The Challenges of Assessing Fidelity to Physician-Driven HIV Prevention Interventions: Lessons Learned Implementing Partnership for Health in a Los Angeles HIV Clinic

摘要: Documenting fidelity to HIV prevention interventions is critical ensure consistency in intervention implementation and necessary for measuring exposure and, ultimately, outcomes. Significant variation from prescribed protocols or inconsistent can jeopardize the integrity of evaluation research render outcomes uninterpretable. There increasing support models targeting seropositive individuals designed be delivered by physicians during clinic visits. Assessing physician-delivered that occur clinical exams present unique challenges. This paper presents findings various data sources track Partnership Health intervention, a implemented an urban community clinic. We chart abstraction data, patient surveys exit interviews, provider qualitative interviews. Lessons learned recommendations maximizing accuracy validity assessment future evaluations primary care settings are considered.