Evaluation of an HIV-related Education Intervention Scale-up: A Hybrid Type 3 Effectiveness-implementation Study in the Dominican Republic.

Autor: Stonbraker SB; College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA. Samantha.Stonbraker@CUAnschutz.edu., Castro YE; Research and Scholarship, Clínica de Familia La Romana, La Romana, Dominican Republic., Caraballo PB; Research and Scholarship, Clínica de Familia La Romana, La Romana, Dominican Republic., Mayorga S; College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA., Rael CT; College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA., Dunn M; Childrens Hospital of Philadelphia, Philadelphia, PA, USA., Centi S; College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA., McNair B; Department of Biostatistics & Informatics, Colorado School of Public Health, Anschutz Medical Campus, Aurora, CO, USA., Michel J; HIV Services and System Strengthening Project, United States Agency for International Development, Santo Domingo, Dominican Republic., Goggin-Kehm M; HIV Services and System Strengthening Project, United States Agency for International Development, Santo Domingo, Dominican Republic., Arcia A; Hahn School of Nursing and Health Science, University of San Diego, San Diego, CA, USA., Cook P; College of Nursing, University of Colorado, Anschutz Medical Campus, Education 2 North, 13120 E 19th Ave, Aurora, CO, 80045 303.724.8281, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Nov 25. Date of Electronic Publication: 2024 Nov 25.
DOI: 10.1007/s10461-024-04555-0
Abstrakt: We developed an infographic intervention to augment HIV-related education in the Dominican Republic (DR), which demonstrated preliminary success in pilot studies. We then partnered with the United States Agency for International Development's (USAID) HIV Services and Systems Strengthening program in the DR to scale up the intervention. We used a two-tier Training-of-Trainer (TOT) method to teach intervention administration. N = 12 program leaders completed the tier-1 training and subsequently taught N ~ 102 clinical staff to use infographics with people with HIV (PWH) (tier-2 trainings). Study Aim 1 was to assess implementation outcomes; Aim 2 was to explore infographic influences on program-level health outcomes. We conducted a hybrid type 3 effectiveness-implementation study with three data components: (1) Surveys bookending tier-1 and tier-2 trainings; (2) Focus groups with tier-1 and tier-2 trainees; and (3) program-level data. We designed surveys according to Kirkpatrick's Training Evaluation Model and analyzed responses with descriptive statistics and/or Fisher's exact tests. We led four focus groups with a theory-driven guide and analyzed transcripts with conventional qualitative content analysis. We analyzed program-level data by comparing outcomes before and after infographic use with advanced statistical modeling. All 12 program leaders completed tier-1, and 36 staff completed tier-2 surveys; focus groups comprised eight tier-1 and 27 tier-2 trainees; program-level data pertained to 4,318 PWH. Surveys and focus groups indicated the TOT method is feasible, acceptable, and sustainable. Program-level findings showed PWH were more likely to attend scheduled visits and be virally suppressed following infographic implementation. Results indicate our intervention can likely enhance HIV education at large scale.
Competing Interests: Declarations. Competing Interests: The authors have no competing interests to declare.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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