Efficacy of a process improvement intervention on delivery of HIV services to offenders: A multisite trial

Frank S. Pearson, Michael Shafer, Richard Dembo, Graciela Del Mar Vega-Debién, Jennifer Pankow, Jamieson L. Duvall, Steven Belenko, Linda K. Frisman, Christy A. Visher, Michele Pich, Yvonne Patterson

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objectives. We tested a modified Network for the Improvement of Addiction Treatment (NIATx) process improvement model to implement improved HIV services (prevention, testing, and linkage to treatment) for offenders under correctional supervision.

Methods. 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 9 US 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.

Results. 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% confidence interval that exceeded the no-difference point.

Conclusions. Our 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.

Original languageEnglish (US)
Pages (from-to)2385-2391
Number of pages7
JournalAmerican journal of public health
Issue number12
StatePublished - Dec 1 2014

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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