SPNS Aging with HIV Initiative

The Emerging Strategies to Improve Health Outcomes for People Aging with HIV (Aging with HIV Initiative) supports and evaluates groundbreaking interventions that seek to improve the wellbeing of people with HIV ages 50 and older served by the Ryan White HIV/AIDS Program (RWHAP).

Background

Funded by the Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) Part F: Special Projects of National Significance (SPNS), the interventions being tested at each Aging with HIV Initiative demonstration site employ the HRSA HIV/AIDS Bureau implementation science framework to:

• Implement emerging strategies that comprehensively screen and manage comorbidities, geriatric conditions, behavioral health, and psychosocial needs of people 50 years and older with HIV.
• Assess the uptake and integration of emerging strategies.
• Understand implementation processes, including assessing specific implementation strategies.
• Understand and document broader contextual factors affecting implementation.
• Evaluate the impact of the emerging strategies.
• Document and disseminate the emerging strategies.

Interventions will specifically address:

• Creating a holistic, multi-faceted approach to elder care for people with HIV.
• Leveraging existing geriatric assessments to mitigate falls and diagnose and treat frailty in persons aging with HIV.
• Expanding HIV dementia assessment and management among older people with HIV.
• Integrating additional assessments and referral processes into routine clinic workflows for older clients with HIV.
• Improving collaborative care to assess risk and eliminate polypharmacy among people aging with HIV.

Initiative Participants

Evaluation and Capacity-Building Providers

• Capacity-Building Provider
  NYS Department of Health / Health Research Incorporated
  Center for Quality Improvement & Innovation (HRI)
• Evaluation Provider
  NORC at the University of Chicago

Demonstration Sites

• Boston Medical Center, Boston, MA
  PI: Archana Asundi
  Grant Number: H97HA46074
• Centro Ararat, Inc., Ponce, PR
  PI: Iván Báez-Santos
  Grant Number: H97HA46075
• Colorado Health Network, Inc., Denver, CO
  PI: Erin Burk-Leaver, Haley Sanner
  Grant Number: H97HA46076
• Empower U Community Health Center, Miami, FL
  PI: Resha Mehta
  Grant Number: H97HA46077
• Family Health Centers of San Diego, Inc., San Diego, CA
  PI: Felipe Garcia-Bigley
  Grant Number: H97HA46078
• Mount Sinai Beth Israel, New York, NY
  PI: Abigail Baim-Lance
  Grant Number: H97HA46073
• University of Chicago, Chicago, IL
  PI: Shellie Williams
  Grant Number: H97HA46079
• University of Pittsburgh Medical Center Presbyterian Shadyside, Pittsburgh, PA
  PI: Sarah McBeth
  Grant Number: H97HA46080
• Wake Forest University Health Science Center, Winston-Salem, NC
  PI: Caryn Morse
  Grant Number: H97HA46081
• Yale University, New Haven, CT
  PI: Lydia N Aoun-Barakat, Julie Womack
  Grant Number: H97HA46082

Aging and HIV Resources    + Expand all

Contact Information

Project Contacts:

Rich Dunville, MPH Principal Research Scientist
NORC at the University of Chicago
Email: dunville-rich@norc.org
Phone: 301-634-9300

HRSA Contacts:

Marlene Matosky, MPH, RN Chief – Clinical and Quality Branch Division of Policy and Data HIV/AIDS Bureau Health Resources and Services Administration
U.S. Department of Health and Human Services
Email: MMatosky@hrsa.gov
Phone: 301-443-0798

Funding:

Funding Mechanism: Cooperative Agreement
Recipient Organization: HRI (Capacity-Building), NORC (Evaluation)
Grant number: HRI: U90HA45780 (22027), NORC: U90HA45784 (22029)
Project Period: August 2022 to July 2025