Initiative Impact Knowledge Item 12: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Initiative Impact-12
Maintenance of Health and Functioning: Mean Time Until Decline

Estimates were made of the time that projects were able to maintain the medical and psychosocial health of their patients-clients from the time of enrollment. On average, within the context of these five-year projects recruiting high-need clients not fully linked to care,

quality of life was maintained at the same, or a higher, level for an average of 598.4 days for males and 584.64 days for females;

symptoms impact was maintained at the same, or a lower, level for an average of 565.11 days for males and 560.72 days for females;

psychological distress was maintained at the same, or a lower, level for an average of 431.65 days for males and 803.14 days for females;

experiencing service barriers was maintained at the same, or a lower level, for an average of 468.65 days for males and 932.22 days for females;

CD4 counts were maintained at the same, or a higher, level for an average of 600.98 days for males and 600.26 days for females;

viral loads were maintained at the same, or a lower, level for an average of 534.87 days for males and 457.04 days for females;

clinician ratings of functioning (Karnofsky index) were maintained at the same, or a higher level, for an average of 744.44 days for males and 941.59 days for females.

These projects maintained or improved the health and psychological functioning of their patients-clients for an average of several years.

More Information: Survival Function or Survival Curve

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Initiative Impact-12 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted January 2001.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.