Dec 8, 2017 - All evaluation data will be submitted via a web-based platform developed ... all data. Funded sites which
REQUEST FOR PROPOSALS USING EVIDENCE-INFORMED INTERVENTIONS TO IMPROVE HEALTH OUTCOMES AMONG PEOPLE LIVING WITH HIV APPENDIX RELEASE DATE: DECEMBER 8, 2017
PROPOSAL DUE DATE: JANUARY 22, 2018
List of Interventions by Focus Area Focus Area
Cascade Target Linkage
Page
Retention Adherence Suppression
Transgender Women
3
Healing Our Women for Trans Women (HOW-T)
X
X
X
3
Healthy Divas (Divas)
X
X
X
6
Life Skills Transgender Women Engagement and Entry To Care Project (TWEET)
X
X
8
X
X
11
Black MSM
14
Antiretroviral Treatment and Access Study (ARTAS)
X
X
14
Motivational Interviewing with Peer Outreach (MI Peers)
X
X
17
X
20
Project Connect and Retention through Enhanced Contacts (Connect) Text Messaging Intervention to Improve Antiretroviral Adherence among HIV-Positive Youth (TXTXT)
X
23
Behavioral Health Integration in Primary Care AETC AHRQ BHI Toolkits (AETC/AHRQ) Clinic-based Buprenorphine Treatment (BUP) Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) Screening, Brief Intervention, and Referral to Treatment (SBIRT)
25 X
X
25
X X
27 X
29
X
32
Identifying and Addressing Trauma Cognitive Processing Therapy (CPT) Trauma Informed Approach & Coordinated HIV Assistance and Navigation for Growth and Empowerment (TIA/CHANGE) Seeking Safety (Safety) Written Emotional Disclosure Therapy for PTSD (EDT)
35 X
X
X
35
X
X
X
X
39
X
X
41
X
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Transgender Women Interventions Healing Our Women for Trans Women (HOW-T) Summary: Healing Our Women (HOW) is a group-level HIV risk-reduction intervention developed to address the role of prior sexual victimization in HIV risk and protective behaviors among HIV-positive women of color. Currently this intervention is a fairly intense program which includes up to 14 sessions; we are committed to considering reducing the number of sessions for this intervention. Temporality 11 weeks Dose 2 hours per week Study Findings: The measure used to assess PTSD symptoms has well-documented validity and interpreter and test-retest reliability The largest changes were decreases in depressive symptoms and increases in coping from pre- to post intervention, which achieved statistical significance even in this small sample 9 of the 17 participants reported being sexually active in the previous 30 days at both pre- and post-survey Condom use increased by 6.5% of sexual encounters and knowledge increased by about 4.8%, which were not significant HIV Treatment Cascade Target:
Linkage, Retention and Adherence
Literature & Resources: Links to manuals, scientific literature, and toolkits: email
[email protected]) to receive/view full-access publications o Kate L. Collier, Lisa G. Colarossi, Daphne S. Hazel, Kim Watson, and Gail E. Wyatt (2015). Healing Our Women for Transgender Women: Adaptation, Acceptability, and Pilot Testing. AIDS Education and Prevention: Vol. 27, No. 5, pp. 418-431. https://doi.org/10.1521/aeap.2015.27.5.418 o Chin, D., Myers, H. F., Zhang, M., Loeb, T., Ullman, J. B., Wyatt, G. E., & Carmona, J. (2014). Who Improved in a Trauma Intervention for HIV-Positive Women with Child Sexual Abuse Histories? Psychological Trauma : Theory, Research, Practice and Policy, 6(2), 152–158. http://doi.org/10.1037/a0032180 USING EVIDENCE-INFORMED INTERVENTIONS TO IMPROVE HEALTH OUTCOMES AMONG PEOPLE LIVING WITH HIV Appendix - Page 3 of 43
o Wyatt, G. E., Hamilton, A. B., Myers, H. F., Ullman, J. B., Chin, D., Sumner, L. A., et al. (2011). Violence prevention among HIV-positive women with histories of violence: Healing women in their communities. Womens Health Issues, 21 (6 Suppl), S255-S260 o Wyatt, G. E., Longshore, D., Chin, D., Carmona, J. V., Loeb, T. B., Myers, H. F., et al. (2004). The efficacy of an integrated risk reduction intervention for HIVpositive women with child sexual abuse histories. AIDS and Behavior, 8(4), 453462 Links to Websites: o http://www.healingourwomen.com/HOW%20PDF/Training-Manual.pdf o http://www.healingourwomen.com/HOW%20PDF/HOWTW%20Training%20Manual.pdf
Evaluation Components: The EC will develop an evaluation plan tailored to each of the funded interventions. The evaluation will include data collected by the CCTA and the EC during learning sessions, site visits, and implementation monitoring. It will also include data collected in collaboration with or by funded sites through the following elements: an organizational assessment, a client enrollment form, an intervention encounter form, medical chart abstraction, and costing of the intervention. Below is a summary of each of the elements of the evaluation that will require effort by funded sites and a description of how the funded sites will be expected to contribute. The Organizational Assessment will be conducted semi-annually at the time of site visits and
include an organizational description (services provided by the organization, overall staffing and client population), stakeholder buy-in for the intervention, the presence and visibility of members of the target population within the organization and intervention, the level of integration of policies and procedures needed to implement the intervention, and the adequacy of staffing, staff training, and supervision to implement the intervention. The Client Enrollment Form will be completed once at the time of enrollment into the intervention and include a client identification number, date of enrollment and client demographic information (year of birth, sex at birth, current gender, Hispanic ethnicity and race). Information from client medical records will be abstracted at the end of the intervention and include dates of HIV primary care visits, information on prescription of antiretroviral therapy, and information on dates and results of CD4 and viral load tests. Information on client encounters will be collected continuously, submitted monthly and include information on the date of the encounter, who provided the service (lay staff, peer staff), what activities were conducted (group session), the outputs or outcomes of the encounter (completed intervention) and the duration of the encounter. Information on the costs of preparation and implementation of each intervention will be submitted annually and include personnel costs, costs of equipment, costs of recurring goods and services (consumables, utilities and other services) and proportional allocation of the costs of facilities used.
USING EVIDENCE-INFORMED INTERVENTIONS TO IMPROVE HEALTH OUTCOMES AMONG PEOPLE LIVING WITH HIV Appendix - Page 4 of 43
All evaluation data will be submitted via a web-based platform developed specifically for this initiative. The EC will be responsible for developing the web-based platform, conducting training, and monitoring collection and submission of data. The funded site will be responsible for scheduling and supervising staff to participate in the evaluation and ensuring the timely collection and submission of all data. Funded sites which provide direct medical services will be required to allocate at least 25% effort of a newly hired or existing staff person to coordinate collection and submission of evaluation data; sites that do not provide direct medical services will be required to allocate 50% effort of a newly hired or existing staff person to coordinate collection and submission of all data.
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Healthy Divas (DIVAS) Summary: This intervention was developed to address the multiple and unique barriers to engagement in HIV care experienced by transgender women living with HIV by integrating two complementary theoretical models developed by the PI and Co-I Johnson: the Gender Affirmation Model (GA)36 and the Model of Health Care Empowerment (HCE). Temporality Individual and group sessions over 3-month period Dose 6 Individual sessions and 1 group session Study Findings: Change in virologic control [ Time Frame: Baseline, 3, 6, 9, 12 months ] o As indicated by an undetectable HIV-1 level on the COBAS® AmpliPrep/COBAS® TaqMan® HIV test kit (Roche Molecular Systems, Inc.) Change in behavioral composite of engagement in HIV care [ Time Frame: Baseline, 3, 6, 9, 12 months ] o Composite measure which integrates current/past ART use, HIV appointments timeline follow back , ART adherence (adherence rating and visual analog scale), and knowledge of current CD4 cell count HIV Treatment Cascade Target: Linkage, Retention, and Adherence Literature & Resources: Links to manuals, scientific literature, and toolkits: email
[email protected] to receive/view full-access publications o Intervention Manual: e-mail
[email protected] to access the manual Links to Websites: o http://transhealth.ucsf.edu/trans?page=programs-healthy-divas Evaluation Components: The EC will develop an evaluation plan tailored to each of the funded interventions. The evaluation will include data collected by the CCTA and the EC during learning sessions, site visits, and implementation monitoring. It will also include data collected in collaboration with or by funded sites through the following elements: an organizational assessment, a client enrollment form, an intervention encounter form, medical chart abstraction, and costing of the intervention. Below is a summary of each of the elements of the evaluation that will require effort by funded sites and a description of how the funded sites will be expected to contribute. USING EVIDENCE-INFORMED INTERVENTIONS TO IMPROVE HEALTH OUTCOMES AMONG PEOPLE LIVING WITH HIV Appendix - Page 6 of 43
The Organizational Assessment will be conducted semi-annually at the time of site visits and include an organizational description (services provided by the organization, overall staffing and client population), stakeholder buy-in for the intervention, the presence and visibility of members of the target population within the organization and intervention, the level of integration of policies and procedures needed to implement the intervention, and the adequacy of staffing, staff training, and supervision to implement the intervention. The Client Enrollment Form will be completed once at the time of enrollment into the intervention and include a client identification number, date of enrollment and client demographic information (year of birth, sex at birth, current gender, Hispanic ethnicity and race). Information from client medical records will be abstracted at the end of the intervention and include dates of HIV primary care visits, information on prescription of antiretroviral therapy, and information on dates and results of CD4 and viral load tests. Information on client encounters will be collected continuously, submitted monthly and include information on the date of the encounter, who provided the service (lay staff, peer staff), what activities were conducted (group session), the outputs or outcomes of the encounter (completed intervention) and the duration of the encounter. Information on the costs of preparation and implementation of each intervention will be submitted annually and include personnel costs, costs of equipment, costs of recurring goods and services (consumables, utilities and other services) and proportional allocation of the costs of facilities used.
All evaluation data will be submitted via a web-based platform developed specifically for this initiative. The EC will be responsible for developing the web-based platform, conducting training, and monitoring collection and submission of data. The funded site will be responsible for scheduling and supervising staff to participate in the evaluation and ensuring the timely collection and submission of all data. Funded sites which provide direct medical services will be required to allocate at least 25% effort of a newly hired or existing staff person to coordinate collection and submission of evaluation data; sites that do not provide direct medical services will be required to allocate 50% effort of a newly hired or existing staff person to coordinate collection and submission of all data.
USING EVIDENCE-INFORMED INTERVENTIONS TO IMPROVE HEALTH OUTCOMES AMONG PEOPLE LIVING WITH HIV Appendix - Page 7 of 43
Life Skills Summary: Life Skills addresses the unique HIV prevention needs of young transgender women aged 16–24 years. The intervention aims to include assessing the feasibility of a small group-based intervention with the study population and examining participant’s engagement in HIV-related risk behaviors pre- and 3-months-postintervention. This intervention can be adapted to fit the selected sites current structure and target population; transgender women living with HIV. Temporality Two hour sessions, twice a week, for three consecutive weeks Dose 6 sessions Study Findings: Overall attendance and retention rates demonstrate that small group-based HIV prevention programs for young transgender women are both feasible and acceptable Interim analysis with >90% of visits completed indicates feasibility and efficacy of the intervention to reduce condomless sex (CS) acts compared to the standard-of-care control arm The study found
