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NIH grant 1R01AI207137-01: Testing the "Stigma Reduction Logic Model Plus" (SRLM+): A Structural Approach to Addressing HIV-related Stigma in Healthcare Settings
Institute: {'code': 'AI', 'abbreviation': 'NIAID', 'name': 'National Institute of Allergy and Infectious Diseases', 'admin_org_id': '12500003', 'admin_funding_url': ''}. PI: DARIA M BOCCHER-LATTIMORE. Award: $740995.
Start: 2026-09-24T00:00:00.
Effectively reducing HIV-related stigma is paramount to ending the HIV epidemic. Stigma is a multifaceted
structural phenomenon that significantly contributes to disparities in health outcomes by hindering access to
biomedical services essential for HIV prevention and care. Yet, our previous research has demonstrated that
HIV clinics need support and capacity building to plan and implement locally relevant stigma interventions. Such
empowering initiatives will be most effective if they are anchored in implementation science and employ tested
theoretical frameworks and evidence-based strategies. In response, our stigma-focused coalition of researchers,
community members, and health department staff developed the Stigma Reduction Logic Model Plus (SRLM+)
intervention. The SRLM+ is a theory-driven, evidence-informed, structural approach to building the capacity of
clinics to select interventions to reduce HIV-related stigma and plan for their implementation. Clinic teams are
supported to conduct a Situational Analysis to identify clinic-specific stigma-reduction objectives and related
health goals, select interventions using rigorous criteria, and iteratively plan the implementation of selected
interventions by creating a logic model, adapted from a model commonly used in implementation science.
Employing a learning collaborative, facilitation through individual coaching, and an implementation manual, we
will train multidisciplinary teams of providers and clients (3-5 per clinic) of four geographically diverse clinics in
New York State in the SRLM+ intervention. Following the SRLM+, clinic teams will implement their selected
interventions, remaining engaged with the project to enable long-term follow-up and assessment. Guided by the
Implementation Outcomes Framework, this four-year implementation science project will determine: (a) the
acceptability, appropriateness, and feasibility of the SRLM+ from the perspective of individuals key to the
SRLM+’s long-term adoption and scale up, and (b) whether the SRLM+ is delivered with fidelity (Aim 1). We will
evaluate whether implementation of the SRLM+ leads to high-quality logic models for selected interventions and
increases clinic teams’ collective self-efficacy to utilize implementation science to address HIV-related stigma
(Aim 2). Finally, the project will assess the utility of the SRLM+ for accomplishing the clinic’s HIV-related stigma
goals and whether clinics implemented and evaluated their stigma interventions with fidelity (Aim 3). The project
aims will be assessed using a longitudinal mixed-methods study design, with a comprehensive set of quantitative
and qualitative measures, including surveys, team debrief discussions, semi-structured interviews, monthly
activity logs and coaching notes, and quality assessments. In addition to a tested and refined SRLM+ and an
understanding of its workings and impact, this project will result in four clinic-led evidence-informed stigma
interventions. The outcomes will inform an experimental test of the SRLM+ using a hybrid effectiveness-
implementation trial. An optimized SRLM+ has the potential to accelerate the uptake of evidence-informed
interventions by building sustained capacity for stigma reduction across diverse healthcare clinics.document fetched 2026-10-04 02:44