A hybrid type II effectiveness-implementation trial of a positive emotion regulation intervention among people living with HIV engaged in Ryan White Medical Case Management: protocol and design for the ORCHID study

Background The Ryan White Medical Case Management System, which serves more than half of people living with HIV (PLWH) in the USA, is an opportune setting for identifying and addressing depression among PLWH. A growing body of research suggests that interventions that promote positive emotion may le...

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Veröffentlicht in:Current controlled trials in cardiovascular medicine Jg. 25; H. 1; S. 631 - 14
Hauptverfasser: Xavier Hall, Casey D., Ethier, Kristen, Cummings, Peter, Freeman, Angela, Bovbjerg, Katrin, Bannon, Jacqueline, Dakin, Andrea, Abujado, Fay, Bouacha, Nora, Derricotte, Devan, Patterson, Lakethia, Hirschhorn, Lisa R., Bouris, Alida, Moskowitz, Judith T.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 27.09.2024
BioMed Central Ltd
Springer Nature B.V
BMC
Schlagworte:
Acquired immune deficiency syndrome
Adaptation, Psychological
AIDS
Biomedicine
Case Management
Chicago
Depression - diagnosis
Depression - psychology
Depression - therapy
Depression, Mental
Emotional Regulation
Health Sciences
HIV
HIV (Viruses)
HIV Infections - diagnosis
HIV Infections - psychology
Human immunodeficiency virus
Humans
Internet-Based Intervention
Intervention
Male
Medical screening
Medicine
Medicine & Public Health
Mental Health
Multicenter Studies as Topic
Patient compliance
Randomized Controlled Trials as Topic
Resilience (Psychology)
Statistics for Life Sciences
Study Protocol
Substance abuse
Treatment Outcome
Well being
White, Ryan
Chicago
Illinois
United States > US
Chicago Illinois
ISSN:1745-6215, 1745-6215
Online-Zugang:Volltext
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Zusammenfassung:Background The Ryan White Medical Case Management System, which serves more than half of people living with HIV (PLWH) in the USA, is an opportune setting for identifying and addressing depression among PLWH. A growing body of research suggests that interventions that promote positive emotion may lessen symptoms of depression and improve physical and psychological well-being among people experiencing a variety of health-related stress, including living with HIV. Research on how best to integrate standardized mental health screening and referral to evidence-based interventions in Ryan White Medical Case Management settings has the potential to improve the health and wellbeing of PLWH. Methods This mixed-methods study will enroll up to N  = 300 Ryan White clients who screen positive for depressive symptoms in ORCHID (Optimizing Resilience and Coping with HIV through Internet Delivery), a web-based, self-guided positive emotion regulation intervention. The study will be conducted in 16 Ryan White Medical Case Management clinics in Chicago, IL. Following pre-implementation surveys and interviews with Medical Case Managers (MCMs) and Supervisors to develop an implementation facilitation strategy, we will conduct a hybrid type 2 implementation-effectiveness stepped wedge cluster randomized trial to iteratively improve the screening and referral process via interviews with MCMs in each wedge. We will test the effectiveness of ORCHID on depression and HIV care outcomes for PLWH enrolled in the program. RE-AIM is the implementation outcomes framework and the Consolidated Framework for Implementation Research is the implementation determinants framework. Discussion Study findings have the potential to improve mental health and substance use screening of Ryan White clients, decrease depression and improve HIV care outcomes, and inform the implementation of other evidence-based interventions in the Ryan White Medical Case Management System. Trial registration ClinicalTrials.gov NCT05123144. Trial registered 6/24/2021
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SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1745-6215
1745-6215
DOI:10.1186/s13063-024-08475-1