Online Program

Implementing an effective behavioral intervention for people living with HIV via video-groups: A RE-AIM evaluation

Monday, November 2, 2015 : 12:50 p.m. - 1:10 p.m.

Stephanie L. Marhefka, PhD, Department of Community and Family Health, College of Public Health; Chiles Center, University of South Florida, College of Public Health, Tampa, FL
DeAnne Turner, MPH, College of Public Health, Department of Community and Family Health, University of South Florida, Tampa, FL
Eric R. Buhi, MPH, PhD, Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, CA
Julie Baldwin, PhD, Health Equity Research Group, Northern Arizona University, Flagstaff, AZ
Robert Glueckauf, Medical Humanities & Social Sciences, Florida State University College of Medicine, Tallahassee, FL
Introduction: Implementation science is needed to understand approaches to expanding access to effective behavioral interventions (EBIs) for people living with HIV (PLH) in underserved areas.

Methods: We explored Reach, Effectiveness, Adoption, Implementation and potential for Maintenance (RE-AIM) of one EBI, Healthy Relationships (HR), via video-conferencing groups (VGs) accessed at community agencies in a wait-list cross-over randomized controlled trial with women living with HIV (WLH). Quantitative and qualitative data were derived from intervention participants (N=71), implementing agency directors (N=5) and staff (N=91) at agencies serving PLH (ASPLH).

Results: REACH: HR-VG participants were primarily middle-aged WLH (M=42.9 years, SD=8.6) living in urban/suburban areas. EFFECTIVENESS: Statistically significant reductions in sexual risk behavior were found (as we published previously). Additionally, WLH perceived benefits of social support and learning from other WLH. ADOPTION: In a statewide survey, 53% of staff at ASPLH said their agency was likely to adopt HR-VG. Agencies not open to adoption lacked a private space and/or ability to install a dedicated Internet line. Agencies open to adoption cited benefits: joining an innovative initiative; expanding services; and affiliating with a university. IMPLEMENTATION: Challenges included scheduling, relative priority, and need for training/technical assistance. Organizational climate and leadership affected implementation success.  Potential for MAINTENANCE: Agencies expressed interest in maintaining HR-VG yet had funding concerns.

Conclusion: This is among the first studies of an EBI for PLH to apply RE-AIM. HR-VG shows promise for expanding access. To better address the implementation gap, additional strategies should be explored, including home-based VG delivery.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify characteristics of the HR VG program, as tested in a randomized controlled trial, including: Reach, Effectiveness, Adoption, Implementation, and Maintenance. Describe how the RE-AIM model can be useful in guiding assessment of behavioral interventions.

Keyword(s): HIV/AIDS, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD, have been working in the field for over 15 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.