EFFICACY OF STRUCTURED ORGANIZATIONAL CHANGE INTERVENTION ON HIV TESTING IN CORRECTIONAL FACILITIES
EFFICACY OF STRUCTURED ORGANIZATIONAL CHANGE INTERVENTION ON HIV TESTING IN CORRECTIONAL FACILITIES
复制标题
DOI：
10.1521/aeap.2017.29.3.241
复制
发表时间：
2017-06-01
影响因子：
1.8
通讯作者：
Willett, Jennifer
中科院分区：
文献类型：
--
作者：
Belenko, Steven;Visher, Christy;Willett, Jennifer
本文介绍了一项多地点随机分组试验的结果，该试验是一项结构化的组织变革干预措施，旨在改善监狱和监狱的艾滋病毒检测服务。配对的监狱和监狱设施被随机分配到实验和对照条件下;所有设施都接受了关于艾滋病毒检测和其他艾滋病毒服务最佳做法的基线培训，并选择了一个艾滋病毒服务领域，重点改进工作。实验设施形成了当地的变化团队，并提供外部辅导的基础上，网络成瘾治疗（NIATx）的过程改进模型的改进。差异分析表明，与对照条件相比，实验中的HIV检测显著相对增加。对配对的荟萃分析表明，总体上增加测试的影响较小至中等。结果表明，地方变革团队模式可以显著增加惩教机构的艾滋病毒检测。艾滋病毒检测政策的影响和扩大测试的挑战进行了讨论。
This article presents findings from a multisite cluster randomized trial of a structured organizational change intervention for improving HIV testing services in jails and prisons. Matched pairs of prison and jail facilities were randomized to experimental and control conditions; all facilities received baseline training about best practices in HIV testing and other HIV services and selected an area of HIV services on which to focus improvement efforts. The experimental facilities formed local change teams and were provided external coaching based on the Network for the Improvement of Addiction Treatment (NIATx) process improvement model. Difference-in-difference analyses indicate a significant relative increase in HIV testing in the experimental compared to the control condition. Meta-analyses across the matched pairs indicated a small to medium effect of increased testing overall. The results indicate that the local change team model can achieve significant increases in HIV testing in correctional facilities. Implications for HIV testing policies and challenges for expanding testing are discussed.