Motivational interviewing implementation-effectiveness trial in multidisciplinary adolescent HIV settings

多学科青少年艾滋病毒环境中动机性访谈实施效果试验

基本信息

  • 批准号:
    9353209
  • 负责人:
  • 金额:
    $ 47.47万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
  • 资助国家:
    美国
  • 起止时间:
    至 2017-07-31
  • 项目状态:
    已结题

项目摘要

Motivational Interviewing (MI) is the only behavioral intervention to date shown to be effective to improve self- management for youth living with HIV. Implementation science is the scientific study of methods to promote the uptake of research findings and evidence-based practice (EBP) to improve the quality and effectiveness of behavior change approaches such as MI in health care settings. A primary challenge of scaling up EBPs is to balance flexibility (adaptation to context) and fidelity (provider adherence and competence). The goal of this proposal is to test a multi-faceted Tailored MI Implementation intervention (“TMI”) based on the dynamic adaptation process to scale up an EBP in multidisciplinary adolescent HIV care settings while balancing flexibility and fidelity. The dynamic adaptation process guides tailoring of MI implementation through a series of phases: exploration, preparation, implementation, and sustainment. The proposed project is a hybrid implementation-effectiveness (Type 3) trial. We will test the effect of TMI on fidelity to the EBP, and secondarily on HIV care cascade-related outcomes, using a dynamic wait-listed design with 165 providers nested within 10 ATN4 HIV sites. With this design, the clinics will be randomly assigned in 5 clusters to receive TMI. For each randomization, 2 clinics receive TMI and the others remain in the wait-list condition. This will continue until the 5th cluster has been randomized to TMI. After one year of TMI’s external facilitation, a second randomization will compare internal facilitator monitoring and coaching plus the encouragement of Communities of Practice versus Communities of Practice alone. Fidelity will be assessed on a quarterly basis through the 24 months of intervention and an additional 6 months of follow-up. We will nest our qualitative method (in-depth interviews) within the quantitative study to provide a deeper understanding of the implementation context and understand why or why not MI is integrated with fidelity across the 150 providers. Providers and key stakeholders will complete qualitative interviews and brief assessments at baseline, after one year of TMI (first randomization), and after 1 year of follow-up (second randomization). We hypothesize that MI competency ratings will be higher among providers during the TMI phase compared to the treatment as usual phase. We also expect that successful implementation will be associated with improved cascade-related outcomes, namely undetectable viral load and greater number of clinic visits among youth living with HIV as well as increased numbers of youth tested and linked to care.
动机性访谈(MI)是迄今为止唯一被证明能有效改善自我的行为干预

项目成果

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SYLVIE NAAR其他文献

SYLVIE NAAR的其他文献

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{{ truncateString('SYLVIE NAAR', 18)}}的其他基金

Methods for Early Phase Translation of Basic Science into Behavioral Treatments to Improve Health
将基础科学早期转化为行为治疗以改善健康的方法
  • 批准号:
    10642822
  • 财政年份:
    2022
  • 资助金额:
    $ 47.47万
  • 项目类别:
Methods for Early Phase Translation of Basic Science into Behavioral Treatments to Improve Health
将基础科学早期转化为行为治疗以改善健康的方法
  • 批准号:
    10418074
  • 财政年份:
    2022
  • 资助金额:
    $ 47.47万
  • 项目类别:
SHARE Administrative Core
共享管理核心
  • 批准号:
    10304692
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
SHARE Administrative Core
共享管理核心
  • 批准号:
    10678983
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
Fostering Institutional Resources for Science Transformation: The FLORIDA-FIRST Health-science Brigade
培养科学转型的机构资源:佛罗里达第一健康科学旅
  • 批准号:
    10701773
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
SMARTer Healthy Choices: Optimizing a state-wide scalable intervention to improve alcohol and HIV self-management in adolescents and emerging adults (Project SUSTAIN)
更明智的健康选择:优化全州范围内的可扩展干预措施,以改善青少年和新兴成年人的酒精和艾滋病毒自我管理(项目 SUSTAIN)
  • 批准号:
    10304695
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
SMARTer Healthy Choices: Optimizing a state-wide scalable intervention to improve alcohol and HIV self-management in adolescents and emerging adults (Project SUSTAIN)
更明智的健康选择:优化全州范围内的可扩展干预措施,以改善青少年和新兴成年人的酒精和艾滋病毒自我管理(项目 SUSTAIN)
  • 批准号:
    10678992
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
Fostering Institutional Resources for Science Transformation: The FLORIDA-FIRST Health-science Brigade
培养科学转型的机构资源:佛罗里达第一健康科学旅
  • 批准号:
    10361704
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
Fostering Institutional Resources for Science Transformation: The FLORIDA-FIRST Health-science Brigade
培养科学转型的机构资源:佛罗里达第一健康科学旅
  • 批准号:
    10494122
  • 财政年份:
    2021
  • 资助金额:
    $ 47.47万
  • 项目类别:
Scale it up: Effectiveness-implementation research to enhance HIV-related self-management among youth
扩大规模:加强青少年艾滋病毒相关自我管理的有效性实施研究
  • 批准号:
    9546869
  • 财政年份:
    2016
  • 资助金额:
    $ 47.47万
  • 项目类别:

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利用技术提高青少年和年轻肾移植或肝移植受者的药物依从性
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利用技术提高青少年和年轻肾移植或肝移植受者的药物依从性
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了解和衡量耻辱对肯尼亚少女和年轻女性坚持 PrEP 的影响:确定未来干预措施的目标
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    10220170
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Understanding and measuring the impact of stigma on PrEP adherence among adolescent girls and young women in Kenya: identifying targets for future interventions
了解和衡量耻辱对肯尼亚少女和年轻女性坚持 PrEP 的影响:确定未来干预措施的目标
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