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Efficacy of a Process Improvement Intervention on Delivery of HIV Services to Offenders: A Multisite Trial

NCJ Number
American Journal of Public Health Volume: 104 Issue: 12 Dated: December 2014 Pages: 2385-2391
Frank S. Pearson; Michael S. Shafer; Richard Dembo; Graciela del Mar Vego-Debien; Jennifer Pankow; Jamieson L. Duvall; Steven Belenko; Linda K. Frisman; Christy A. Visher; Michele Pich; Yvonne Patterson
Date Published
December 2014
7 pages
This study tested a modified Network for the Improvement of Addiction Treatment (NIATx) process improvement model in implementing improved HIV services (prevention, testing, and linkage to treatment) for offenders under correctional supervision.
The results were significant at the .05 level, and the point estimate for the odds ratio was 2.14. Although overall the results were heterogeneous, the experiments that focused on implementing HIV prevention interventions had a 95-percent confidence interval that exceeded the no-difference point. The results demonstrate that a modified NIATx process improvement model can effectively implement improved rates of delivery of some types of HIV services in correctional environments. As part of the Criminal Justice Drug Abuse Treatment Studies, Phase 2, the HIV Services and Treatment Implementation in Corrections study conducted 14 cluster-randomized trials in 2011 to 2013 at nine U.S. sites, where one correctional facility received training in HIV services and coaching in a modified NIATx model and the other received only HIV training. The outcome measure was the odds of successful delivery of an HIV service. (Publisher abstract modified)