Translation of a comprehensive health behavior intervention for women living with HIV: the SMART/EST Women's Program Authors
First Online: 01 June 2013 DOI:
10.1007/s13142-013-0213-4 Cite this article as: Jones, D.L., Lopez, M., Simons, H. et al. Behav. Med. Pract. Policy Res. (2013) 3: 416. doi:10.1007/s13142-013-0213-4 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.
Keywords HIV/AIDS Women Translation Behavioral intervention Risk behavior Effectiveness Dissemination and implementation Fidelity 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. References
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