The Best Practices Compilation of tested HIV care interventions has added a new set of project innovations. The collection reached the 100 mark earlier this year (read Celebrating Over 100 Best Practices).
The Best Practices Compilation is largely comprised of interventions developed under HRSA Special Projects of National Significance (SPNS) under the Ryan White HIV/AIDS Program. Many of the newly-added projects were developed from local and state projects. Each hasmimplementation tools that can be used by other HIV care agencies.
Multicomponent Support Strategies
This San Francisco project delivered outreach and social services during COVID-19 lockdowns. Viral suppression rates of participants improved, from pre- to post-intervention. A pre-COVID POP-UP support program continues to operate.
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INFINI-T
This program delivers peer mentoring for young transgender women of color in New York. Participants "were more likely to be virally suppressed and retained in care after 12 months of participating in the intervention." The program was funded under the SPNS Transgender Women of Color Initiative.
The Brandy Martell Project
This San Francisco community health center project provides transgender health care. Also funded under the SPNS Transgender Women of Color Initiative, patient navigation and other support helped improve antiretroviral therapy prescriptions for clients.
Rise
This Los Angeles program was developed under a National Institutes of Health (NIH) grant to "address antiretroviral therapy adherence issues among Black people with HIV. Through Rise, peer counselors used motivational interviewing techniques, leveraged Medication Event Monitoring System (MEMS) data to monitor and promote adherence, and connected participants to support services to address unmet needs."
Suppression Bundle
This Kansas infectious diseases clinic project provided a package of "three to five evidence-informed care strategies for each client, such as mental health referrals, transportation assistance, appointment reminders, and pill boxes." Client needs were coordinated with the client and clinic team. "After the intervention, 70.1% of previously non-suppressed clients were virally suppressed."
Rapid ART Start Protocol
This protocol was developed at an Atlanta Veteran Health Administration site. "A retrospective cohort study from 2012–2020 showed positive outcomes, including decreases in the time to first appointment, the time to ART initiation, and the time to reach viral suppression. In addition, patients receiving the intervention were more likely to reach viral suppression compared to patients seen pre-intervention at the same clinic."
See more: Rapid ART Dissemination Assistance Provider and Building Capacity to Implement Rapid ART Start
Taking Care of Me
This intervention uses videos and posters in promoting antiretroviral therapy and adherence. "A trial testing the efficacy of Taking Care of Me found that clients exposed to the video were more likely to be prescribed ART and reach viral suppression." Taking Care of Me is also featured in CDC's Effective Interventions collection.