Program design and evaluation strategies for the Special Projects of National Significance outreach initiative
Program design and evaluation strategies for the Special Projects of National Significance outreach initiative
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DOI：
10.1089/apc.2007.9991
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发表时间：
2007-06-01
影响因子：
4.9
通讯作者：
Relf, Michael
中科院分区：
文献类型：
--
作者：
Rajabiun, Serena;Cabral, Howard;Relf, Michael
美国卫生资源和服务管理局的国家重要特别项目（SPNS）计划通过其针对性的艾滋病毒外展和干预模式发展（外展倡议），资助了10个示范点实施和评估战略，以吸引和留住服务不足的艾滋病毒/艾滋病感染者（PLWHA）参与艾滋病毒初级医疗保健。这10个地点位于美国各地的城市地区。目标人群是妇女、青年、有色人种、有监禁史、药物使用史、无家可归史或精神疾病史的人。方案干预措施包括外联、激励干预、病例管理和其他辅助服务，以联系和维持艾滋病毒医疗保健。为了评估这一举措的结果，进行了一项多地点研究，包括每隔6个月进行一次客户访谈，记录项目联系人，CD4和病毒载量值的医疗图表摘要以及艾滋病毒初级保健就诊。本文描述了用于实现和评估这一大型多站点计划的研究设计和方法。讨论了研究设计的优势和局限性。
Through its Targeted HIV Outreach and Intervention Model Development ( Outreach Initiative), the Health Resources and Services Administration's Special Projects of National Significance ( SPNS) program funded ten demonstration sites to implement and evaluate strategies to engage and retain underserved populations living with HIV/ AIDS ( PLWHA) in HIV primary medical care. The 10 sites were located in urban areas across the United States. Target populations were women, youth, people of color, and people with histories of incarceration, substance use, homelessness, or mental illness. Program interventions included outreach, motivational interventions, case management, and other ancillary services to connect and sustain people in HIV medical care. To evaluate outcomes from this initiative, a multisite study consisting of client interviews administered at 6- month intervals, documentation of program contacts, and medical chart abstractions of CD4 and viral load values and HIV primary care visits was conducted. This paper describes the study design and methods used to implement and evaluate this large multisite initiative. Strengths and limitations of the study design are discussed.