Meet Me Where I Am: An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South

Burns, Paul; Omondi, Angela A.; Monger, Mauda; Ward, Lori M.; Washington, Rodney; Gomillia, Courtney E; Bamrick-Fernandez, Daniel R; Anyimukwu, Chizoba; Mena, Leandro

doi:10.1007/s40615-020-00933-1

Cited by 17 publications

(17 citation statements)

References 34 publications

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“…Teachers' personalized interventions positively afect students' academic performance and emotional cognition. According to the diferent intensities of teacher intervention, the concept of intervention is divided into shallow and deep teaching interventions [13]. Te shallow intervention in classroom teaching is mainly direct.…”

Section: Deep Intervention Analysismentioning

confidence: 99%

English Teaching Achievement Prediction by Big Data Analysis under Deep Intervention

Guo¹

2023

Journal of Electrical and Computer Engineering

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Appropriate data analysis technology can make people use the online degree education, obtain the data and information generated in the learning management system, and provide a useful decision basis for optimizing the teaching and management process of online degree education. Data analysis technology can help English teachers better grasp students’ learning situations and progress and optimize management. First, data analysis methods and decision tree algorithms are analyzed. Second, in data mining technology, the C4.5 decision tree method is used to construct an English score prediction model. Through the analysis of English learning-related information such as questionnaires and collected student test score data, the prediction of English teaching performance is analyzed from the perspective of teachers’ in-depth intervention. The survey results are shown as follows: (1) The model is simulated and tested. The model’s prediction accuracy is 98.20%, 99.10%, 99.40%, 98.70%, and 98.90%, higher than the standard accuracy of 97.5%. Additionally, the average response efficiency of the model is 99.42%, which can be used. (2) The failure rate of boys’ final grades is 11%, and the failure rate of female students’ final grades is 10%. There is only a 1% difference in the final grade failure rate between male and female students. The effect of gender on teaching performance is less pronounced. (3) As the number of practice questions increases, the rate of failing grades decreases. Thus, the data suggest that the number of practice questions affects instructional performance. (4) Teachers’ intervention can improve students’ English achievement. Increasing the intensity of the intervention also improves student achievement. Therefore, the follow-up research should increase the number of practice questions and teacher intervention in English teaching. The English teaching achievement prediction suggestion based on big data analysis is put forward, providing a reference for prediction management.

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Section: Deep Intervention Analysismentioning

confidence: 99%

English Teaching Achievement Prediction by Big Data Analysis under Deep Intervention

Guo¹

2023

Journal of Electrical and Computer Engineering

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“…Merle et al 's recent systematic review of change methods related to PrEP across various populations identified 18 implementation strategies [35]. Among these, ongoing clinician training to educate practitioners about the circumstances under which PrEP is indicated [31,89] as well as clinical decision supports [32] have shown promise that can be adapted for use among PWUD.…”

Section: Discussionmentioning

confidence: 99%

“…In the context of the PrEP care continuum [30], implementation strategies play a critical role in increasing awareness and adoption among PrEP providers, including healthcare professionals and pharmacists. These strategies aim to strengthen the knowledge, skills, and resources necessary for identifying individuals at risk and prescribing PrEP, while also facilitating access for eligible patients [31][32][33].…”

Section: Change Methods For Prepmentioning

confidence: 99%

Pre-exposure prophylaxis (PrEP) among people who use drugs: a qualitative scoping review of implementation determinants and change methods

Merle,

Zapata,

Quieroz

et al. 2024

Addict Sci Clin Pract

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Implementation of pre-exposure prophylaxis (PrEP) to prevent HIV transmission is suboptimal in the United States, particularly among people who use drugs (PWUD). PrEP research among PWUD is scarce, and the factors that impact implementation are largely unknown. Therefore, we conducted a scoping review of implementation determinants (i.e., barriers and facilitators), as well as the change methods (implementation strategies and adjunctive interventions) that have been evaluated to increase PrEP implementation and use among PWUD. We identified 32 peer-reviewed articles assessing determinants and five that evaluated change methods. Determinants were coded using the updated Consolidated Framework for Implementation Research (CFIR), which is an established framework to understand the multilevel barriers and facilitators associated with implementation. Findings indicate that most research was conducted among PrEP recipients (i.e., patients), focusing on awareness and willingness to use PrEP, with less focus on factors impacting clinicians and service delivery systems. Moreover, very few change methods have been evaluated to improve clinician adoption and adherence to CDC guidelines for PrEP provision and/or recipient uptake and adherence to PrEP. Future research is needed that focuses on factors impacting implementation from a clinician standpoint as well as innovative change methods to increase PrEP awareness, reach, adoption, and sustained adherence to guidelines. Implementation Science offers a wealth of knowledge to speed up the effort to end the HIV epidemic in the United States.

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“…Peer-based interactions have been shown to improve treatment uptake and overall health promotion through increased sharing of experiences and knowledge (Jacob et al, 2021). A critical component of this approach would be ensuring support to peer mentors including educational resources (e.g., Project ECHO [Waridibo et al] and the ConnQuER HepC application [ConnQuER HEP C Application, 2019]) and specialized training which has been effective for PWH (Burns et al, 2021; Wambua et al, 2019). Coupling cash incentives and peer support to increase HCV treatment for persons w/o use drugs was evaluated in the CHAMPS study (Ward et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Characterizing Persons With HIV/HCV Coinfection Who Remain Untreated for Hepatitis C at Four HIV Clinics in Connecticut (CT): Role of Multiple Overlapping Barriers at the Individual and Clinic System Levels

Zhao

Wegener

Brooks

et al. 2023

Health Promotion Practice

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Introduction. Direct-acting antiviral medications have made hepatitis C virus (HCV) cure possible for >95% of persons with chronic HCV infection, including those coinfected with HIV. Achieving strategic HCV elimination targets requires an understanding of system, provider, and patient-level barriers to treatment. We explored such barriers among persons with HIV/HCV coinfection who remained untreated for HCV. Methods. Among four primary care HIV clinics in CT with high rates of HCV cure, 25 patients with HIV/HCV coinfection were eligible (no HCV treatment as of March 31, 2021). We conducted retrospective chart reviews of demographics, clinical practice patterns, patient-specific issues such as housing, transportation, food security, and presence of mental health and substance use problems. Results. Among untreated patients, 13 (51%) were female; 17 (68%) were Black; median age was 62 years old. The majority (84%) had injecting drug use (IDU) as HIV transmission risk factor; 14 (56%) were prescribed medication-assisted treatment. Median time since HIV and HCV diagnosis was 25 and 19 years, respectively. Clinic-level barriers were noted in 19 (76%) and included lack of evaluation, treatment not recommended or implemented. Concomitant structural barriers included unstable housing for 11 (44%) and lack of transportation for eight (32%). Most patients had history of illicit substance use (84%) and mental health issues (68%). Many (76%) had multiple potential barriers. Conclusions. Multiple overlapping barriers spanning clinic and patient level domains including social determinants of health were the norm in persons with long-standing HIV/HCV coinfection who have not received HCV treatment. Interventions will require innovative, multi-disciplinary and personalized approaches.

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Meet Me Where I Am: An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South

Cited by 17 publications

References 34 publications

English Teaching Achievement Prediction by Big Data Analysis under Deep Intervention

English Teaching Achievement Prediction by Big Data Analysis under Deep Intervention

Pre-exposure prophylaxis (PrEP) among people who use drugs: a qualitative scoping review of implementation determinants and change methods

Characterizing Persons With HIV/HCV Coinfection Who Remain Untreated for Hepatitis C at Four HIV Clinics in Connecticut (CT): Role of Multiple Overlapping Barriers at the Individual and Clinic System Levels

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