Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities
- 139 Downloads
In a study aimed at improving the quality of HIV services for inmates, an organizational process improvement strategy using change teams was tested in 14 correctional facilities in 8 US states and Puerto Rico. Data to examine fidelity to the process improvement strategy consisted of quantitative ratings of the structural and process components of the strategy and qualitative notes that explicate challenges in maintaining fidelity to the strategy. Fidelity challenges included (1) lack of communication and leadership within change teams, (2) instability in team membership, and (3) issues with data utilization in decision-making to implement improvements to services delivery.
This study is funded under a cooperative agreement from the US Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA), with support from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Bureau of Justice Assistance, US Department of Justice. The authors gratefully acknowledge the collaborative contributions by NIDA; the Coordinating Center, AMAR International, Inc.; and the Research Centers participating in CJ-DATS. The Research Centers include Arizona State University and Maricopa County Adult Probation (U01DA025307), University of Connecticut and the Connecticut Department of Correction (U01DA016194), University of Delaware and the New Jersey Department of Corrections (U01DA016230), Friends Research Institute and the Maryland Department of Public Safety Correctional Services’ Division of Parole and Probation (U01DA025233), University of Kentucky and the Kentucky Department of Corrections (U01DA016205), University of Rhode Island, Rhode Island Hospital and the Rhode Island Department of Corrections (U01DA016191), Texas Christian University and the Illinois Department of Corrections and the Virginia Department of Corrections (U01DA016190), Temple University and the Pennsylvania Department of Corrections (U01DA025284), and the University of California at Los Angeles and the Washington State Department of Corrections (U01DA016211). The views and opinions expressed in this report are those of the authors and should not be construed to represent the views of NIDA nor any of the sponsoring organizations, agencies, CJ-DATS partner sites, or the US government.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest. The authors alone are responsible for the content and writing of the article.
- 1.Maruschak LM, Berzofsky M, Unangst J. Medical problems of state and federal prisoners and jail inmates, 2011–12 (NCJ 248491). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2015, February. Available online at http://www.bjs.gov/index.cfm?ty=pbdetail&iid=5219. Accessed on October 17, 2016.
- 2.Mumola CJ, Karberg JC. Drug use and dependence, state and federal prisoners, 2004 (NCJ 213530). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2006, October. Available online at http://www.bjs.gov/index.cfm?ty=pbdetail&iid=778. Accessed on October 17, 2016.
- 3.Centers for Disease Control and Prevention. HIV among incarcerated populations (Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention, Division of HIV/AIDS Prevention). 2015, July. Available online at https://www.cdc.gov/hiv/group/correctional.html. Accessed on February 06, 2017.
- 6.Centers for Disease Control and Prevention. Act against AIDS: Refocusing national attention on the HIV crisis in the United States. 2011, November. Available online at http://www.cdc.gov/nchhstp/newsroom/docs/AAAFactSheet-FINAL508c.pdf. Accessed on October 17, 2016.
- 7.Hughes T, Wilson DJ. Reentry trends in the United States: Inmates returning to the community after serving time in prison: Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, 2004. Available online at http://www.bjs.gov/content/reentry/reentry.cfm. Accessed on October 17, 2016.
- 8.Ducharme LJ, Chandler RK, Wiley TRA. Implementing drug abuse treatment services in criminal justice settings: Introduction to the CJ-DATS study protocol series. Health & Justice. 2013;1(5).Google Scholar
- 9.Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, et al. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Research Policy and Systems. 2015;13(16).Google Scholar
- 10.Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: Results from the expert recommendations for implementing change (ERIC) project. Implementation Science. 2015;10(21).Google Scholar
- 11.Centers for Disease Control and Prevention. Replicating Effective Program Plus. 2016, May. Available online at https://www.cdc.gov/hiv/research/interventionresearch/rep/index.html. Accessed on October 17, 2016.
- 12.Kilbourne AM, Neumann MS, Pincus HA, et al. Implementing evidence-based interventions in health care: Application of the replicating effective programs framework. Implementation Science. 2007;2(42).Google Scholar
- 13.Belenko S, Visher CA, Copenhaver M, et al. A cluster randomized trial of utilizing a local change team approach to improve the delivery of HIV services in correctional settings: Study protocol. Health & Justice. 2013;1(8).Google Scholar
- 16.Proctor EK, Powell BJ, McMillen JC. Implementation strategies: Recommendations for specifying and reporting. Implementation Science. 2013;8(139).Google Scholar
- 23.Wexler HK, Zehner M, Melnick G. Improving drug court operations: NIATx organizational improvement model. Drug Court Rev 2012;8(1):80–95.Google Scholar
- 24.Swan H, Hiller M, Albizu-Garcia CE, et al. Efficacy of a process improvement intervention on inmate awareness of HIV services delivery: A multi-site trial. Health & Justice. 2015;3(11).Google Scholar
- 28.Visher C, Yang Y, Mitchell SG, et al. Understanding the sustainability of implementing HIV services in criminal justice settings. Health & Justice. 2015;3(5).Google Scholar
- 34.Michie S, Wood CE, Johnston M, et al. Behaviour change techniques: The development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data). Health Technology Assessment. 2015;19(99).Google Scholar
- 44.Rogers EM. Diffusion of innovations. 5th ed. New York, NY: The Free Press; 2003.Google Scholar
- 49.Aarons GA, Green AE, Palinkas LA, et al. Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science. 2012;7(32).Google Scholar