2025
Implementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda)
Longenecker C, Kiggundu J, Ayebare F, Muddu M, Kayima J, Mutungi G, Ssinabulya I, Schwartz J, Spiegelman D, Tong G, Nugent R, Aifah A, Kagoya F, Cameron D, Hutchinson B, Kamya M, Katahoire A, Semitala F. Implementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda). BMC Health Services Research 2025, 25: 1060. PMID: 40790739, PMCID: PMC12341278, DOI: 10.1186/s12913-025-13281-9.Peer-Reviewed Original ResearchConceptsCluster randomized trialHypertension careHIV clinicHealth workersWakiso districtStepped-wedge cluster randomized trialRates of HIV viral suppressionImplementation strategiesQuality HIV careClinical health workersBaseline hypertension prevalenceResource intensive strategyFacility-based costsLife expectancy gainsHIV viral suppressionBP controlPatient BP controlHTN careHuman-centered design approachRandomized trialsHIV careImplementation outcomesHypertension prevalencePre-implementationNon-AIDS comorbiditiesSt. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning
Humphries D, Marotta P, Hu Y, Wang V, Gross G, Rucker D, Jones J, Alam F, Brown T, Spiegelman D, Carter C. St. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning. Frontiers In Public Health 2025, 13: 1589671. PMID: 40567982, PMCID: PMC12187841, DOI: 10.3389/fpubh.2025.1589671.Peer-Reviewed Original ResearchConceptsCommunity health workersNeeds assessmentHealth workersIntegration of community health workersFocus groupsFront-line health workersLack of social supportParticipatory needs assessmentHIV Epidemic initiativeImprove HIV outcomesCommunity engagement principlesContext of HIVDrivers of inequalityPeer specialistsHealth coachingProvider turnoverClinical leadersHealth inequalitiesCare teamHIV/AIDS careHIV outcomesSocial supportCommunity partnersHistory of structural racismOutreach workers
2023
“They need people to actually show up in their lives:” deploying community health workers to improve mental health and substance use outcomes among PLWH
Marotta P, Carter C, Hu Y, Wang V, Rucker D, Jones J, Gross G, Brown T, Spiegelman D, Humphries D. “They need people to actually show up in their lives:” deploying community health workers to improve mental health and substance use outcomes among PLWH. Journal Of HIV/AIDS & Social Services 2023, 22: 163-185. DOI: 10.1080/15381501.2024.2385988.Peer-Reviewed Original ResearchCommunity health workersHarm reduction servicesMental healthHealth workersSubstance use disordersEnhanced coordination of careReduction servicesCoordination of careAdherence to anti-retroviral treatmentMental health careImprove mental healthMental health problemsSubstance usePoor MHHIV careHIV engageHealth careAnti-retroviral treatmentHousing insecuritySubstance use outcomesHIV treatmentImplementation strategiesHealth problemsPLWHCare
2021
Digital training for non-specialist health workers to deliver a brief psychological treatment for depression in India: Protocol for a three-arm randomized controlled trial
Naslund JA, Tugnawat D, Anand A, Cooper Z, Dimidjian S, Fairburn CG, Hollon SD, Joshi U, Khan A, Lu C, Mitchell LM, Muke S, Nadkarni A, Ramaswamy R, Restivo JL, Shrivastava R, Singh A, Singla DR, Spiegelman D, Bhan A, Patel V. Digital training for non-specialist health workers to deliver a brief psychological treatment for depression in India: Protocol for a three-arm randomized controlled trial. Contemporary Clinical Trials 2021, 102: 106267. PMID: 33421650, DOI: 10.1016/j.cct.2021.106267.Peer-Reviewed Original ResearchConceptsEvidence-based psychological treatmentsHealthy Activity ProgramNon-specialist health workersPsychological treatmentMental health knowledgeDigital trainingBrief psychological treatmentFace training programFace trainingTraining programChange of competenceJob satisfactionManualized psychotherapyConventional faceWorker motivationHealth worker motivationCompetency measuresCoaching supportTrainingDepressionActivity programPrimary careOutcome variablesHealth workersThree-arm
2020
The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Adeoti O, Spiegelman D, Afonne C, Falade CO, Jegede AS, Oshiname FO, Gomes M, Ajayi IO. The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria. Implementation Science 2020, 15: 13. PMID: 32131852, PMCID: PMC7057616, DOI: 10.1186/s13012-020-0968-1.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntimalarialsArtemisininsCaregiversChild, PreschoolClinical ProtocolsCommunity Health WorkersCounselingDrug Therapy, CombinationEmployee Performance AppraisalFemaleHumansImplementation ScienceInfantInservice TrainingMalariaMicrobiological TechniquesMiddle AgedNigeriaSocioeconomic FactorsConceptsCommunity health workersResource-poor settingsClinical evaluationTreatment protocolHealth workersPerformance scoresFemale community health workersHome-based caregiversMalaria treatment recommendationsUnit increaseGold standard comparatorPost-treatment counselingOverall adherenceTreatment recommendationsMalaria careBetter outcomesQuality careTotal performance scoreFidelity of implementationIntervention fidelityMean performance scoresStandard checklistHome managementMalariaGold standard
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