Tracy McClair
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View article: Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods Implementation Science Evaluation
Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods Implementation Science Evaluation Open
Background In 2022, 54% of people with HIV were aged 50 years and older; however, clinical care for HIV in the United States often falls short of comprehensively integrating care for aging-related conditions. In response, the Health Resour…
View article: Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020
Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020 Open
The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health and Human Services Office of the Assistant Secretary for Health’s Minority HIV/AIDS Fund and Health Resou…
View article: Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women: Findings From the Black Women First Initiative
Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women: Findings From the Black Women First Initiative Open
Objectives. To examine the effects of replicating a bundled package of evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality of life (HRQoL) for 697 Black cisgender and transgender women wi…
View article: Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods Implementation Science Evaluation (Preprint)
Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods Implementation Science Evaluation (Preprint) Open
BACKGROUND In 2022, 54% of people with HIV were aged 50 years and older; however, clinical care for HIV in the United States often falls short of comprehensively integrating care for aging-related conditions. In response, the Health Resou…
View article: Lessons Learned from Implementing a Community Health Worker-Initiated Referral Strengthening Intervention in Haiti: A Mixed-Methods Program Case Study
Lessons Learned from Implementing a Community Health Worker-Initiated Referral Strengthening Intervention in Haiti: A Mixed-Methods Program Case Study Open
Referral processes linking communities to facilities are under-appreciated and lack evaluation, particularly in humanitarian settings. Community health workers or agents de santé communautaire polyvalent (ASCPs) in Haiti refer communities …
View article: Developing and Testing a Chatbot to Integrate HIV Education Into Family Planning Clinic Waiting Areas in Lusaka, Zambia
Developing and Testing a Chatbot to Integrate HIV Education Into Family Planning Clinic Waiting Areas in Lusaka, Zambia Open
Pre-consultation waiting-area time is an underutilized opportunity to impart HIV information to FP clients, thereby preparing them to discuss their dual HIV and pregnancy prevention needs when they see their providers. FP clients expressed…
View article: Effects of men's lifetime adverse events experience on violence, HIV risk, and wellbeing: insights from three countries
Effects of men's lifetime adverse events experience on violence, HIV risk, and wellbeing: insights from three countries Open
Objective: To assess men's experiences of adverse events in both child and adulthood and their effects on violence, HIV risk, and well being in three sub-Saharan countries. Design: We conducted cross-sectional surveys from 2017 to 2018 wit…
View article: Design, adaptation, and diffusion of an innovative tool to support contraceptive decision-making: Balanced Counseling Strategy Plus
Design, adaptation, and diffusion of an innovative tool to support contraceptive decision-making: Balanced Counseling Strategy Plus Open
Contraceptive decision-making is highly complex, and family planning (FP) clients choose methods according to a host of personal, interpersonal, and context-specific considerations. These include concerns about side effects, confidence in …
View article: Design, adaptation, and diffusion of an innovative tool to promote shared contraceptive decision-making: Balanced Counseling Strategy Plus
Design, adaptation, and diffusion of an innovative tool to promote shared contraceptive decision-making: Balanced Counseling Strategy Plus Open
Contraceptive decision-making is highly complex, and family planning (FP) clients choose methods according to a host of personal, interpersonal, and context-specific considerations. These include concerns about side effects, confidence in …
View article: The Client Empowerment in Community Health Systems Scale: Development and validation in three countries
The Client Empowerment in Community Health Systems Scale: Development and validation in three countries Open
Findings suggest that the 16-item CE-CHS Scale is valid and reliable. This scale can be used to assess levels and determinants of, and changes in, client empowerment in future implementation research and monitoring of community health syst…
View article: Measuring client trust in community health workers: A multi-country validation study
Measuring client trust in community health workers: A multi-country validation study Open
The Trust in CHWs Scale, which includes Health care competence and Respectful communication sub-scales, is the first such scale developed and validated globally. Our findings suggest this 10-item scale is a reliable and valid tool for quan…
View article: Development and validation of a multi-dimensional scale to assess community health worker motivation
Development and validation of a multi-dimensional scale to assess community health worker motivation Open
We found that the Multi-dimensional Motivation (MM) scale for CHWs is a valid and reliable measure that comprehensively assesses motivation. We recommend the scale be employed in future research around CHW performance and community health …
View article: Introduction of digital reporting platform to integrate community-level data into health information systems is feasible and acceptable among various community health stakeholders: A mixed-methods pilot study in Mopti, Mali
Introduction of digital reporting platform to integrate community-level data into health information systems is feasible and acceptable among various community health stakeholders: A mixed-methods pilot study in Mopti, Mali Open
CHW tablet use for data collection and reporting is feasible and desirable, however, program and policy changes are needed for this to be a fully-functional system. Future efforts need to consider how to ensure site-level network connectiv…
View article: Advancing Integrated Family Planning (FP)/HIV Counseling with Evidence (ADVICE): Review of FP decision support tools and HIV vulnerability assessment tools
Advancing Integrated Family Planning (FP)/HIV Counseling with Evidence (ADVICE): Review of FP decision support tools and HIV vulnerability assessment tools Open
This review identified innovative approaches to broadening both the platforms through which FP decision support is offered (digital or otherwise), as well as the timing of lending that support (i.e., during pre-consultation time). In addit…
View article: Stigma among key populations living with HIV in the Dominican Republic: experiences of people of Haitian descent, MSM, and female sex workers
Stigma among key populations living with HIV in the Dominican Republic: experiences of people of Haitian descent, MSM, and female sex workers Open
Objective(s): To describe stigma among seropositive MSM, female sex workers (FSWs), and Haitian-descent individuals in the Dominican Republic, and to assess whether stigma is associated with HIV treatment outcomes. Design: Cross-sectional …
View article: Internalized stigma among people living with HIV: assessing the Internalized AIDS-Related Stigma Scale in four countries
Internalized stigma among people living with HIV: assessing the Internalized AIDS-Related Stigma Scale in four countries Open
Objective: Measuring internalized stigma is critical to understanding its impact on the health and quality of life of people living with HIV (PLHIV). The aim of this study was to assess the performance of the Internalized AIDS-Related Stig…
View article: What shapes resilience among people living with HIV? A multi-country analysis of data from the PLHIV Stigma Index 2.0
What shapes resilience among people living with HIV? A multi-country analysis of data from the PLHIV Stigma Index 2.0 Open
Objective: To inform efforts to promote greater resilience among people living with HIV (PLHIV), we examined associations between resilience and factors at the individual, interpersonal and structural/policy levels in three countries. Desi…
View article: The People Living with HIV Stigma Index 2.0: generating critical evidence for change worldwide
The People Living with HIV Stigma Index 2.0: generating critical evidence for change worldwide Open
Objective(s): To describe the process of updating the People Living with HIV (PLHIV) Stigma Index (Stigma Index) to reflect current global treatment guidelines and to better measure intersecting stigmas and resilience. Design: Through an i…
View article: High Impact Practices—Encouraging empowerment and self-care through participatory women’s groups and group antenatal care: Supporting women to be at the center of their own care as active participants
High Impact Practices—Encouraging empowerment and self-care through participatory women’s groups and group antenatal care: Supporting women to be at the center of their own care as active participants Open
The Population Council developed High Impact Practice (HIP) briefs for three strategies that show promise for improving prevention, detection, and management of Hypertensive Disorders in Pregnancy (HDPs). This brief focuses on one of those…
View article: Evidence to support HIV prevention for adolescent girls and young women (AGYW) and their male partners: Results from Malawi Dreams studies with AGYW, male partners of AGYW, men living with HIV, and program implementing partners
Evidence to support HIV prevention for adolescent girls and young women (AGYW) and their male partners: Results from Malawi Dreams studies with AGYW, male partners of AGYW, men living with HIV, and program implementing partners Open
Project SOAR, led by the Population Council, in partnership with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted a research portfolio to generate evidence to reduce HIV risk among adolescent gir…
View article: Engaging community women’s groups to improve maternal health care delivery in Cross River: Implementation research report
Engaging community women’s groups to improve maternal health care delivery in Cross River: Implementation research report Open
Ending Eclampsia’s main objective is to improve access to underutilized interventions and commodities by training community health extension workers in preventing, detecting (screening), and managing pre-eclampsia and eclampsia. While the …
View article: Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis
Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis Open
While the evidence base is limited, the literature clearly shows that gender inequality-for both clients and providers-contributes to mistreatment and abuse in maternity care. Researchers, advocates, and practitioners need to further inves…
View article: Additional file 1: of Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis
Additional file 1: of Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis Open
Table S1. Mapping Review and Gender Analysis Data xlsx Articles Reviewed and Mapped to Gender Domains. (XLSX 18 kb)