Chang VY. Issues in the dissemination of cognitive-behavior therapy. Nord J Psychiatry. 2008;62(Suppl 47):37-44.CrossRefPubMed
45.
go back to reference Wingood GM, DiClemente RJ. Enhancing adoption of evidence-based HIV interventions: promotion of a suite of HIV prevention interventions for African American women. AIDS Educ Prev. 2006;18(4 Suppl A):161-170.CrossRefPubMed Wingood GM, DiClemente RJ. Enhancing adoption of evidence-based HIV interventions: promotion of a suite of HIV prevention interventions for African American women. AIDS Educ Prev. 2006;18(4 Suppl A):161-170.CrossRefPubMed
Metadata
Title
Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program
Authors
Deborah L Jones, PhD
Maria Lopez
Hannah Simons
Marleny Diaz-Gloster
Jonathan N Tobin
Stephen M Weiss
Publication date
01-12-2013
Publisher
Springer US
Published in
Translational Behavioral Medicine / Issue 4/2013
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-013-0213-4

Other articles of this Issue 4/2013

Translational Behavioral Medicine 4/2013 Go to the issue