Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities

Jennifer Pankow; Jennifer Willett; Yang Yang; Holly Swan; Richard Dembo; William M Burdon; Yvonne Patterson; Frank S Pearson; Steven Belenko; Linda K Frisman

doi:10.1007/s11414-017-9551-1

Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities

J Behav Health Serv Res. 2018 Apr;45(2):187-203. doi: 10.1007/s11414-017-9551-1.

Authors

Jennifer Pankow¹, Jennifer Willett^{2

3}, Yang Yang^{4

5}, Holly Swan^{6

7}, Richard Dembo⁸, William M Burdon^{9

10}, Yvonne Patterson^{11

12}, Frank S Pearson¹³, Steven Belenko¹⁴, Linda K Frisman²

Affiliations

¹ Institute of Behavioral Research, Texas Christian University, TCU Box 298740, Fort Worth, TX, 76129, USA. j.pankow@tcu.edu.
² University of Connecticut School of Social Work, West Hartford, CT, USA.
³ School of Social Work, University of Nevada, Reno, Reno, NV, USA.
⁴ Institute of Behavioral Research, Texas Christian University, TCU Box 298740, Fort Worth, TX, 76129, USA.
⁵ Department of Psychology, University of Louisiana at Lafayette, Lafayette, LA, USA.
⁶ Center for Drug and Health Studies, University of Delaware, Newark, DE, USA.
⁷ Abt Associates, Inc., Cambridge, MA, USA.
⁸ University of South Florida, Tampa, FL, USA.
⁹ Integrated Substance Abuse Programs, University of California at Los Angeles, Los Angeles, CA, USA.
¹⁰ Independent Research Consultant and Business Owner, Toluca Lake, CA, USA.
¹¹ Eastern Connecticut State University, Willimantic, CT, USA.
¹² Central Connecticut State University, New Britain, CT, USA.
¹³ National Development and Research Institutes, Inc., New York, NY, USA.
¹⁴ Department of Criminal Justice, Temple University, Philadelphia, PA, USA.

Abstract

In a study aimed at improving the quality of HIV services for inmates, an organizational process improvement strategy using change teams was tested in 14 correctional facilities in 8 US states and Puerto Rico. Data to examine fidelity to the process improvement strategy consisted of quantitative ratings of the structural and process components of the strategy and qualitative notes that explicate 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 utilization in decision-making to implement improvements to services delivery.

Publication types

Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Communication
Decision Making
Delivery of Health Care / methods*
HIV Infections* / diagnosis
HIV Infections* / prevention & control
HIV Infections* / therapy
Humans
Interprofessional Relations*
Leadership
Organizational Innovation
Prisons*
Puerto Rico
Quality Improvement
Substance-Related Disorders / therapy
United States

Abstract

Publication types

MeSH terms

Grants and funding