Evidence map›Paper›PMID 36038882›Full record

ArticleBMC health services research2022

Barriers and facilitators to scaling up Healthy Choices, a motivational interviewing intervention for youth living with HIV.

Karen MacDonell, Veronica Dinaj-Koci, Juline Koken, Sylvie Naar

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karen MacDonellDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USA. karen.macdonell@wayne.edu.ORCID http://orcid.org/0000-0001-8916-624X
Veronica Dinaj-KociDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USA.
Juline KokenDepartment of Health Sciences, LaGuardia Community College, CUNY, 31-10 Thomson, Avenue, E300, Long Island City, NY, 11101, USA.
Sylvie NaarDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USA.
Florida State University · US

Funding

Comparing the effectiveness of two alcohol+adherence interventions for HIV+ youthR01AA022891 · NIAAA · WAYNE STATE UNIVERSITY · PI NAAR, SYLVIE · 2013 to 2017
$3.4M
NIAAA NIH HHS 1R01AA022891-01NIAAA NIH HHS R01 AA022891
6 · The paper itself

Abstract

backgroundThis study included Community Health Workers and their supervisors from HIV clinical care teams who participated in the Healthy Choices intervention program. Healthy Choices is a Motivational Interviewing-based intervention aimed at improving medication adherence and reducing alcohol use for adolescents and emerging adults ages 16-24 living with HIV. In this study, the intervention was "scaled up" for delivery by local HIV care providers in real-world clinic settings.

methodsProviders (N = 21) completed semi-structured interviews (N = 29) about their experiences with intervention scale-up. Rigorous thematic analyses were conducted within discussions of barriers and facilitators of intervention implementation.

resultsThree dominant thematic areas emerged from the data: (1) perceptions of the Healthy Choices intervention, (2) engaging high risk YLH in in-person behavior interventions, and (3) perspectives on implementation of the intervention using local staff. Results offer insights into implementation of MI-based interventions for adolescents and emerging adults in clinic settings using local clinical staff instead of dedicated research staff.

conclusionsOverall, scaled-up intervention programs for youth are challenged to maintain scientific rigor, provide rigorous training and supports, and offer an attractive and engaging program.

Indexed as

HIV InfectionsMotivational InterviewingAdolescentAdultAlcohol DrinkingHealth StatusHumansMedication AdherenceYoung AdultAdolescents and emerging adultsAlcohol useCommunity health workersHIV/AIDSImplementation scienceMedication adherenceMotivational interviewingThematic analysis

Identifiers

PMID36038882
PMCPMC9426253
OpenAlexW4293484749

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.