Project ImPACT: Qualitative Research and Process Evaluation of a Linkage to Care Intervention for Formerly Incarcerated Persons Living with HIV/AIDS in North Carolina
Public Deposited- Last Modified
- February 27, 2019
- Creator
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Kleiboer, Caitlin
- Gillings School of Global Public Health, Department of Health Behavior
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West, Nora
- Gillings School of Global Public Health, Department of Health Behavior
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Lo, Elaine
- Gillings School of Global Public Health, Department of Health Behavior
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Key, Mary
- Gillings School of Global Public Health, Department of Health Behavior
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Chu, Claire
- Gillings School of Global Public Health, Department of Health Behavior
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Kleiboer, Caitlin
- Abstract
- Background: In the United States, the prison setting provides an opportunity to identify and treat Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). However, prisoners who are infected with HIV/AIDS have a heightened potential to return to HIV transmission risk behaviors and for loss of viral suppression upon release. Project imPACT (individuals motivating to Participate in Adherence, Care, and Treatment) addresses these vulnerabilities in the "seek, test, treat, and retain" HIV prevention strategy for formerly incarcerated persons living with HIV/AIDS (PLWHA). The Capstone team supported the linkage-to-care component of Project imPACT, a comprehensive pre-release discharge-planning program for PLWHA focused on the identification of a post-release HIV medical clinic and the arrangement of an intake appointment at that community HIV clinic as soon as possible following release. Methods: The Capstone team developed three deliverables over the course of the 2011-2012 academic year. These deliverables included a summary of qualitative data analysis from one focus group with members of Project imPACT's target population, process evaluation tools to assess Project imPACT linkage-to-care component's implementation, and cost tracking instruments to inform future cost analyses of Project imPACT's components. Results: Due to the timeline, the Capstone team was unable to implement two of the tools they developed for data collection. 1) Project imPACT integrated one of the Capstone's process evaluation tools into the intervention's database in order to assess, through a series of questions, the frequency of delivering the linkage-to-care intervention. The other process evaluation tool – interview guides for the linkage-to-care coordinator and Project imPACT participants' evaluates their perceptions of the intervention's success. 2) Project imPACT staff would also use the cost tracking tools to assess the expenses for developing and implementing the intervention. Of the three main deliverables, only the focus group analysis yielded reportable results. The Capstone team conducted a qualitative analysis of the data collected through the focus group with formerly incarcerated PLWHA to reveal the key themes of stigma; relationships outside of prison; personal approaches to disease; use of cell phones; HIV care in prison; HIV care transition from prison to release; HIV care after release; and recommendations for effective linkage-to-care. Discussion: In order to track expenses and assess the implementation of Project imPACT's linkage-to-care intervention, Project imPACT should integrate the cost tracking instruments and process evaluation tools developed by the Capstone team into the existing intervention infrastructure.
- Date of publication
- May 2012
- DOI
- Resource type
- Rights statement
- In Copyright
- Advisor
- Golin, Carol E.
- Reviewer
- Grodensky, Catherine
- Degree
- Master of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill
- Graduation year
- 2012
- Language
- Deposit record
- b6f6bdeb-f0b9-4907-a2ad-769b5d2e1080
- Date uploaded
- March 6, 2013
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