A5087850369- HIV/AIDS Research and Interventions
- Homelessness and Social Issues
- HIV, Drug Use, Sexual Risk
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Diabetes Management and Education
- Healthcare Policy and Management
- HIV/AIDS oral health manifestations
- LGBTQ Health, Identity, and Policy
- Adolescent Sexual and Reproductive Health
- Interprofessional Education and Collaboration
- HIV-related health complications and treatments
- Health Literacy and Information Accessibility
- HIV/AIDS Impact and Responses
- Migration, Health and Trauma
- Dental Health and Care Utilization
- COVID-19 and healthcare impacts
- Housing, Finance, and Neoliberalism
- Health disparities and outcomes
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
University of Massachusetts Lowell
2020-2025
Health Resources and Services Administration
2020-2025
Grady Health System
2020-2025
AIDS United
2020-2025
Washington University in St. Louis
2023-2025
Arjowiggins (France)
2025
Charles R. Drew University of Medicine and Science
2025
E Ink (South Korea)
2023
Boston Children's Hospital
2023
Boston University
2009-2022
Objectives. To examine the effects of replicating a bundled package evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality life (HRQoL) for 697 Black cisgender transgender women with across 12 US sites from 2021 to 2023. Methods. Women participated in minimum 2 interventions. We collected self-reported HRQoL determinants via interview at baseline, 6 months, months. retention care viral suppression medical chart review. examined by gender...
Patient navigation is an evidence-based intervention for reducing delays in cancer care underserved populations. There are limited economic evaluations of patient the US health system and few have considered costs at various phases along implementation spectrum. Having data, including cost savings, can support sustainability programs. This study presents findings from a activity analysis citywide hospital-based program to engage women timely breast treatment post-diagnosis.
In the more-than-40-year HIV epidemic, health care needs of Black women have been overlooked, with few interventions for their care. The B.WOW intervention in Atlanta, Georgia, used a bundled mobile technology and peer‒patient navigation to improve antiretroviral adherence, retention address socioeconomic determinants. 12 months, viral suppression improved from 37% 73%, mental services connection increased 71% 83%, there was significant reduction stigma resilience. These findings highlight...
This qualitative study investigated the process of engagement in HIV medical care from perspective people living with HIV/AIDS (PLWHA). In-depth interviews were conducted 76 participants six cities. All considered underserved because histories substance use, mental illness, incarceration, homelessness, or cultural barriers to traditional health system. A semistructured interview guide elicited narratives related and role program interventions facilitating access care. Data analysis revealed...
This multisite, qualitative study examined the process by which persons living with HIV/AIDS (PLWHA) engage in primary HIV medical care for treatment. Using a grounded theory approach, analysis of narrative data from semi-structured in-depth interviews PLWHA (n = 76) led to development model describing cyclic engaging in--and falling out of--care. Perceptions client-provider relationship emerged as central element engaged--or remained--in care. Provider behaviors that were characterized...
This paper examines factors associated with engaging socially marginalized HIV-positive persons in primary care using interview and chart review data from 984 clients presenting for services at 10 agencies participating a multisite demonstration project. The sample was predominantly minority, many reported drug mental health problems as well housing instability. At baseline, roughly half of the participants were engaged HIV care; other either not all or somewhat care. Those who very similar...
Engagement in HIV primary care and the receipt of antiretroviral therapy when clinically indicated offers patients opportunity to experience disease as a chronic illness. Yet many people, particularly those with comorbid mental health or substance abuse conditions who face multiple barriers care, cycle out thus can not reap life-prolonging benefits therapy. Although there is evidence about impact different interventions on adherence medications, little information engagement retention among...
Abstract Background Black cisgender and transgender women are disproportionately affected by the HIV epidemic compared to of other racial ethnic identities. Twelve demonstration sites across United States adapting, implementing evaluating a comprehensive bundle two or more evidence informed interventions improve health outcomes quality life for with HIV. Methods Guided Greenhalgh’s Conceptual Model Diffusion Innovations in Health Service Organizations Proctor’s model use implementation...
Objectives. To examine the effect of patient navigation models on changes in housing status and its subsequent effects HIV outcomes for 700 people living with (PLWH) who were unstably housed co-occurring substance use psychiatric disorders across 9 demonstration sites United States between years 2013 2017.Methods. Self-reported was collected at baseline, 6 12 months during intervention. included linkage retention care, antiretroviral therapy prescription, viral suppression via chart...
Literature describing the roles and activities of peers working in HIV care is limited. Evaluations impact peer-based behavior-change interventions reveal mixed results, due part to varied program aims, structure, evaluation mechanisms, training. Peers themselves are important resources address these concerns lay groundwork for developing improved programs strategies. This qualitative article describes peer support treatment from perspective 23 HIV-positive across United States. reported...
People living with human immunodeficiency virus (HIV) (PLWH) who are most at risk for falling out of HIV primary care and detectable viral loads include homeless unstably housed individuals those codiagnosed behavioral health disorders. The patient-centered medical home (PCMH) is a model that promotes provision comprehensive, patient-centered, accessible, coordinated, quality patients. This initiative provided patient navigation to HIV-positive mental or substance use disorder as means...
Community health worker (CHW) integration into the care team has been identified as an important strategy for engaging people living with HIV in and treatment. The content methodology training influences way CHWs work clients. Our study describes impact of a community-driven CHW supervisor program on client viral suppression, retention care, psychosocial outcomes. We conducted single arm, pretest-posttest 45 clients who participated intervention from 2021 to 2022 eight counties southern...
Objectives. To explore intersectional stigma and sociodemographic characteristics, with consideration of US regional differences, among Black women HIV enrolled in the Women First (BWF) initiative. Methods. In this prospective, nonrandomized study, participants’ scale responses data were collected between May 2021 August 2023. Participants participated bundled interventions tailored to women’s needs local contexts during time. Repeated measure models, adjusted for site clustering, conducted...
Objectives. To characterize differences in outcomes of 733 Black women aged 50 years and older compared with younger HIV engaged bundled interventions across 12 US sites from 2021 to 2023. Methods. We examined age physical component score (PCS) mental (MCS) for health-related quality life, stigma, viral suppression over months. outcome effects by intervention. collected comorbidities preventive health screenings. Results. Lower PCS was associated each year (b = −0.13; 95% confidence interval...
The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health Human Services Office Assistant Secretary for Health’s Minority HIV/AIDS Fund Resources Administration’s Bureau Ryan White Program aimed to enhance health well-being cisgender transgender women with through bundled interventions at 12 sites. initiative’s intersectional approach involved in program development implementation. Quantitative data from 743...
Background: Supplements were awarded under the National Institutes of Health, ending HIV epidemic (EHE) initiative to foster implementation science through community-engaged research. The objective this study was synthesize lessons learned, identify areas research sufficiently studied, and present an agenda for future on health workforce development from a collaboration across 9 EHE projects in 11 jurisdictions United States. Methods: supplement recipients completed semistructured...
Aim: To share insights on Implementation Science (IS) methods, challenges, solutions, and best practices derived from the second National Meeting for Research Community Collaboration toward “Ending HIV Epidemic (EHE) in United States.” Methods: This 2022 hybrid, one-day conference featured presentations 13 projects funded as NIH supplements to CFARs ARCs between 2019 2022. Selected their robust findings, were grouped into four topics: (1) community-based outreach strategies, (2) taking...
Objectives. We provide an overview of the Health Resources and Services Administration HIV/AIDS Bureau's Special Projects National Significance Innovations in Oral Care Initiative, describe models developed by 15 demonstration sites associated evaluation center, present initial descriptive data about characteristics multisite study sample. Methods. Baseline were collected from May 2007–August 2009 for 2,469 adults living with who had been without dental care, except emergency 12 months or...
Objectives To assess the impact of a Community Health Worker (CHW) intervention within HIV primary care on patient outcomes.Methods We evaluated 10-site initiative integrating CHWs into care, examining changes in three outcomes: viral load suppression, prescription for ART, and appointment attendance. also assessed relationship between outcomes number CHW encounters.Results Of 397 participants, most were male African-American. The mean days encounters over first 6 months was 11 per...
Community health workers (CHWs) are members of the frontline workforce who serve as intermediaries between services and communities. In United States, role CHWs has begun to expand they have been shown improve outcomes reduce inequities in care for chronic conditions. This study used qualitative methods explore experiences clients CHW programs inform their implementation HIV care. Thirty from 6 Ryan White HIV/AIDS Program settings across States participated individual semistructured...
Boston Health Care for the Homeless Program, in Boston, Massachusetts, implemented an intensive telehealth case management intervention combined with emergency financial assistance 270 homeless-experienced people living HIV (PLWH) to reduce COVID-19 transmission and promote care retention during Boston's first pandemic peak (March 16-May 31, 2020). Our model successfully maintained prepandemic primary contact levels, highlighting importance of such programs supporting engagement PLWH...