J-RISE: Relevant Implementation Strategies to Eliminate the social and structural barriers to HIV services among Justice-involved Black men who have sex with men

J-RISE：消除男男性行为黑人中艾滋病毒服务的社会和结构性障碍的相关实施策略

• 批准号: 10744578
• 负责人: Russell Brewer
• 金额: $ 116.96万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10744578
• 关键词: 2 arm randomized control trial; Achievement; Address; Adoption; Caring; Case Management; Case Manager; Client; Collaborations; Communities; Consolidated Framework for Implementation Research; Continuity of Patient Care; County; Coupled; Criminal Justice; Data; Dedications; Education and Outreach; Effectiveness; Employment; Epidemic; Equity; Evaluation; Feedback; Goals; HIV; HIV/AIDS; Illinois; Implementation readiness; Improve Access; Individual; Intervention; Justice; Learning; Logic; Louisiana; Mental Health; Methods; Modeling; Monitor; Outcome; Participant; Penetration; Persons; Phase; Population; Positioning Attribute; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Recording of previous events; Research; Research Priority; Services; Site; Training; Unemployment; United States National Institutes of Health; Viral; Walking; black men who have sex with men; career development; collaborative approach; community engagement; community setting; contingency management; cooking; cost; effectiveness evaluation; effectiveness/implementation study; epidemic preparedness; evidence base; experience; financial incentive; implementation evaluation; implementation fidelity; implementation outcomes; implementation research; implementation science; implementation strategy; improved; member; novel; outreach; pre-exposure prophylaxis; prevent; primary outcome; response; secondary outcome; service delivery; skills; social; social health determinants; substance use; tool; uptake

Project Summary Justice-involved Black men who have sex with men (BMSM) are particularly vulnerable to HIV, and oftentimes experience delayed uptake and benefit from available HIV services. Status neutral interventions for justice- involved BMSM are pertinent and urgently needed to address the social and structural barriers to HIV services (e.g., unemployment) experienced by this population. Our collaborative has prioritized four status neutral interventions (i.e., transitional case management [TCM], employment navigation [EN], contingency management intervention [CMI], and employer outreach and support [EOS). Combining these interventions together will maximize their independent effectiveness and provide significant promise for improving access to HIV and employment-related services for justice-involved BMSM. We will utilize seven prioritized bundled implementation strategies to support the adoption, implementation, and sustainability of status neutral interventions within community and criminal justice settings. The overarching goals of the planned multi-site type 2 hybrid effectiveness-implementation study, J-RISE: Relevant Implementation Strategies to Eliminate the social and structural barriers to HIV services among Justice-involved BMSM is to simultaneously evaluate the effectiveness and implementation of two packaged status neutral interventions within justice and community settings to improve access to HIV and employment-related services. J-RISE is led by an academic, community, and criminal justice collaborative and conducted in three Ending the HIV Epidemic (EHE) jurisdictions in Illinois and Louisiana. Aim 1. Evaluate the effectiveness of two packaged status neutral interventions (TCM versus TCM+EN+CMI) on primary outcomes (linkages to HIV care, PrEP care, and employment-related services within 90 days) and secondary outcomes (receipt of mental health and substance use services, retention in HIV care, viral suppression, PrEP persistence, and sustained employment) among justice-involved BMSM. Aim 2. Evaluate the bundled implementation strategies and implementation outcomes at multiple levels using CFIR, RE-AIM, and MIPA. Key implementation outcomes include acceptability, adoption, costs, fidelity, penetration, and sustainability. J-RISE will generate novel information about the utility of our chosen implementation strategies as well as critical information about the effectiveness and cost of packaged status neutral interventions to optimize HIV and employment-related outcomes for justice-involved BMSM in multiple EHE jurisdictions.

项目摘要 与男人发生性关系的司法黑人（BMSM）特别容易受到艾滋病毒的攻击 经验延迟了吸收并从可用的艾滋病毒服务中受益。司法的状态中立干预措施 - 涉及的BMSM是相关的，迫切需要解决艾滋病毒服务的社会和结构性障碍 （例如，失业）经历了这个人群。我们的协作优先考虑四个状态中立 干预措施（即过渡案例管理[TCM]，就业导航[EN]，应急管理 干预[CMI]以及雇主的宣传和支持[EOS）。将这些干预措施结合在一起将 最大化其独立有效性，并为改善艾滋病毒的访问和 与司法有关的BMSM的与就业有关的服务。我们将利用七个优先捆绑的实施 支持地位中性干预措施的采用，实施和可持续性的策略 社区和刑事司法机构。计划的多站点2混合动力的总体目标 有效性实施研究，J-Rise：消除社会和的相关实施策略 涉及正义的BMSM中艾滋病毒服务的结构性障碍是同时评估有效性 并在司法和社区环境中实施两种包装状态的中性干预措施 改善获得艾滋病毒和与就业有关的服务的机会。 J-Rise由学术，社区和刑事领导 大法官合作，并在三个结束伊利诺伊州和路易斯安那州的艾滋病毒流行（EHE）司法管辖区进行了。 AIM 1。评估两种包装状态中性干预措施（TCM与TCM+EN+CMI）的有效性 主要结果（与艾滋病毒护理，预备护理和与就业有关的服务的联系）和 次要结果（心理健康和药物使用服务的接收，保留艾滋病毒护理，病毒 在与正义的BMSM中，抑制，持久性和持续就业。 目标2。使用捆绑的实施策略和实施结果在多个层面上使用 CFIR，RE-AIM和MIPA。关键实施结果包括可接受性，采用，成本，忠诚， 渗透和可持续性。 J-Rise将生成有关我们所选效用的新颖信息 实施策略以及有关包装状态有效性和成本的关键信息 中立干预措施以优化艾滋病毒和与就业相关的结果，以涉及正义的BMSM 司法管辖区。