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 health...

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Main Authors: Shaneice Fletcher-Hildebrand, Hubert Alimezelli, Tracey Carr, Karen Lawson, Anum Ali, Gary Groot
Format: Article
Language:English
Published: BMJ Publishing Group 2021-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/4/e044522.full
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author Shaneice Fletcher-Hildebrand
Hubert Alimezelli
Tracey Carr
Karen Lawson
Anum Ali
Gary Groot
author_facet Shaneice Fletcher-Hildebrand
Hubert Alimezelli
Tracey Carr
Karen Lawson
Anum Ali
Gary Groot
author_sort Shaneice Fletcher-Hildebrand
collection DOAJ
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 doaj-art-af89429e7ff54cf3abd87a9d3cf2a19a2024-11-18T01:40:09ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-044522Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocolShaneice Fletcher-Hildebrand0Hubert Alimezelli1Tracey Carr2Karen Lawson3Anum Ali4Gary Groot5Psychology, University of Saskatchewan College of Arts and Science, Saskatoon, Saskatchewan, Canada1 Community Health and Epidemiology, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada1 Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaPsychology, University of Saskatchewan College of Arts and Science, Saskatoon, Saskatchewan, Canada1 Community Health and Epidemiology, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, CanadaCollege of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaIntroduction 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.https://bmjopen.bmj.com/content/11/4/e044522.full
spellingShingle Shaneice Fletcher-Hildebrand
Hubert Alimezelli
Tracey Carr
Karen Lawson
Anum Ali
Gary Groot
Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol
BMJ Open
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
url https://bmjopen.bmj.com/content/11/4/e044522.full
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