Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care
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 ev...
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Veröffentlicht in: | AIDS and behavior 2015-04, Vol.19 (4), p.655-665 |
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creator | Garcia, Iliana A. Blank, Arthur E. Eastwood, Elizabeth A. Karasz, Alison |
description | 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. |
doi_str_mv | 10.1007/s10461-014-0837-5 |
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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.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-014-0837-5</identifier><identifier>PMID: 25107362</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Access ; Acquired immune deficiency syndrome ; African Americans ; AIDS ; Attrition ; Barriers ; Case Management ; Color ; Constraints ; Environmental aspects ; Evidence-based practice ; Female ; Females ; Health ; Health care ; Health problems ; Health Psychology ; Health services ; Health Services Accessibility ; Health services utilization ; Hispanic Americans ; HIV ; HIV Infections - therapy ; Human immunodeficiency virus ; Humans ; Implementation ; Infectious Diseases ; Intervention ; Leadership ; Management ; Medicine ; Medicine & Public Health ; Original Paper ; Peer Group ; Process Assessment (Health Care) ; Program implementation ; Public Health ; Qualitative Research ; Race ; Recruitment ; United States ; United States Health Resources and Services Administration ; Women ; Women's Health Services - organization & administration</subject><ispartof>AIDS and behavior, 2015-04, Vol.19 (4), p.655-665</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>AIDS and Behavior is a copyright of Springer, 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-46e45e8b4dc896344540c013a45b6d94768968d981bd0ca2abac536664a7cb243</citedby><cites>FETCH-LOGICAL-c545t-46e45e8b4dc896344540c013a45b6d94768968d981bd0ca2abac536664a7cb243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-014-0837-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-014-0837-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25107362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcia, Iliana A.</creatorcontrib><creatorcontrib>Blank, Arthur E.</creatorcontrib><creatorcontrib>Eastwood, Elizabeth A.</creatorcontrib><creatorcontrib>Karasz, Alison</creatorcontrib><title>Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>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.</description><subject>Access</subject><subject>Acquired immune deficiency syndrome</subject><subject>African Americans</subject><subject>AIDS</subject><subject>Attrition</subject><subject>Barriers</subject><subject>Case Management</subject><subject>Color</subject><subject>Constraints</subject><subject>Environmental aspects</subject><subject>Evidence-based practice</subject><subject>Female</subject><subject>Females</subject><subject>Health</subject><subject>Health care</subject><subject>Health problems</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Health services utilization</subject><subject>Hispanic Americans</subject><subject>HIV</subject><subject>HIV Infections - therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Implementation</subject><subject>Infectious Diseases</subject><subject>Intervention</subject><subject>Leadership</subject><subject>Management</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Peer Group</subject><subject>Process Assessment (Health Care)</subject><subject>Program implementation</subject><subject>Public Health</subject><subject>Qualitative Research</subject><subject>Race</subject><subject>Recruitment</subject><subject>United States</subject><subject>United States Health Resources and Services Administration</subject><subject>Women</subject><subject>Women's Health Services - 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therapy</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Implementation</topic><topic>Infectious Diseases</topic><topic>Intervention</topic><topic>Leadership</topic><topic>Management</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Peer Group</topic><topic>Process Assessment (Health Care)</topic><topic>Program implementation</topic><topic>Public Health</topic><topic>Qualitative Research</topic><topic>Race</topic><topic>Recruitment</topic><topic>United States</topic><topic>United States Health Resources and Services Administration</topic><topic>Women</topic><topic>Women's Health Services - organization & administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia, Iliana A.</creatorcontrib><creatorcontrib>Blank, Arthur E.</creatorcontrib><creatorcontrib>Eastwood, Elizabeth A.</creatorcontrib><creatorcontrib>Karasz, Alison</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Safety Science and Risk</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia, Iliana A.</au><au>Blank, Arthur E.</au><au>Eastwood, Elizabeth A.</au><au>Karasz, Alison</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>19</volume><issue>4</issue><spage>655</spage><epage>665</epage><pages>655-665</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><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.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25107362</pmid><doi>10.1007/s10461-014-0837-5</doi><tpages>11</tpages></addata></record> |
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subjects | Access Acquired immune deficiency syndrome African Americans AIDS Attrition Barriers Case Management Color Constraints Environmental aspects Evidence-based practice Female Females Health Health care Health problems Health Psychology Health services Health Services Accessibility Health services utilization Hispanic Americans HIV HIV Infections - therapy Human immunodeficiency virus Humans Implementation Infectious Diseases Intervention Leadership Management Medicine Medicine & Public Health Original Paper Peer Group Process Assessment (Health Care) Program implementation Public Health Qualitative Research Race Recruitment United States United States Health Resources and Services Administration Women Women's Health Services - organization & administration |
title | Barriers and Facilitators to the Implementation of SPNS Interventions Designed to Engage and Retain HIV Positive Women of Color in Medical Care |
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