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Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol

INTRODUCTION: Housing instability and homelessness are significant barriers to medical treatment for people living with HIV/AIDS. For these individuals, lack of stable housing and stigma is associated with insufficient access to care, poor adherence to medication and higher cost burdens to the healt...

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Autores principales: Fletcher-Hildebrand, Shaneice, Alimezelli, Hubert, Carr, Tracey, Lawson, Karen, Ali, Anum, Groot, Gary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030488/
https://www.ncbi.nlm.nih.gov/pubmed/33820789
http://dx.doi.org/10.1136/bmjopen-2020-044522
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author Fletcher-Hildebrand, Shaneice
Alimezelli, Hubert
Carr, Tracey
Lawson, Karen
Ali, Anum
Groot, Gary
author_facet Fletcher-Hildebrand, Shaneice
Alimezelli, Hubert
Carr, Tracey
Lawson, Karen
Ali, Anum
Groot, Gary
author_sort Fletcher-Hildebrand, Shaneice
collection PubMed
description INTRODUCTION: Housing instability and homelessness are significant barriers to medical treatment for people living with HIV/AIDS. For these individuals, lack of stable housing and stigma is associated with insufficient access to care, poor adherence to medication and higher cost burdens to the healthcare system. This protocol reports on the efforts to evaluate Sanctum V.1.0, a hospice and transitional care home for adults with HIV/AIDS in Saskatoon, Saskatchewan, Canada. The current project was developed out of a need to identify how Sanctum V.1.0 produces varying programme outcomes to assist in endeavours to replicate the programme in other geographic locations. METHODS AND ANALYSIS: A realist evaluation will be conducted to explore how and why Sanctum V.1.0 is successful or unsuccessful, in which circumstances and for whom. Rather than explore the degree to which a programme is effective, realist evaluations seek to uncover mechanisms that explain processual links between programme inputs and outcomes. The completed first phase of the project involved the development of an initial realist programme theory. Phases 2 and 3 will consist of methods to test, refine and validate the initial theory using various data sources. ETHICS AND DISSEMINATION: Ethics approval was obtained from the institutional review board at the University of Saskatchewan on 2 July 2020. Results will be disseminated according to stakeholders’ desires.
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spelling pubmed-80304882021-04-27 Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol Fletcher-Hildebrand, Shaneice Alimezelli, Hubert Carr, Tracey Lawson, Karen Ali, Anum Groot, Gary BMJ Open Public Health INTRODUCTION: Housing instability and homelessness are significant barriers to medical treatment for people living with HIV/AIDS. For these individuals, lack of stable housing and stigma is associated with insufficient access to care, poor adherence to medication and higher cost burdens to the healthcare system. This protocol reports on the efforts to evaluate Sanctum V.1.0, a hospice and transitional care home for adults with HIV/AIDS in Saskatoon, Saskatchewan, Canada. The current project was developed out of a need to identify how Sanctum V.1.0 produces varying programme outcomes to assist in endeavours to replicate the programme in other geographic locations. METHODS AND ANALYSIS: A realist evaluation will be conducted to explore how and why Sanctum V.1.0 is successful or unsuccessful, in which circumstances and for whom. Rather than explore the degree to which a programme is effective, realist evaluations seek to uncover mechanisms that explain processual links between programme inputs and outcomes. The completed first phase of the project involved the development of an initial realist programme theory. Phases 2 and 3 will consist of methods to test, refine and validate the initial theory using various data sources. ETHICS AND DISSEMINATION: Ethics approval was obtained from the institutional review board at the University of Saskatchewan on 2 July 2020. Results will be disseminated according to stakeholders’ desires. BMJ Publishing Group 2021-04-05 /pmc/articles/PMC8030488/ /pubmed/33820789 http://dx.doi.org/10.1136/bmjopen-2020-044522 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Fletcher-Hildebrand, Shaneice
Alimezelli, Hubert
Carr, Tracey
Lawson, Karen
Ali, Anum
Groot, Gary
Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title_full Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title_fullStr Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title_full_unstemmed Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title_short Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
title_sort understanding the impact of a residential housing programme for people living with hiv/aids: a realist evaluation protocol
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030488/
https://www.ncbi.nlm.nih.gov/pubmed/33820789
http://dx.doi.org/10.1136/bmjopen-2020-044522
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