Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Stallworth J [original query] |
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Prioritization of evidence-based and evidence-informed interventions for retention in medical care for persons with HIV
Collins CB , Higa D , Taylor J , Wright C , Murray KH , Pitasi M , Greene Y , Lyles C , Edwards A , Andia J , Stallworth J , Alvarez J . AIDS Behav 2022 27 (7) 2285-2297 Up to 50% of those diagnosed with HIV in the U.S. are not retained in medical care. Care retention provides opportunity to monitor benefits of HIV therapy and enable viral suppression. To increase retention, there is a need to prioritize best practices appropriate for translation and dissemination for real-world implementation. Eighteen interventions from CDC's Compendium of Evidence-Based Interventions were scored using the RE-AIM framework to determine those most suitable for dissemination. A CDC Division of HIV Prevention workgroup developed a RE-AIM scale with emphasis on the Implementation and Maintenance dimensions and less emphasis on the Efficacy dimension since all 18 interventions were already identified as evidence-based or evidence-informed. Raters referenced primary efficacy publications and scores were averaged for a ranked RE-AIM score for interventions. Of 18 interventions, four included care linkage and 7 included viral suppression outcomes. Interventions received between 20.6 and 35.3 points (45 maximum). Scores were converted into a percentage of the total possible with ranges between 45.8 and 78.4%. Top four interventions were ARTAS (78.4%); Routine Screening for HIV (RUSH) (73.2%); Optn4Life (67.4%) and Virology Fast Track (65.9%). All four scored high on Implementation and Maintenance dimensions. Select items within the scale were applicable to health equity, covering topics such as reaching under-served focus populations and acceptability to that population. Navigation-enhanced Case Management (NAV) scored highest on the health equity subscale. RE-AIM prioritization scores will inform dissemination and translation efforts, help clinical staff select feasible interventions for implementation, and support sustainability for those interventions. |
A programmatic approach to address increasing HIV diagnoses among Hispanic/Latino MSM, 2010-2014
McCree DH , Walker T , DiNenno E , Hoots B , Valverde E , Cheryl Banez Ocfemia M , Heitgerd J , Stallworth J , Ferro B , Santana A , German E , Harris N . Prev Med 2018 114 64-71 From 2010 to 2015, young (13-24years) Hispanic/Latino gay, bisexual and other men who have sex with men (MSM) experienced the largest increase (18%) in numbers of HIV diagnoses among all racial/ethnic groups. In 2016, the Centers for Disease Control and Prevention (CDC) assembled a team of scientists and public health analysts to develop a programmatic approach for addressing the increasing HIV diagnosis among Hispanic/Latino MSM. The team used a data driven review process, i.e., comprehensive review of surveillance, epidemiologic, and programmatic data, to explore key questions from the literature on factors associated with HIV diagnoses among Hispanic/Latino MSM and to inform the approach. This paper describes key findings from the review and discusses the approach. The approach includes the following activities: increase awareness and support testing by expanding existing campaigns targeting Hispanic/Latino MSM to jurisdictions where diagnoses are increasing; strengthen existing efforts that support treatment as prevention and increase engagement in care and viral suppression among Hispanic/Latino MSM living with HIV and promote prevention, e.g., PrEP uptake and condom use, among Hispanic/Latino MSM who are at high-risk for HIV infection. |
Efficacy of a health educator-delivered HIV prevention intervention for Latina women: a randomized controlled trial
Wingood GM , Diclemente RJ , Villamizar K , Er D , Devarona M , Taveras J , Painter TM , Lang DL , Hardin JW , Ullah E , Stallworth J , Purcell DW , Jean R . Am J Public Health 2011 101 (12) 2245-52 OBJECTIVES: We developed and assessed AMIGAS (Amigas, Mujeres Latinas, Inform andonos, Gui andonos, y Apoy andonos contra el SIDA [friends, Latina women, informing each other, guiding each other, and supporting each other against AIDS]), a culturally congruent HIV prevention intervention for Latina women adapted from SiSTA (Sistas Informing Sistas about Topics on AIDS), an intervention for African American women. METHODS: We recruited 252 Latina women aged 18 to 35 years in Miami, Florida, in 2008 to 2009 and randomized them to the 4-session AMIGAS intervention or a 1-session health intervention. Participants completed audio computer-assisted self-interviews at baseline and follow-up. RESULTS: Over the 6-month follow-up, AMIGAS participants reported more consistent condom use during the past 90 (adjusted odds ratio [AOR]=4.81; P<.001) and 30 (AOR=3.14; P<.001) days and at last sexual encounter (AOR=2.76; P<.001), and a higher mean percentage condom use during the past 90 (relative change=55.7%; P<.001) and 30 (relative change=43.8%; P<.001) days than did comparison participants. AMIGAS participants reported fewer traditional views of gender roles(P=008), greater self-efficacy for negotiating safer sex (P<.001), greater feelings of power in relationships (P=.02), greater self-efficacy for using condoms (P<.001), and greater HIV knowledge (P=.009) and perceived fewer barriers to using condoms (P<.001). CONCLUSIONS: Our results support the efficacy of this linguistically and culturally adapted HIV intervention among ethnically diverse, predominantly foreign-born Latina women. (Am J Public Health. Published online ahead of print October 20, 2011:e1-e8. doi:10.2105/AJPH.2011.300340). |
Implementing packaged HIV-prevention interventions for HIV-positive individuals: considerations for clinic-based and community-based interventions
Collins CB Jr , Hearn KD , Whittier DN , Freeman A , Stallworth JD , Phields M . Public Health Rep 2010 125 55-63 Providing efficacious human immunodeficiency virus (HIV) prevention services to HIV-positive individuals is an appropriate strategy to reduce new infections. The Centers for Disease Control and Prevention (CDC) has identified interventions with evidence of efficacy for prevention with positives (PwP). Through its process of disseminating evidence-based interventions (EBIs), CDC has attempted to diffuse four of these interventions into practice. One of these interventions has been diffused to community-based organizations, whereas another has been diffused to medical clinics serving HIV-positive people. A third intervention was originally developed with HIV-positive individuals using methadone, but uptake by methadone clinics has not occurred. A fourth intervention for HIV-positive adolescents and young adults has had disappointing adoption levels. Unique implementation challenges have been encountered in various intervention settings. Lessons learned in the dissemination of the first four PwP interventions will facilitate implementation of three new PwP EBIs currently being packaged for dissemination. |
Special supplement on Hispanics/Latinos and HIV/AIDS. Introduction.
Stallworth JM , Herbst JH , Romaguera RA , Alvarez ME , Amaro H , Dean HD . AIDS Educ Prev 2009 21 3-6 This special supplement serves as a comprehensive resource to better understand the HIV/AIDS epidemic among Hispanics/Latinos in USA. The articles included in this supplement describe the epidemiology of the HIV epidemic among subgroups of Hispanics/Latinos, illustrate structural or socioecologic antecedents of HIV risk, report findings from the implementation and evaluation of HIV prevention interventions for Hispanics/Latinos conducted in USA or Puerto Rico, and describe national efforts to build HIV prevention capacity within Hispanic/Latino communities. |
Diffusion of effective behavioral interventions and Hispanic/Latino populations
Stallworth JM , Andia JF , Burgess R , Alvarez ME , Collins C . AIDS Educ Prev 2009 21 152-63 The national HIV/AIDS prevention program, the Diffusion of Effective Behavioral Interventions (DEBI), is described in the context of addressing Hispanics/Latinos at risk for HIV/AIDS in the United States and Puerto Rico. The eight-step DEBI model is referenced in terms of the interventions and Division of HIV/AIDS Prevention/Capacity Building Branch (DHAP/CBB) Latino Diffusion Team activities. A summary of activities and examples addressing diffusion needs for the diverse Hispanic/Latino populations is discussed. Challenges and successes in diffusion and partner collaborations are also presented, with comment on future directions such as translations and trainings to serve the needs of the Hispanic/Latino-serving community-based organizations and their communities. |
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