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Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities Journal of Behavioral Health Services & Research

NCJ Number
Journal of Behavioral Health Services & Research Volume: 45 Issue: 2 Dated: 2018 Pages: 187-203
Jennifer Pankow; Jennifer Willett; Yang Yang; Holly Swan; Richard Dembo; William M. Burdon; Yvonne Patterson; Frank S. Pearson; Steven Belenko; Linda K. Frisman
Date Published
April 2018
17 pages
This study aimed to improve the quality of HIV services for inmates by testing an organizational process-improvement strategy that used change teams in 14 correctional facilities in eight U.S. states and Puerto Rico.
In order to examine fidelity to the process- improvement strategy, data collection and analysis focused on quantitative ratings of the structural and process components of the strategy and qualitative notes that identified 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 use in decision-making to implement improvements to services delivery. (publisher abstract modified)