The Center for Innovation and Engagement (CIE), a HRSA Special Projects of National Significance (SPNS)-funded project of NASTAD, identifies, catalogs, and disseminates evidence-informed interventions that link, re-engage, and retain people with HIV in care, and supports the real-world replication of these interventions to help end the HIV epidemic. These interventions have been proven effective in engaging people with HIV who are not receiving HIV care or who are at risk of falling out of care. (en Espanol: El Centro para la Innovación y el Involucramiento.)
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The Center for Innovation and Engagement (CIE) is a HRSA Special Projects of National Significance (SPNS)-funded project that identifies, catalogs, disseminates and supports the replication of evidence-informed approaches and interventions to engage people with HIV who are not receiving care, or who are at risk of not continuing to receive care. To support the real-world replication of the cataloged interventions, CIE provides steps for implementation and resources such as, but not limited to, replication tips, job aids, a cost calculator, and technical assistance.
Additionally, CIE is supporting three intervention pilots at Howard Brown Health to assess replication and adaptation for implementation.
CIE, led by NASTAD’s Health Equity Team, builds on NASTAD’s longstanding achievements to make measurable differences in achieving equity in healthcare. NASTAD is a leading non-partisan, non-profit association that represents public health officials who administer HIV and hepatitis programs in the U.S. NASTAD’s sole mission is to end the intersecting epidemics of HIV, viral hepatitis, and related conditions.
This brief video describes how CIE identified and selected the evidence-informed approaches.
How Does CIE Define Evidence-Informed Approaches and Interventions?
Evidence-informed approaches and interventions are tools, strategies, or models that have been proven as a means of providing statistically significant improvements in HIV care and treatment outcomes for people with HIV.
How Did CIE Identify the Evidence-Informed Approaches and Interventions on this Site?
In collaboration with Northwestern University’s Center for Prevention Implementation Methodology and evidence and dissemination subject matter experts (SMEs), CIE identified and cataloged evidence-informed approaches and interventions by:
- Conducting a systematic literature review for studies that demonstrate the effectiveness of an intervention, include a clearly defined approach, prioritize linkage, retention or re-engagement components, and include statistically significant outcomes.
- Conducting key informant interviews with Request for Information (RFI) respondents who submitted innovative interventions for consideration.
- Assessing registries, inventories, abstracts, and posters from HIV-related conferences to discover interventions.
- Developing and applying a rubric to measure the strength of evidence for each intervention.
- Developing and applying an impact scoring rubric to measure feasibility, acceptability, appropriateness, relevance, reach, sustainability, and transferability of each intervention.
- Selecting high priority interventions from those ranking in the top 50th percentile based on strength of evidence and strength of impact.
What is the Basis for the Strength of Evidence Rubric?
This rubric is based on CDC’s Prevention Research Synthesis (PRS) criteria for:
- Evidence-Based Interventions (EBIs) for Linkage to, Retention in and Re-engagement in HIV Care (LRC), and
- Evidence-Informed Interventions (EIs) for Linkage to, Retention in and Re-engagement in HIV Care (LRC).
How Were Steps 5 and 6 of the Identification Process Implemented?
CIE convened an Evidence and Dissemination Expert Panel (EDEP) consisting of HIV healthcare experts from across the U.S. CIE presented interventions ranking in the top 50 percentile of strength of evidence to EDEP members, who each utilized the CIE-developed impact scoring rubric to measure the feasibility, acceptability, appropriateness, relevance, reach, sustainability, and transferability of each intervention.
EDEP members selected high priority interventions that ranked in the 50th percentile based on both strength of evidence and strength of impact.
Overview Video
Meet the people and organizations that worked to identify and disseminate evidence-informed interventions to support linkage, re-engagement, and retention in HIV care.
These interventions have been proven effective in engaging people with HIV who are not receiving HIV care or who are at risk of falling out of care. Each summary outlines the intervention components, outcomes, cost information (where available), and known challenges and solutions. Supplementary resources, such as publications and job aids, are also included.
Compendium of Evidence-informed Approaches to Improving Health Outcomes for People Living with HIV
Explore resources that can help you innovate while you replicate interventions to link, re-engage, and retain people with HIV in care.
Tips
- Tips for Advancing Digital Health (PDF)
- Tips for Engaging Youth & Adolescents Using an Intersectional Approach (PDF)
- Tips for Implementing a Data to Care Program
- Tips for Implementing a Mobile Health App for People Living with HIV
- Tips for Implementing the Clinic-Based, Surveillance Informed (CBSI) Intervention (PDF)
- Tips for Implementing the PositiveLinks Intervention (PDF)
- Tips for Implementing the Project Accept Intervention to Work with Adolescents and Young Adults with HIV (PDF)
- Tips for Implementing the Rush (Routine Universal Screening for HIV) Intervention (PDF)
- Tips for Leveraging HIV Advisory Groups to Advance Health Equity (PDF)
- Tips for Working with Latinx Communities
- Tips for Working with People Who Are Unstably Housed (PDF)
- Tips for Working with People Who Use Drugs—In the Pandemic Era & Beyond (PDF)
- Tips for Working with People with HIV Who Have Been Incarcerated (PDF)
- Tips for Working with Rural Communities (PDF)
- Tips for Working with Transgender and Gender Nonconforming Individuals (PDF)
- Tips for Writing a Journal Article
NASTAD Resources
- Engaging and Retaining the Latinx Community in the Ryan White HIV/AIDS Program
- Engaging and Retaining Black/African American Men in Ryan White HIV/AIDS Program
- Talking Points: The Resource Guide for Facilitating Stigma Conversations
- Health Equity Initiative Distance-Based Curriculum MORE
- Trauma-Informed Approaches Toolkit
- Stigma Toolkit – Addressing Stigma
Intervention Cost Calculator (CC) facilitatee cost comparisons and selection of interventions of interest based on available resources.
Implementation of new interventions requires careful planning and budgeting to ensure sustainability. A cost analysis helps determine the resources needed to implement an intervention, the costs associated with the use of those resources, and the cost per client receiving the intervention.
Informed by local data entered by the user, the Cost Calculator provides estimates of total annual costs involved in implementing an intervention and cost per client that can be shared with leadership and other decision makers to select the intervention that best meets their array of services, client volume, and budget.
Access the Intervention Cost Calculator
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Contact Information
Project Contacts:
HRSA Contacts:
Funding:
Recipient Organization: NASTAD
Grant number: U90HA31882
Project Period: 2018-2021