1
|
Balán IC, Cheshure A, Green S, Coyle K, Cook C, Pooler-Burgess M, Wang Y, Morgan J, George A, Naar S. Building an HIV Learning Health Care Community for Youth in Florida: Opportunities and Challenges. AIDS Behav 2024; 28:951-962. [PMID: 37922033 PMCID: PMC11068034 DOI: 10.1007/s10461-023-04201-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2023] [Indexed: 11/05/2023]
Abstract
In Florida, 33% of new HIV infections among men and 21% of new infections among women are among those younger than 29 years of age. We describe the development of a Learning Health Care Community for youth (Y-LHCC) in Orange County, FL. Its core implementation team (iTeam) was composed of representatives from community agencies and academics, whose work was informed by data from the Florida Department of Health (FDOH) and regional research, in-depth interviews (IDIs) with agency representatives, and a pilot implementation of Tailored Motivational Interviewing (TMI) to improve service provision. IDIs revealed limited programming specifically for youth, significant structural challenges providing them with PrEP, and differences in use of evidence-based behavioral interventions to improve HIV services. FDOH provided data on new HIV infections, linkage to care, viral suppression, and PrEP coverage, however, limitations such as minimal data on PrEP referrals and use, agency level data, and inability to generate data quarterly (which would facilitate program improvement) were encountered. Thirty staff members from five agencies serving youth in Orange County participated in TMI training. About half the agency staff (n = 16) completed at least three of the four online training sessions. MI skills improved from pre- (n = 28; M = 1.96) to post TMI training (n = 11; M = 2.48, SD = 0.57); (t(37) = - 3.14, p = 0.0033). The iTeam held seven remote meetings and two in-person half-day meetings at the end of the study, during which they reassessed areas of focus for improving youth services. They also reiterated their commitment to continuing to meet beyond the study period and to engage other agencies in the newly established coalition. Findings highlight the potential of creating a Y-LHCC in Florida as well as some of the challenges that will need to be overcome to achieve ending the HIV Epidemic goals for young people in the region.
Collapse
Affiliation(s)
- Iván C Balán
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA.
| | - Andrea Cheshure
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Sara Green
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Karin Coyle
- Education, Training, and Research (ETR), Scott Valley, CA, USA
| | - Christa Cook
- College of Nursing, University of Central Florida, Orlando, FL, USA
| | - Meardith Pooler-Burgess
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Yuxia Wang
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Jonathan Morgan
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Avery George
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| | - Sylvie Naar
- Department of Behavioral Science and Social Medicine, Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, FL, USA
| |
Collapse
|
2
|
Ahern NR, Kiehl EM. Adolescent sexual health & practice--a review of the literature: implications for healthcare providers, educators, and policy makers. FAMILY & COMMUNITY HEALTH 2006; 29:299-313. [PMID: 16980805 DOI: 10.1097/00003727-200610000-00008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Regardless of the era, youth have engaged in activities that put them at risk and can compromise their health and well-being, in particular sexual experimentation. This article highlights current national and international literature focusing on adolescent sexual health related to health promotion and educational strategies. This information can be useful to family, educators, community health professionals, and policy makers in planning, implementing, and evaluating interventions that target adolescents of diverse cultural backgrounds.
Collapse
Affiliation(s)
- Nancy R Ahern
- School of Nursing, College of Health and Public Affairs, University of Central Florida, 1519 Clearlake Road, Cocoa, FL 32922, USA.
| | | |
Collapse
|