The Emerging Strategies to Improve Health Outcomes for People Aging with HIV (Aging with HIV Initiative) supports and evaluates groundbreaking interventions that seek to improve the well-being of people with HIV ages 50 and older served by the Ryan White HIV/AIDS Program (RWHAP).
Background
Funded by the Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) Part F: Special Projects of National Significance (SPNS), the interventions tested at each Aging with HIV Initiative demonstration site employ the HRSA HIV/AIDS Bureau (HAB) implementation science framework to:
- Implement emerging strategies that comprehensively screen and manage comorbidities, geriatric conditions, behavioral health, and psychosocial needs of people 50 years and older with HIV.
- Assess the uptake and integration of emerging strategies.
- Understand implementation processes, including assessing specific implementation strategies.
- Understand and document broader contextual factors affecting implementation.
- Evaluate the impact of the emerging strategies.
- Document and disseminate the emerging strategies.
Interventions specifically address:
- Creating a holistic, multi-faceted approach to elder care for people with HIV.
- Leveraging existing geriatric assessments to mitigate falls and diagnose and treat frailty in persons aging with HIV.
- Expanding HIV dementia assessment and management among older people with HIV.
- Integrating additional assessments and referral processes into routine clinic workflows for older clients with HIV.
- Improving collaborative care to assess risk and eliminate polypharmacy among people aging with HIV.
Initiative Participants
Evaluation and Capacity Building Providers
- Capacity-Building Provider: NYS Department of Health / Health Research Incorporated
clemens.steinbock@health.ny.gov
U90HA45780 - Evaluation Provider: NORC at the University of Chicago
dunville-rich@norc.org
U90HA45784
Demonstration Sites
- Beth Israel Medical Center, New York, NY
PI: Nathan E Goldstein
Grant Number: H97HA46073 - Boston Medical Center Corporation, Boston, MA
PI: Archana Asundi
Grant Number: H97HA46074 - Centro Ararat, Inc., Ponce, PR
PI: Ivan Baez-Santos
Grant Number: H97HA46075 - Colorado Health Network, Inc., Denver, CO
PI: Erin Burk-Leaver
Grant Number: H97HA46076 - Empower U, Incorporated, Miami, FL
PI: Resha Mehta
Grant Number: H97HA46077 - Family Health Centers of San Diego, Inc., San Diego, CA
PI: Felipe Garcia-Bigley
Grant Number: H97HA46078 - University of Chicago, Chicago, IL
PI: Shellie Williams
Grant Number: H97HA46079 - University of Pittsburgh Medical Center Presbyterian Shadyside, Pittsburgh, PA
PI: Sarah McBeth
Grant Number: H97HA46080 - Wake Forest University Health Science Center, Winston Salem, NC
PI: Caryn Morse
Grant Number: H97HA46081 - Yale University, New Haven, CT
PI: Lydia N Aoun-Barakat
Grant Number: H97HA46082
HRSA Contacts
- Marlene Matosky, MMatosky@hrsa.gov
- Joanne Hsu, JHsu@hrsa.gov
Aging and HIV Resources
- Centro Ararat Inc.’s Premier Platinum Program (PPP) Case Study
- Colorado Health Network’s iCHANGE Project Case Study
- Family Health Centers of San Diego’s Intensive Individualized Care Coordination (I²C²) to Enhance Health and Quality of Life for HIV-Positive Older Adults Case Study
- Marketing Sheet Template
- SPNS Aging with HIV Initiative: DPD All Recipients Meeting Presentation May 2026
- Template_Aging eNewsletter
- Aging Initiative Tip Sheet Template
- HIV Aging Spotlight Template
- Aging with HIV Evaluation Toolkit
- Aging with HIV (SPNS) Improving the 6Ms UPMC Protocol
- Aging with HIV (SPNS) Improving the 6Ms UPMC Appendix
- Aging with HIV Collaborative Care to Assess Risk and Eliminate Polypharmacy, Falls, and Fragility Fractures (4F) for People Aging with HIV Yale_Protocol
- Aging with HIV Collaborative Care to Assess Risk and Eliminate Polypharmacy, Falls, and Fragility Fractures (4F) for People Aging with HIV Yale Appendix
- Strategies in Participatory Data Analysis Tools for Hosting Data Dialogue Sessions to Engage Community Members in Generating Evaluation Findings
Funding
Funding Mechanism: Cooperative Agreement
Recipient Organization: NORC (Evaluation); Health Research, Inc. (Capacity-Building)
Grant number: NORC: U90HA45784; HRI: U90HA45780
Project Period: 8/1/2022-7/31/2025
