Implementation Science Protocol: evaluating evidence-informed interventions to improve care for people with HIV seen in Ryan White HIV/AIDS program settings

Figures & data

Figure 1. E2i Adaptation of the Conceptual Model of Implementation Research (“The Proctor Model”).

Table 1. Evidence-Informed Interventions.

Focus Area	Intervention	Description
Transgender Women	Healthy Divas (Sevelius et al., 2019; Wilson et al., 2009)	Intervention developed to address the multiple and unique barriers to engagement in HIV care experienced by transgender women with HIV by integrating two complementary theoretical models: the Gender Affirmation Model and the Model of Health Care Empowerment.
	T.W.E.E.T. Transgender Women Engagement and Entry To Care Project (Rebchook et al., 2017)	Aims to identify newly diagnosed transgender women of color and link them to care, identify HIV-positive transgender women of color who are currently out of care and link them to care, enroll identified clients into the TL-Teach Back Intervention, and identify and utilize Peer Leaders.
Black Men who have Sex with Men	PEERS MI Motivational Interviewing with Peer Outreach (Naar-King et al., 2009; Naar-King & Suarez, 2011)	Intervention to increase motivation to engage in treatment and improve retention in primary care.
	Project Connect and Retention through Enhanced Contacts (Mugavero, 2008, 2016)	Intervention where recently diagnosed patients have a scheduled orientation visit within 5 days and screened for referrals to substance abuse, mental health, and other ancillary services, as well as facilitating rapid institution of prophylactic medications when necessary.
	TXTXT: Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (Garofalo et al., 2016)	An individual-level intervention using 2-way text messages to increase medication adherence
Behavioral Health Integration	Buprenorphine Treatment (Altice et al., 2011)	Buprenorphine opioid abuse treatment
	Collaborative Care Management (Pyne et al., 2011; Unützer et al., 2002)	A model of depression care that requires collaboration between the patient's primary care physician, care manager and consulting psychiatrist
	Screening, Brief Intervention, and Referral to Treatment (Babor et al., 2007; Dawson-Rose et al., 2017; Kaner et al., 2009)	Practice in which a health care provider screens for problematic use of alcohol and/or illicit drugs, provides some brief counseling, and refers to treatment as needed.
Trauma-Informed Care	Cognitive Processing Therapy (Resick et al., 2017; Resick et al., 2015)	A type of cognitive-behavioral therapy that focuses on repairing the damage done by a traumatic event
	Trauma-Informed Approach/Coordinated HIV Assistance and Navigation for Growth and Empowerment (Jain et al., 2016)	Systems level change program utilizing methods of care to ensure that barriers including mental health conditions, substance use, history of trauma, low health literacy, and lack of support services, can be addressed
	Seeking Safety (Empson et al., 2017; Najavits et al., 1998)	Cognitive-behavioral group therapy program designed to address co-occurring substance use and PTSD

Table 2. Proctor Model Concept by Data Source.

	Data Source
Proctor Model Concept	Document Review	Session Observation	Organizational Assessment	Intervention Exposure	Medical Records	Costing
Timing	Baseline and every 6 months	Twice a year	Baseline and every 6 months	On-going	Every 6 months	Annual
Intervention Strategies	Evidence-informed interventions
Implementation Strategies	Systems Environment Organizational Group/Learning Supervision Individual	Systems Environment Organizational Group/Learning Supervision Individual	Organizational Group/Learning Supervision Individual
Implementation Outcomes	Feasibility Fidelity Penetration Acceptability Sustainability Uptake Appropriateness	Feasibility Fidelity Penetration Acceptability Sustainability Uptake Appropriateness	Feasibility Fidelity Penetration Acceptability Sustainability Uptake Appropriateness	Fidelity Uptake		Cost
Service Outcomes				Equity Timeliness	Effectiveness Equity	Efficiency
Client Outcomes					Symptomatology

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