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Tailored Motivational Interviewing: E2i
Tailored Motivational Interviewing (TMI) delivers brief motivational interviewing counseling sessions customized to encourage people with HIV to engage in HIV care, take HIV medications as prescribed, and improve other health-related behaviors. Three sites implemented TMI as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. Clients who participated in TMI had significant improvement in engagement in care, prescription of antiretroviral therapy, retention in care, and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth: E2i
The Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT) is designed to keep young people, particularly young, Black, gay, bisexual, same-gender loving, and other men who have sex with men, engaged in HIV medical care, by delivering personalized, daily, interactive text messages that remind them to take their antiretroviral therapy as prescribed. Two sites implemented TXTXT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. The intervention resulted in a statistically significant improvement in engagement in HIV care.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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E-VOLUTION
E-VOLUTION is a two-way text messaging intervention, originally developed by Washington University School of Medicine and piloted at Project ARK. The intervention focuses on improving health outcomes for youth, particularly young Black men who have sex with men. E-VOLUTION was designed for people ages 18-29 who have HIV and are receiving clinical care but require support to remain adherent. E-VOLUTION was evaluated and found to improve viral suppression and retention in care rates.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Smile! The Next Horizon in Improving Oral Health Care
Innovative ways that the provision of oral health care can improve retention and re-engagement in care and improve healthcare outcomes.
Resource (Conference Presentation) updated 09/14/2023
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Designing and Implementing an HIV Community Health Worker Advisory Group: An EHE Initiative in Massachusetts
Experience of Suffolk County on development of a diverse HIV community health worker (CHW) advisory group that can be adopted across jurisdictions to improve CHW engagement in achieving the goals of the Ending the HIV Epidemic initiative.
Resource (Conference Presentation) updated 09/14/2023
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Project Strength Through Youth Livin' Empowered (STYLE) 2.0
STYLE 2.0 is a multi-component intervention designed to help reduce stigma and social isolation for Black gay, bisexual, and other men who have sex with men. The intervention relies on health care navigators who facilitate linkage and engagement activities. They also connect clients to behavioral health providers who conduct motivational interviewing, as well as to a mobile application that supports all intervention activities. STYLE 2.0 participation has been associated with positive trends across HIV care continuum outcomes, including retention in care and increased viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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weCare Social Media Intervention
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.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Positively Connected for Health (PC4H)
The PC4H initiative employs a mobile app and a digital literacy workshop to improve engagement, retention in care, and medication adherence for young people with HIV. These strategies aim to reach young people who are disproportionately affected by HIV, including young men who have sex with men, young transgender women, and youth of color, with a focus on serving people who know their status but are inconsistently engaged in care. Developed by Children’s Hospital of Philadelphia and Philadelphia FIGHT, PC4H was evaluated through the RWHAP Part F SPNS Social Media Initiative. The evaluation found that PC4H had positive impacts on retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/17/2023
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Innovative HIV Care Strategies for Priority Populations: Housing First and Positive Peers Interventions
Review of two interventions that focus on priority populations affected by the HIV epidemic: youth and people with HIV who are experiencing homelessness or unstable housing.Resource updated 06/25/2024
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Project nGage
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.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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Wellness Web 2.0
Wellness Web 2.0 is a text message-based intervention that offers health education tools, appointment reminders, and navigation services to increase linkage to and retention in care for youth and young adults with HIV. Clients across 27 counties in South Texas enrolled in the Wellness Web 2.0 program had improvements in linkage to HIV medical care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Tailored Motivational Interviewing for Youth
Five clinics implemented Tailored Motivational Interviewing (TMI) to better serve young people with HIV as part of a RWHAP Part F SPNS initiative. Motivational interviewing is a well-documented approach to engage youth in care and facilitate behavior change in a variety of contexts. Clients participating in TMI received integrated HIV medical care and TMI, and demonstrated improved engagement in care and health outcomes.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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Integrating Services for Improved Access to Oral Health Care in People Living with HIV/ AIDS
Oral health problems in people with HIV are common and access to oral health care remains inadequate. Co-location of RWHAP and dental clinic improves accessibility. Our study aims to assess the effectiveness of integration of medical and dental services in improving access to oral health care through co-location.
Resource (Conference Presentation) updated 09/14/2023
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Roadmaps: The Journey of PLWH Improving Health Outcomes for PLWH
This presentation will share innovative strategies in the creation of a reflective Consumer Advisory Board, HIT HIV. The presentation will showcase quality improvement projects the HIT HIV CAB completed while leveraging technology, social media, consumer feedback, and CQM principles ensuring a community-driven and equitable process toward ending the HIV epidemic.
Resource (Conference Presentation) updated 09/14/2023
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What we want you to know: Advice to clinicians from adoptive families living with HIV
A panel of parents who have domestically and internationally adopted youth with HIV discuss the complexities that arise from disclosure, care coordination/engagement, sexuality and dating, and transition to adult care while sharing their individual parenting strategies and struggles.
Resource (Conference Presentation) updated 09/14/2023
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The Spanish-Speaking Community Advisory Board: Integration and Collaboration in HIV Care and Research
The Spanish language community advisory board (SCAB) approach was to create horizontal and vertical community entity linkages and understand the nature of institutional interactions. The SCAB facilitates community involvement in patient care and support to improve implementation and sustainability of the HIV prevention and control strategies.
Resource (Conference Presentation) updated 09/14/2023
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Oral Health Data in CAREWare: Process optimization – the Baltimore EMA Experience
Oral health of RWHAP participants remains a critical area of unassessed unmet need. Normative data needs and SWOT analyses indicated need for process improvement strategies involving providers for better data quality. Voluntary oral health data reporting is a key barrier to understanding/tracking the oral health status of RWHAP participants.
Resource (Conference Presentation) updated 09/14/2023
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Youth in Rural Communities: Unique Needs and Approaches to Engagement, Adherence, and Service Delivery
Overview of data on youth with HIV, their needs and programs in rural communities, and implementing initiatives to reach youth and retain them in care.
Resource (Conference Presentation) updated 09/14/2023
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Plenary: Innovation (Ending the HIV Epidemic, National HIV/AIDS Strategy)
Applying the HIV/AIDS Bureau implementation science framework; trauma-informed care in dental settings; and review of an organization's status-neutral approach to care .
Resource (Conference Presentation) updated 09/14/2023