The RWHAP Best Practices Compilation gathers and disseminates interventions that improve outcomes along the HIV care continuum. Explore the Compilation to find inspiration and new ideas for improving the care of people with HIV. Learn more about the Best Practices Compilation and submit your innovation today for possible inclusion.
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Displaying 1 - 10 of 19
Allegheny Health Network implemented Patient-Centered Appointment Reminders over a five-month period to improve engagement in care for people with HIV. This intervention included text message reminders, a process for identifying and addressing barriers to care, home visits, and outreach to patients after missed appointments. Compared to the pre-intervention cohort, the post-intervention group showed a significant decrease in clinic no-show rates.
Evidence-Informed Intervention
People with HIV
Retention in HIV medical care
Clinical service delivery model
PA
The Tobacco Use Reduction in People Living with HIV Project was initiated in 2015 by the Michigan Department of Health & Human Services' Tobacco Section. Tobacco cessation services were integrated into the clinical care delivered at various AIDS Service Organizations, and also offered outside of regularly scheduled medical appointments, such as during support groups and educational classes. The percentage of people with HIV who reported using tobacco products saw a statistically significant reduction from 2015 to 2017.
Emerging Intervention
People with HIV
Beyond the care continuum
Support service delivery model
MI
OPT-In For Life is a social media-based intervention that promotes advancement along the HIV care continuum for young adults (ages 18 to 34) with HIV. During the 18-month intervention, OPT-In For Life used multiple social media platforms and a mobile application to provide HIV-related and positive lifestyle resources. Young adults enrolled in OPT-in For Life demonstrated improved retention in HIV care and higher rates of viral suppression after participation.
Evidence-Informed Intervention
Young adults ages 25 to 34; Youth ages 13 to 24
Retention in HIV medical care; Viral suppression
Use of technology and mobile health
PA
Stronger Together uses counseling to increase engagement in and improve the quality of HIV care available for serodiscordant male couples. Through three in-person and additional “booster” sessions over an 18-month period, Stronger Together gave couples a space to work with an HIV professional to improve treatment adherence and keep both people healthy. Stronger Together participants were more likely to adhere to ART than those in a control group.
Evidence-Based Intervention
People with HIV; Gay, bisexual, and other men who have sex with men (MSM)
Prescription of antiretroviral therapy
Clinical service delivery model
Atlanta, GA
Boston, MA
Chicago, IL
The YGetIt? Program engaged youth and young adults with HIV in care through three components: a health management mobile application (GET!), Peer Engagement Educator Professionals (PEEPs), and a graphic serial (Tested). Tested received over 200,000 views, and viral suppression rates among YGetIt? participants increased from 79% to 86% over the course of the program.
Emerging Intervention
Youth ages 13 to 24; Young adults ages 25 to 34
Viral suppression
Use of technology and mobile health
Long Island , NY
The Village Project is an intensive case management-based intervention that harnesses peer navigation and integrated behavioral health services to improve the health outcomes of young Black gay, bisexual, and men who have sex with men. The Village Project was associated with increased retention in care and viral suppression.
Emerging Intervention
Black gay and bisexual men; Youth ages 13 to 24; Young adults ages 25 to 34; Black/African American people
Retention in HIV medical care; Viral suppression
Support service delivery model; Clinical service delivery model
Dallas, TX
The Positive Peers app motivates youth and young adults with HIV to stay engaged in HIV care through self-management tools and virtual support. Although specific outcomes vary by age group, individuals who used the app were more likely to attend their medical appointments, receive labs, and reach viral suppression.
Emerging Intervention
Youth ages 13 to 24; Young adults ages 25 to 34
Retention in HIV medical care; Viral suppression
Use of technology and mobile health
Cleveland , OH
In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.
Evidence-Informed Intervention
Youth ages 13 to 24; Young adults ages 25 to 34; Gay, bisexual, and other men who have sex with men (MSM); Transgender women
Retention in HIV medical care; Viral suppression
Use of technology and mobile health
Winston-Salem and Greensboro, NC
The HIV Clinical Pharmacist Services intervention shortens the time between referral to and engagement in care by allowing newly referred clients to see pharmacists in addition to other clinical providers for their initial appointment. This intervention is supported by findings from a retrospective cohort study that took place from 2013 to 2017 at a RWHAP-funded clinic. In addition to significantly decreasing the time between referral and initial visit, clients who saw a pharmacist also experienced shortened time to antiretroviral therapy initiation and viral suppression compared to those who only saw non-pharmacist providers.
Evidence-Informed Intervention
People with HIV; People with a new diagnosis of HIV
Linkage to HIV medical care; Prescription of antiretroviral therapy; Viral suppression
Clinical service delivery model; Systems/structural interventions
Oklahoma City, OK
Project nGage is a support intervention approach that offers participants an initial 90-minute session with a social work interventionist and a participant support confidant to develop a tailored care and support plan. The social work interventionist then offers four follow-up sessions to each participant to discuss progress on the care and support plan. Project nGage was evaluated in a randomized controlled trial from 2012 to 2015: participants in the intervention were more likely to have at least three HIV primary care visits in the last 12 months than those who received usual care.
Evidence-Based Intervention
Gay, bisexual, and other men who have sex with men (MSM); Black gay and bisexual men; Youth ages 13 to 24; Young adults ages 25 to 34
Retention in HIV medical care
Support service delivery model
Chicago, IL