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SPNS Initiative: SURE Housing Initiative (2022-2026)
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Text Me, Girl!: Transgender-Specific Text Messaging to Support Care Engagement
Ninetyday theory-based, transgender-specific, automated text-messaging intervention designed to improve engagement, retention, and health outcomes along the HIV care continuum.Resource updated 02/07/2024
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Providing Gender-Affirming Care
Review of gender-affirming care issues, including key terminology, best practices in hormone therapy management, epidemiology of HIV in transgender populations, and strategies to improve HIV care and prevention in transgender communities.Resource (Conference Presentation) updated 09/14/2023
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TransActivate
Bienestar developed TransActivate to improve timely engagement and retention in HIV care among Latina transgender women. Linkage coordinators/peer navigators use a strengths-based approach to help clients reach their goals of entering and staying in medical care to ultimately reach viral suppression.Resource from the RWHAP Best Practices Compilation updated on 02/12/2024
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Healthy Divas: E2i
Healthy Divas focuses on empowering transgender women with HIV to achieve their personal health goals. Three sites implemented the intervention as part of the E2i initiative funded through the RWHAP Part F SPNS program from 2017 through 2021. Both engagement in HIV care and having an antiretroviral therapy prescription improved significantly for clients 12 months after enrollment in Healthy Divas.Resource from the RWHAP Best Practices Compilation updated on 04/18/2024
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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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Text Me, Girl!
Text Me, Girl! is a text messaging intervention that aims to improve linkage to and retention in HIV care, increase adherence to HIV medications, and improve viral suppression and other health outcomes among transgender women ages 18–34 years. The intervention supports young transgender women with HIV, particularly those experiencing barriers to care such as periods of homelessness and/or incarceration, substance misuse, or engaging in sex work. Text Me, Girl! participation was associated with statistically significant improvements in antiretroviral therapy uptake and adherence, and self-reported viral suppression.Resource from the RWHAP Best Practices Compilation updated on 04/01/2024
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After Hours Drop-In Clinic
Howard Brown Health established a specialized drop-in clinic and support groups, and implemented organizational initiatives to provide culturally relevant and gender-affirming services for transgender and non-binary people, including transgender women of color. The goal of this intervention was to optimize engagement in HIV services and primary care. From 2012-2021, the number of transgender and non-binary people served in primary care at Howard Brown Health more than tripled. In addition, after 24 months, participants were more likely to have been prescribed ART and to be virally suppressed than at baseline.Resource from the RWHAP Best Practices Compilation updated on 02/20/2024
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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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Assessing Perceptions and Preferences around Long-acting Injectables
Description of an implementation science project to facilitate equitable access to benefits from LAI ART options.Resource (Conference Presentation) updated 09/14/2023
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Take Your Recruitment Efforts to the Next Level by Leveraging the Power of Community Influencers
Combining of health department resources with the power of community influencers to enhance a recruitment campaign to reach priority populations.
Resource (Conference Presentation) updated 09/14/2023
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Women Informing Now: A Two-Year Retrospective Reducing Isolation and Stigma among Women of Color with HIV
Two-year retrospective exploring innovative approaches to reduce stigma and isolation among cis and transgender women of color with HIV, including women with HIV residing in rural areas not connected to care.
Resource (Conference Presentation) updated 09/14/2023
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Addressing Substance Use Disorders to Accelerate EHE Progress: The Power of HIV Community Stakeholder Perspectives
Review of an interactive survey used to gain insight into addressing substance use disorders that most impact the HIV care continuum and opportunities for the method to be used in planning.
Resource (Conference Presentation) updated 09/14/2023
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Improving Reengagement in Care Using a Community Health Worker Model: Evidence from New Orleans
Lessons learned from an EMA-wide effort to embed community health workers in RWHAP Part A agencies to improve retention in care.
Resource (Conference Presentation) updated 09/14/2023
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Operation BRAVE: Ending the Epidemic by Achieving Health Equity through Patient Navigation
Review of a patient navigation model and its three components.
Resource (Conference Presentation) updated 09/14/2023
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Community Action Conversations to Address Program Needs and Barriers
Use of Community Action Conversations in Atlanta to secure feedback on innovative ways to end the HIV epidemic.
Resource (Conference Presentation) updated 09/14/2023
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The Structure of Equity: Engaging Health Equity through Systemic Assessment
Health equity action plan ideas developed through an health equity assessment process.
Resource (Conference Presentation) updated 09/14/2023
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Empowerment through Health Education and Peer Support: Vivir Inspirar Defender Amar
Ideas for how to replicate a conference, developed by and for people with HIV, can create a safe space to address the ongoing needs of the community at large.
Resource (Conference Presentation) updated 09/14/2023