Adapting an Evidence-Based Intervention for Homeless Women: Engaging the Community in Shared Decision-making

Cederbaum, Julie A.; Song, Ahyoung; Hsu, Hsun-Ta; Tucker, Joan S.; Wenzel, Suzanne L.

doi:10.1353/hpu.2014.0188

Cited by 9 publications

(7 citation statements)

References 51 publications

(85 reference statements)

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“…This could be done by incorporating final 'checks' of user suggestions to check whether these are in line with theory or existing evidence or seeking the input of users on theory-informed intervention elements that have been designed by researchers. Future studies should consider how best to strike a balance between (a) thoroughness of end-user involvement whereby open selection from a long list of suggestions gives users more scope to shape and cocreate the intervention and (b) the efficiency of using a more structured approach such as providing specific examples of interventions and asking for feedback [105].…”

Section: Discussionmentioning

confidence: 99%

Development of an intervention to facilitate implementation and uptake of diabetic retinopathy screening

et al. 2020

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Background: 'Implementation interventions' refer to methods used to enhance the adoption and implementation of clinical interventions such as diabetic retinopathy screening (DRS). DRS is effective, yet uptake is often suboptimal. Despite most routine management taking place in primary care and the central role of health care professionals (HCP) in referring to DRS, few interventions have been developed for primary care. We aimed to develop a multifaceted intervention targeting both professionals and patients to improve DRS uptake as an example of a systematic development process combining theory, stakeholder involvement, and evidence. Methods: First, we identified target behaviours through an audit in primary care of screening attendance. Second, we interviewed patients (n = 47) and HCP (n = 30), to identify determinants of uptake using the Theoretical Domains Framework, mapping these to behaviour change techniques (BCTs) to develop intervention content. Thirdly, we conducted semi-structured consensus groups with stakeholders, specifically users of the intervention, i.e. patients (n = 15) and HCPs (n = 16), regarding the feasibility, acceptability, and local relevance of selected BCTs and potential delivery modes. We consulted representatives from the national DRS programme to check intervention 'fit' with existing processes. We applied the APEASE criteria (affordability, practicability, effectiveness, acceptability, side effects, and equity) to select the final intervention components, drawing on findings from the previous steps, and a rapid evidence review of operationalised BCT effectiveness. Results: We identified potentially modifiable target behaviours at the patient (consent, attendance) and professional (registration) level. Patient barriers to consent/attendance included confusion between screening and routine eye checks, and fear of a negative result. Enablers included a recommendation from friends/family or professionals and recognising screening importance. Professional barriers to registration included the time to register patients and a lack of readily available information on uptake in their local area/practice. Most operationalised BCTs were acceptable to patients and HCPs while the response to feasibility varied. After considering APEASE, the core intervention, incorporating a range of BCTs, involved audit/feedback, electronic prompts targeting professionals, HCP-endorsed reminders (face-to-face, by phone and letter), and an information leaflet for patients.

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Section: Discussionmentioning

confidence: 99%

Development of an intervention to facilitate implementation and uptake of diabetic retinopathy screening

et al. 2020

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“…A variety of models can be used for program adaptation (Chen et al, 2013;Haynes et al, 2014;Saleh-Onoya et al, 2008;Hohmeier et al, 2019). However, the ADAPT-ITT model is unique among other adaptation models as it utilizes triangulation, directly includes participation from the targeted population and stakeholders and provides a systematic approach to guide the program adaptation (Card et al, 2011;Cederbaum et al, 2014;Knight et al, 2014;Escoffery et al, 2019;Escoffery et al, 2018). This iterative, community-driven adaptation positions the model to be useful in addressing the needs of MSM in Ghana.…”

Section: The Adapt-ittmentioning

confidence: 99%

An application of the ADAPT-ITT model to an evidence-based behavioral HIV prevention intervention for men who have sex with men in Ghana

Abubakari

Turner

Nelson

et al. 2021

Int Health Trends & Persp

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Despite constituting only about 1% of Ghana’s population, men who have sex with men (MSM) carry a disproportionate burden of HIV infections, constituting 18% of the population of people living with HIV in the country. Scholars have associated the disproportionate infection rates of HIV among MSM with existing structural factors (such as criminalization and stigma against MSM), and individual-level factors (such as sex without a condom, and transactional sex). Nonetheless, limited scholars consider intervention as an approach to reducing HIV and STI risk among MSM in the country. As such, in collaboration with community partners, we engaged MSM through the use of the ADAPT-ITT model to adapt the Many Men Many Voices (3MV) to address the needs of MSM. We addressed HIV/STD risk factors and ways to reduce HIV/STD infections. In this paper, we describe the use of the ADAPT-ITT model in the adoption and adaptation of the 3MV with MSM in Ghana. Whereas the 3MV was a good fit for our target population, we made modifications to fit the Ghanaian cultural setting by examining HIV and STD risk in the context of bisexuality, emphasizing on secrecy in location choice, and incorporating historical colonial setting in contextualizing sexuality and stigma in the Ghanaian sociocultural context. Our implementation process shows the efficacy of collaboration with community partners to implement culturally relevant interventions in HIV and STD prevention efforts in highly stigmatized environments.

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“…Content and format of existing evidence-based HIV prevention interventions (e.g., the CDC’s Effective Interventions (2015)) might be adapted through close collaboration with residents and providers to ensure acceptability and feasibility (Cederbaum, Song, Hsu, Tucker, & Wenzel, 2014). Research has previously demonstrated acceptability of HIV prevention programming among homeless persons (Cederbaum et al, 2014; Wenzel, D’Amico, Barnes, & Gilbert, 2009; Wenzel et al, 2016). It would be advisable for PSH providers to enhance linkages with HIV/AIDS organizations, which could provide education to staff and clients on harm reduction, HIV testing and counseling, and PrEP.…”

Section: Discussionmentioning

confidence: 99%

Provider perceptions on HIV risk and prevention services within permanent supportive housing

et al. 2017

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Permanent supportive housing (PSH) is an evidence-based solution to homelessness for persons experiencing chronic or long-term homelessness and one or more physical or behavioral health problems. Health services through PSH typically focus on physical and behavioral health. With the exception of programs specifically designed for persons living with HIV/AIDS, little attention has focused on services through PSH to prevent transmission of HIV or other sexually transmitted infections (STIs), yet sexual risk behavior continues after homeless persons move into PSH. The purpose of this study was to investigate how PSH providers approach HIV prevention and the challenges they perceive surrounding HIV prevention in PSH. Results serve as a critical first step toward addressing the acceptability and feasibility of providing HIV/STI prevention services to PSH residents. As part of a longitudinal mixed methods study examining HIV risk and prevention behavior among homeless unaccompanied adults moving into PSH in Los Angeles, we conducted eleven focus groups with a total of 60 frontline staff across 10 PSH agencies. Thirty-three percent of focus group participants were African American, 32% were Hispanic, and 55% were women. Results suggest that provider awareness and knowledge of PrEP is very limited, and provision of formal HIV prevention programming for residents is perceived as challenging. Informal, ad hoc conversations with residents about sexual risk and HIV prevention do occur when providers have rapport with clients and perceive risk. There are significant gaps in HIV prevention services through PSH but also opportunities to enhance providers’ efforts to promote the health of residents through prevention.

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Adapting an Evidence-Based Intervention for Homeless Women: Engaging the Community in Shared Decision-making

Cited by 9 publications

References 51 publications

Development of an intervention to facilitate implementation and uptake of diabetic retinopathy screening

Development of an intervention to facilitate implementation and uptake of diabetic retinopathy screening

An application of the ADAPT-ITT model to an evidence-based behavioral HIV prevention intervention for men who have sex with men in Ghana

Provider perceptions on HIV risk and prevention services within permanent supportive housing

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