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Testing a Motivational Interviewing Implementation Intervention in Adolescent HIV Clinics: Protocol for a Type 3,
Sylvie Naar1, Karen MacDonell2, Jason E Chapman3
1College of Medicine, Florida State University, Tallahassee, FL, United States.
JMIR Research Protocols
|June 26, 2019
Summary
This study tested tailored motivational interviewing (TMI) to improve HIV care for adolescents. TMI implementation showed promise for enhancing provider skills and improving patient outcomes in youth HIV treatment settings.
Area of Science:
- Implementation Science
- Adolescent Health
- HIV/AIDS Research
Background:
- Motivational interviewing (MI) is effective for youth living with HIV (YLH) self-management.
- Barriers hinder real-world MI implementation in youth HIV settings.
- Evidence-based practices are crucial for behavior change in adolescents and young adults.
Purpose of the Study:
- Describe the ATN 146 TMI protocol, an implementation-effectiveness trial.
- Scale up MI in adolescent HIV settings balancing flexibility and fidelity.
- Integrate findings with ATN 153 (implementation) and ATN 154 (effectiveness).
Main Methods:
- Type 3 hybrid implementation-effectiveness trial design.
- 10 adolescent HIV clinics randomized to TMI intervention (workshop, coaching).
- Dynamic wait-listed controlled design with subsequent randomization for coaching strategies.
Main Results:
- Participant recruitment ongoing since August 2017; 150 active participants as of May 2018.
- Hypothesize higher MI competency ratings during TMI implementation vs. standard care.
- Expect successful implementation to correlate with improved viral load suppression and clinic visits.
Conclusions:
- The TMI protocol provides a framework for scaling up MI in adolescent HIV care.
- This trial design integrates implementation and effectiveness measures.
- Potential to improve patient outcomes in youth HIV treatment settings.
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