Dataset from Tailored Motivational Interviewing Implementation Intervention (TMI) Effectiveness Trial in Multidisciplinary Adolescent HIV Care Settings

ATN 146 Tailored Motivational Interviewing Implementation Intervention (TMI) was tested in multidisciplinary adolescent HIV care settings. TMI is an evidence-based practice for patient-provider communication and behavior change. Aims were to determine its effect on provider fidelity, HIV cascade-related outcomes, sustainment fidelity, implementation barriers and facilitators, and cost effectiveness. A Dynamic Wait-list controlled design was used to deliver TMI in community-based settings (190 providers enrolled across 10 sites). The intervention included a group workshop, individual coaching, and quarterly competency assessments. It was hypothesized that MI competency would be higher during the intervention phase than baseline, and successful implementation would be associated with improved cascade-related outcomes. TMI demonstrated significantly higher competence during the intervention phase, maintained with only small reductions through the sustainment window. Analyses are underway for cascade-related outcomes.

ATN 146定制化动机访谈实施干预（Tailored Motivational Interviewing Implementation Intervention，简称TMI）在多学科青少年人类免疫缺陷病毒（Human Immunodeficiency Virus, HIV）护理场景中开展了效果评估。TMI是一项用于医患沟通与行为改变的循证实践。本研究旨在明确其对医护提供者干预执行保真度、HIV诊疗级联相关结局、维持阶段保真度、实施障碍与促进因素以及成本效益的影响。研究采用动态等待列表对照设计（Dynamic Wait-list Controlled Design），在社区护理场景中部署TMI干预，共在10个站点招募190名医护人员参与。本次干预包含团体工作坊、一对一专项督导以及季度能力评估三项内容。研究假设为：干预阶段的动机访谈（Motivational Interviewing, MI）能力水平将高于基线水平，且干预的成功实施将与更优的HIV诊疗级联相关结局呈正相关。结果显示，干预阶段的动机访谈能力得分显著高于基线水平，且在维持窗口期仅出现小幅下滑，能力水平得以维持。目前针对HIV诊疗级联相关结局的分析工作仍在进行中。