This notice announces the opportunity to apply for Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) Special Projects of National Significance (SPNS) funding for the Telehealth Strategies to Maximize HIV Care (HRSA-22-030) project.
HRSA will fund one cooperative agreement
for up to three years to identify and maximize the use of telehealth4 strategies that are most effective in improving linkage to care, retention in care, and health outcomes, including viral suppression, for people with HIV who receive services through the Ryan White HIV/AIDS Program (RWHAP).This project builds upon existing programs, and HAB will coordinate with similar activities in HRSA, the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Disease Control and Prevention (CDC).
For the purposes of this notice of funding opportunity (NOFO), the following terms are used:
• Modalities are the technologies that are commonly associated with the term “telehealth.” These could include video conferencing, the internet, store-and-forward imaging, streaming media, and land line and wireless communications.
• Strategies include activities or practices (intervention strategies) to improve outcomes for people with HIV via telehealth, as well as the methods or techniques (implementation strategies) that support optimal integration and uptake of these interventions in RWHAP settings.5 • Strategies chosen for this project will meet the criteria of an emerging intervention, as defined by Psihopaidas et al.
(2020).6 These types of strategies address emerging priorities for improving the care and treatment of people with HIV.
Emerging interventions have demonstrated real world validity and effectiveness but do not yet have sufficient published research evidence or evaluation to document their effectiveness.
The objectives of the Telehealth Strategies to Maximize HIV Care project are:
• Identify telehealth strategies that are best suited for different RWHAP populations.
4 HRSA defines telehealth as the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration.
5 Psihopaidas, D., Cohen, S.M., West, T., Avery, L., Dempsey, A., Brown, K., and Cheever, L.W.
Implementation science and the Health Resources and Services Administration’s Ryan White HIV AIDS Program’s work towards ending the HIV epidemic in the United States.
PLoS Med, 17(11):e100312 8. Doi:
https://doi.org/1 0. 1371/journal.pmed.100312 8. 6 Emerging intervention is one of three categories of strategies defined in the HAB Implementation Science Framework.
The other categories are (1) evidence-based interventions and (2) evidence-informed interventions.
(2020) uses the term “emerging strategies.” In an effort to clarify and align the naming of the three categories, HAB has since updated this terminology to refer to emerging strategies as emerging interventions.
• Increase utilization of effective telehealth modalities and/or strategies within the RWHAP.
• Increase dissemination of telehealth strategies and tools for uptake in the RWHAP.
• Increase the capacity of RWHAP recipients and subrecipients to identify and implement effective telehealth strategies.
• Increase equity in HIV care for people we have not yet successfully maintained in care or populations that historically experience poor health outcomes.
The award recipient will (1) research and select telehealth strategies that can be used to maximize HIV care in the RWHAP; (2) fund, coordinate, provide technical and capacity-building assistance, monitor, and evaluate implementation of telehealth strategies for a minimum of five RWHAP recipients and subrecipients (further referred to as subawardees); (3) create an inventory of project strategies and tools; (4) disseminate the project’s products through various outlets, ultimately for uptake and replication by RWHAP recipients and subrecipients; and (5) evaluate the project using an implementation science framework.