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Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program

  • Original Research
  • Published:
Translational Behavioral Medicine

Abstract

Translation of behavioral interventions into community settings for people living with HIV/AIDS can decrease the risk of comorbid conditions. This study was designed to determine whether a multiple health behavior intervention for women with HIV/AIDS could be effectively translated into community health centers (CHCs), delivered by CHC primary care staff. Health Resources and Services Administration-supported CHCs in Miami, FL, and the New York metropolitan area participated. Six health behavior domains were assessed at baseline, 6 months, and 12 months post-intervention: nutrition, physical activity, sexual risk behavior, alcohol use, drug use, and tobacco use. Behavioral outcomes were compared between research staff-led and CHC staff-led intervention groups. Research staff and CHC staff outcomes were similar for the majority of outcomes. Results indicate that complex, multicomponent behavioral interventions can be translated into community-based settings with existing CHC staff and can produce clinical effects similar to those achieved by research staff.

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Acknowledgments

The authors gratefully acknowledge the support for these studies from the Centers for Disease Control and Prevention (CDCR18PS000829 and NIH/NIMH R01MH55463 and R01MH61208). Also acknowledged for their support are the CHCs and staff participating in the study, the Borinquen Health Care Center (FL), Special Immunology Clinic at Jackson Memorial Hospital (FL), Bedford-Stuyvesant Family Health Center (NY), Morris Heights Health Center (NY), Jersey City Family Health Center (NJ), and the research facilitators providing training and interventions in Miami, New York, and New Jersey, including Olga Villar-Loubet, Psy.D.; Barbara Warren, Psy.D.; and Jessica Pesantez, Psy.D.

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Authors and Affiliations

  1. Department of Psychiatry & Behavioral Sciences, Miller School of Medicine, University of Miami, 1400 NW 10th Ave., Miami, FL, 33136, USA

    Deborah L Jones PhD, Maria Lopez & Stephen M Weiss

  2. Clinical Directors Network, New York, NY, USA

    Hannah Simons, Marleny Diaz-Gloster & Jonathan N Tobin

  3. Center for Clinical and Translational Science, The Rockefeller University, New York, NY, USA

    Jonathan N Tobin

Authors
  1. Deborah L Jones PhD
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  2. Maria Lopez
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  3. Hannah Simons
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  4. Marleny Diaz-Gloster
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  5. Jonathan N Tobin
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  6. Stephen M Weiss
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Corresponding author

Correspondence to Deborah L Jones PhD.

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Implications

Practice: The Stress Management and Relaxation Training/Expressive-Supportive Therapy Women's Program (SWP) can be implemented in community-based practice, utilizing existing community health center staff with diverse education levels and training backgrounds, and achieves improved health outcomes in women living with HIV.

Policy: Existing service delivery models need to be expanded to include evidence-based multiple health behavior interventions such as SWP as a reimbursable standard of care.

Research: Future implementation research should develop SWP for large-scale dissemination as an evidence-based behavioral intervention.

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Jones, D.L., Lopez, M., Simons, H. et al. Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program. Behav. Med. Pract. Policy Res. 3, 416–425 (2013). https://doi.org/10.1007/s13142-013-0213-4

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  • DOI: https://doi.org/10.1007/s13142-013-0213-4

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