‘WALDEN UNIVERSITY CE Eee Nereis eu sei Evaluation Table Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part A: Critical Appraisal of Research (Gate, FH Bogart LM ‘lei, D1, Wagner GJ. (Chen, ¥.7. (2017). Mica ‘ete a lay necator the sesocation berween perceived discrimination ard arene ant ll APA formatted atm ofcecea | MEETS amma gre 0. Rodeguer areas Ni, Vigil arama Wang.) Arata, KB Essie, (2018). Systemic Delays in te Intsion of Anita Thesay fC ely gible Cyan, T-,Saten, 8.4, (Carica A.W Meee, BL ‘Ax Daly, LIM, Dale, ant Rodspues, AE (2010). High vels of Ssyndenics and their ‘sone theron, ‘ir mosupprsion, and Benbow, ND. Aaby.D. A. Rosenborg FS, & Brown HL 2020, (Chin level faces afetng Latino HIV “spares inthe Unied Sti P oe, 1508), 237209 ieee {Exine men. Journal of | HIVctoecedPatientsin | biobchavionl taramisson | higsong/10,137L 0 Behavioral Medicine. 4065, | Heuston, Texas The rovers risk in Miami a US ey with | ui ons 023720) 73879, Report Cand. Jowmatafhe | an HIVIAIDS epidemic Inmsidionr0,.0071086 | temarionalAsoclaron of | AIDSad Behovtor, 2311), SOLraREs. Providers of AIDS Care, 7, | 2056.2065. 252s R774082 faupssooesi.tre72s239s | yen 201708609 087740 ‘ridence Lovel™ (um, ortty am m a (© 2021 Watton Unvarsty, LLCConceptual Framework Deseie the here tas fore Stuy I here nt one mentioned in he art, sy hat here) pyucal health a well “iseimiation ed on Sexual orenition, obo ‘sso witha variety of eg helth condtons {US Deparment a Heaih an udetines ‘Syademic icy proposes ‘hat ple co ectng eichocal eomoridtes Seeynersscally fel TIVIAIDS epidemic No Coseptad theamicte Dasignitednod ‘Ruthos wea ates of] Analyzing dats obaned Toma From Ape’ 2007 rough | Revarchers wed 06 Tinearand lope enesson | probaly sample of HIV | Occber 2018, 800 persons | counsel prevalence Describe the design snd how the study ents wan ase ote for | meal eae providers t fates of diga0ed HIV vwascaed out Un deta, inlding mein fortes ypesef | CHMICPS)in 3 oatpatient | wits HIV/AEDS ie publi, {infection rates for Latins Inctesinfexclosion cits peecsved discriminator | feiiesin HoustonHars | non-pofiteniary eae | and non Latino Whites (elaedtobeing Latino, | Covet, Texae sieved hospal in downtown Mian | ebxined fom the being persed oe gay and | bereen Jane and Seprember | completed a one-time National HIN bing IV-postv 2009, usinganinducive | inteviwer. administered __| Surveillance System and ‘tematic appreachocode | psyehosocalasessment in| factors Inclusion rte conssed of | HMCP responses oan open | er Ealish ‘bad rom maple bei HIV postive, 18 yeu | ended queon ht asked the | Spanish. Vira Toud data yas | publi ovale dass lage orolier, Latin | sun rewsons why provides | exacted fom medial hart | as well since isiiy-male cndon | muy dey ining ART for | pur consent om pins. | wei coun-level reovrl wentment. | clay eligible patents eos that explained Individuals were excaed emopenee elects ifthe didnot meet al of score alti ad thos erie “ierena ete for Latin and NEWhites SampleSeting OW HIV posve Laino men | A survey completely 23 HIV] BOTAADO poole ving with] 26.38 people inLas Angeles Couns, | medical provides Tweaty~ | AIDS ina pubic HIV clinic ‘The umbeeond chamstriticrof | Calfoinon ART were | ths HMCPs completed the | in Mian putes, asin rats rental rom Augst 2010 | survey, mpreseting a respome to-Apa 2011 sens fate 48 The suey onsennce sampling: | osrurmen’ consol ot 38 main promecsoa fem were | ems that aes the HIV Ped atan AIDS service | cate povier'demogeaple rgnietion with various | end medal patio ‘tices inthe Coty Shae. pleat (© 201 Watton Unvarsty, LLC aproctoes HIV rik reduton oumeling ravties, and erepions of pent’ bis {oHIV cre, Te sorvey equied approximately 29, ‘mines to complete Major Variables Studied List and define dependent and Independent vibes Tatoo was calcd ‘pendent arable suchas ag, educator, employment sts, housing arangenent {ith sable esog defined. 1 seting one's own resdeoc, ving in resdeace owned by ther oe Someone lain the household cin pubic subsidasd hosing Hing Sua, bowed income in he previews 12 mens ‘elaonhip stats, sexual ‘rieotton,eurent eaidecy ‘us a he Ute States nd time ince HIV diagnosis (realeulted in woth or hearts. Dependent Setfzepoted 1dr adberence to ART was ermine! by asking tiipnts the follwing: Pang pate i saci ae a the HIV ‘metiationsexaty 38 preseribd. How meny does Dt your HIV mediation dd ro isin the at 7d” "The ria onto vale was tudo the HMEPS espns to. oprended question which asked "For patents who ae cine elite for ART, ‘wa athe main eons ha you might delay inkting ART. “The indepondent measures sed inthis sty inclode providers emograpils (profession, aze feaeuoy, gender, cles Infectious dicts bard rican sais, years ening TorHIN infected pais, Tanguoge of commusicabon, sete rate carci (umber of HIV-positive ens providing care wpe ‘month, sled have of HV cae, saseny of ine for pation cae refer for ART iit), and peat haces ee ttn ad ransmision imitations the tay an based on data obtsned before the US HIV teatment dans were upated in ‘Depondei: Vial ad was ‘ata reonds andunuppresed vin. Independent Conitons shove ells th yada Framework which ost ht factors t mph Teves, sch sintraperonal (Le depression, anti acco se, dag we) Intepersonal solence, se, aus) socal (tia) and sauetral ow ‘slicton costae beng), tive dich utcones, Dependent: ART Adherence Tpenlen: Provence es of dggoowed HIV inection tes for Latinos {otans race) and NL Whites (© 201 Watton Unvarsty, LLCMack 207 Messareneat wendy pinay sass wed w answer linia gucsons (You ned tt the cual ets done Ts af nce ae ogi represshn mel was se {ores for medaton fo euch Separate discrimination Satiable ated wo {atin being pessved as fy sl feng HIV-psin). modeling (1) the mediate ‘wt ee independent variable (Mecca mints with ‘iscriminaton), 2the ‘kependent vail with he Tndpendent variable (sl repo 1% adhcrence to ART with dscrimtaion, ‘nd (3) te dependent "arable with he independ ‘lable and the enor (-eporte 10% Adhere to ART with ‘Gaciniatica and weal “The Sindy noted ign ‘asians in arpa concerts soca wil provid” rofesknt and elena foe ‘ART iitaton. The sory of provilers reported hat y Ayed ART due stctual urs nad Ik of fnsirrenimedica ce means and poce suppor syseniunwable Foasingransporation However livable modeling of thistheme {ndlstd that none of be provers denogrpti rate, and medi care acces wore iulcas predictor of suet Soncees ced a eso for ‘baying ART ie cliclly line HIV- poste patios fa Huson “as cay, ge Flin status HV Bisusshers Syademies Conltons ART Adbeiece "The wala Laine gray in HIV pperaeiceis 24: 946 of He counics ie ise eas foe Latins ois, anton quarter of he counties spares ‘exceeded 10 0F the fount factors saint 22 showed “inition eet moifcton when ‘rained inal In malta modeling, TH eounry-eve ate. Found tha siaicunly let ipa. Data Analis Satta oF Qualatve indies (You need to enter the actual ners Aetrmined by the stata este ‘qattatve data) ‘Approx TalF ofthe ‘ample ad essa a ih School edsation, alan al number report ‘adcumentd egal stats. Ta dio, arc se than 1,00 inthe pests years aren his ae ia thi were woking ‘iter ule pat ine (Overall Low ean sc ata fri say wore colle as prt the Centers for Drcsse Conta ard Preynton's (CDC) Masicl Monieeina Projet (MMP) Provider Survey. Te vey ‘wavadninere toa ‘Spe of HIV adil cae otis (HMCPs) who were Selected to pst is MAP ‘Banining the vacaon oF the numberof yada ccoadtons wih ART. ‘cerned overall cdl ‘va significant, ramining the sec the number o syne ‘ations wih wrsapresed ‘irl ou, the overall del that id tec ART thence as a coved wat ioe Reverse conde xpltry analyse to {Sees the eaten of Latina Aisgartis, fan the arayzod each ‘counsel factor Inaiioualy determine hte explind no Yara a HV Aingarisre, explained nul effcis sore. (© 201 Watton Unvarsty, LLC‘ave pone Tor al ee perceived sicrimiation “rabies (elt oben {tno beng ereived as 3) alten II-positive). In conmst high levels of ‘lstimiaion have Been repome neers of {Etna gaye and HIV poste peo The MuPieacomplen a8 seconal sve design mde in 23 US sates and terres in hic persons gored with IV (oped 18 yeas and ode) are ected > Drciat. Father dels on| IMP and he seated sampling met have been dese previously paca When inching ART aterence a covariate, te ‘overall moses Y remain signin, Tn post ne nes, the numberof syne ‘ontions wer significa ferent among ceain Subgroups shown tnave HIV outcome dares sing inepeeden saps tess andene wy ANOVA. Tneambning yedente stbton among group, hsgnican ferences emeygd beeen ze grap aay, oraiowed ‘iterent effets for Latinos nd NLWnite es. moderation effect moifeaten- Favors ‘wah ight owed Sisebons es, prevalence ates, dian ssid incon, ee.) ‘were lg unnsored ster checking for olincarity wih (og) ‘pralnce end tis Faeefeematien wat rowed aes Researchers confine ‘het tese restora ‘alegnonptemmcte tecucen wah qu mre Airspan and ‘ratio of te Prevalence aes for cach Facfethicty and ed the Prevalence Risk Ratio PRR), othe rato of the Latina HIV prevalence NL-Write HIV prvalence in oh explora nore femal mode We ep PRRs iste compari fer Ladin onan (© 201 Watton Unvarsty, LLCTiger aa om ag phe prevalence rts fee Latinos hen foe NLWnte Finding and Recommendations | Usiag CAT wid HIV: The oveullnathg abe | Fadlags fiom Depssent | Large dileenees HIV posiveLaiaosin dhe | seasons fordelaying ART | study people Sven with | prvalcacevaes persist (Cesc findings and ecommendaons ootetof the findings of is | iiiaon for casa eile | HIV) ‘row alos allcouties he each ids would focus on HIV pie piensa AIDS ia Mian, Florida | even afer consolins for ‘sssting them 0 cope aston idiates tat provided cossitent support | counsel ato. ooircivey with substanceuseimentat beat — | foe Couns nice ‘dscrimintoryexperisnoes | sues and patient rats or | the sociation of reer | ral, have ewer Latinos, and abo lower teiemistres. | Tack ofreatiness stator | syadenic burden and ART’ | or avs lower NL-Whike ofthe medical syste. CBT | committo therapy were ranked | onadhsrence lower els of | prevalence ates end 0 techoiqaes have been o | fit sk of srancetmedicl_ | vi suppression, and ave higher dispares des the ingest efacism. | cost was ranked second, and | engageneat in biobeavionl_ | There isalsoigher ‘nd discimiation, poorelnie visivappointment | HIV tension isk. Intis | dispar wen fhereace ines wee ranked | public ‘oma kis ow Thispresntsiady extends | thd Poor social support! | HIV lic in Mia. ibeprevieusadigsby | unsbleDoustigfrarsporaion | domestic epcenes of the {Geng onasanpleofHIV- | wasthe as common eaeon "| HIV epideme inte U.S. the posse Latino sen and lso | (aed sit) ced by pevaleoe uf se syaenic Byiodicalne te ois tht | providers fordolaying ART | Goadons was exceptionally ‘eli mistst can serve a | Saitaton fr calcallyelible | high To dae few studies {meitoriethe sscation. | patent. fave eee drmination ad examina syndic theory Adteencew ART: the comes of persons ving ‘vith HIVIAIDS ad alost ‘ioe have been conducted the Southeast vegion te US. where HIV ees ae speoporonaey igh "omar athe eos of tbe ‘Appraisal and Suady Quay ‘Aliniaion to he reseat | Fading om thi dy ‘Todt fow mdse | Tia quae fhudy was the nen that tne ae wo see deren indict th esac ven by MCD. for devin ART exami yoni too a ihe cones of persons Livi study ith amc ssl isan (© 201 Watton Unvarsty, LLCDer a ge WORT TE research pec, What are te stengts and mio of sy? What ue he risks acid with implementtion ofthe sugges Pracioes or prcesses deta inthe research? What isthe easiiay of wei your praciee? aay Meme ag ‘ower tie frames ‘seek rer han one month) ‘ue susceptible to Being es. representative ofan Inavidals general tdheence pera: however, ‘tides hve alen shown ht theshoner me frame rests Inmoce secur allot dberence behavior When vidring the eg of thepresen std. 8 Fiorano ser tht sanyo he men were ving Inthe context of soi-cco omic dpivton, Resale tay heifer or sales tha show higher sen Despite thes iiatons, this ‘tidy ws abl to Key ‘he mediating wi of medical ‘mitt inthe sotto ecwoon perceived ‘erininaton and adherence {ART among HIV-positive {Catno me, Bocuse viral suppression Is diel related torre wo HIV ‘mations envi facie sociated with Adherence that canbe Targeted for inererton cn ortibute wo de improved hel and welling of HL postive Latinon read atnent guidlines ‘oth senificaevarstions ted along rial and mar isk category lies a ‘ear reteton of he gsm engagement eloog th HIV care contin The comet dy ko povidesevicence ha rovers decisions 0 ftibls ART sri anal by patent cee ad mask ategoy. Tas information ‘oul be uted odovelop targeted imerventins Improve pert Fades oe ART and ART ype. Fangs from this say spt that ‘stacatingprovidet sa ‘monty take poing ohatom aig clinical racic with he cent US Fi tester gusts, con ead ghee of [ART coverage forcinially ‘lige HIV-infected patos fd sabsoquent edaton inthe ‘prea of HIV infseton ‘oe have been conducted Inte Southeast egion of tbe US where HIV nese speoportinaey high “compre other regions of tbe Inaregionof he US. with high HIV incidence at rele igh scar tues o veament the cocple sade of IV teen to undcrine the mei of care anc ane ‘torent aang pub TV tater oa, the saree bad eset timp tbprupe tha thas ‘guise HIV rad tances fg prove viene forcing he Inpact ofthe cccurence of rnuliple epidemics Fappeing within the HINIAIDS epee in ‘Mia nd other ict regions. ‘explonioy sme ‘experiment. Quality appears tobe Hg is pot ssi fo rulecut ‘Sounty-evel age ‘confounding of spars “Theis associ with ‘he plenensios suggested By eluding mate factors inthe ete slg itis posbiowo ‘rai unique ‘onions ‘ofthe factors 10 Prevalence an dpa povice’s Raa Bon ofthe ris for seen ae terns enprsement heh the every stars forthe motions and inveduction of te cextmnive sit airs faced by Latins are cool to make thes Imedcanons seep at Wella afordable aed ready salle (© 201 Watton Unvarsty, LLCey fnaings Tee peat aRy, eT bem ne mle range However ste oe incoing Latinos) sing tbe sme scale ase in he presents ha ao found moderate level of meciel ‘nr bot with higher levee man tose observe a the present research. TRS Tag a pO a practice cheacentis were seca with esas or ‘ayn ART ition prove Import information that can be taed io dn appropiate tring and education for providers to adder pectic baers amon ther paents. “These resoorts sould as target he weutment of ‘ibstune abuse and meta nes to amprove pias readin for ART ition tnd comaitent adherence Provider shouldbe encouraged tote nade treameat wit patient staking to ade te ae ‘oocitical bers serie ia the cient sy. Fellowig the ‘hangein US HIV teatment, feline sn te evan rover practies. the dings ffs sty ca be sed wo ‘sublsha sli forthe ‘ses of ftps gris steric delays in ‘ART ination forsale ‘tigi patiens. These rests Support he we of ART Twcament as put of pubic teal stray to rece he ‘peal of IV inet Thesampie ha representation of rpertat fuherous shown to nave ‘sprites in IV sk ed ‘aomes. The complex Syne of HIV hess Uinermine the het of| HIV’ care snd sr imporant to consderinconpeehensive thom oases the laspeopordonae arden of HIVIAIDS inthe Soutien US Thee ae age pense Aitirenees a eres of HIV prevatenee rate by sags Theieinings are ‘msn with fcr ‘end inthe terre hater esos with [tin acces HIV ppevertion and care vices that combo Aspartes ana sugzest ways in which hey may Teese Researcher ge Fst ear od tat nicl “The pest aay aT Findings of Latino (© 201 Watton Unvarsty, LLCOutcomes Tar anal gaa nly string pri ee media eso ‘aking process and at Patienethemselves play an Imporantote HMP access toveterl fr ‘tr mil ues, suppoet Senses, an reste fdeation may bei improve adherence and pet tealines for ART, they avin enic leline ae only aang Pit for edial decison. ‘making proces a that patient hers ply an important role IMP accesso refers for oster medial sues, suppor services and weatnest ction may bsp prone tnerence and pte readiness for ART. thereby avosdng systemic dey. HEH BEY eamising the prolene rd Donte of esnsemi Seng persons ving ith IVIAIDS who may be st isk for fling of Aierent components of te HIV cae continwun: pation receiving eae ata public HIV cae elise nar Specialy reseabers eanled the socation teanecn he suber of, sydecs experienced and ‘ART sabercats il new ‘tinpesson, a ven the Imporance of westnent prevention, HIV asmissian ot eeagrete vil load (ies bintehaor ‘eeimisonrb) Tapa eae aT ‘cote aed eign Findings of factors thst have mdest explanatory powerpoint oa pervasive healt ‘uit challenge. While imac sere he ‘xan nv ve fis factor 8 explains for ‘spares cu eolgicl lzlyss suggest tat feeweds coment, and ‘cel evele acon ‘omni to play maior Toles in dng Lane Agari, General Notes/Comments The eee on he dns Hopkins Ning Eee al Piss Eidest Leeland Qliy Gide + lest epson anid con (RCT) stmt RTC wt wiht tana ‘Gra esperien tas, stmstereen of combina of RCTs genie sis, gi-aprinenl ales ony iho wiht et (© 201 Watton Unvarsty, LLCelit Noneprineval semi eiew of RCT, qtshexprenl Mitt mesa. qv, queen reve naw esses petal auton pinks ately rcgazaexpert ommntescomensa pan ep aan ee eee el [corr reviews, qty impeosenest ogra eat faci evaluation. ci pars non ecgsize expe inion hs cn epee esidence ‘Tue own infra Wales eae sui ich pcp uepal anew testy wa ecu Hew ak ‘Rewari ane neers da in pis an mesogenic war Aon hy pois ‘tn for ot thon cout nda Theda lt ab alr oe ab aso oo Snel ra Asst hy Gat and Oo (2014, “Wiel e rte ame be secure and soe asta ance, nach he bows case cs ‘ih lope. By sot, ash pln a cota tol Tack alse dren ao beso ed rd ha oan Mo Frm ane hipaa et ‘hee an concpil famewonks pode evens acetal proce They ofr a epanatant wy the aly pineal a ow ac cra es a avy ely dee etn eel nel anew, Wi le alee a gh ens ete he (© 201 Watton Unvarsty, LLCReferences The Joins Hopkins Hospita/Tohns Hopkins Unversity (nd), Johns Hopkins nursing evidence-based practice: appendix C: evidence Ievel ad quality guide ps/wws hopkinsmeticine orfevidence-hased-prcice!doxsfappendix ¢ evidence level quay guide pt Grant, C., de Osanloo, A. 2014). Understanding selecting. and integrating theoretical framework in dissertation research: Creating the blueprint Tor your house. Administrative Issues Journal: Education, Practice, and Research, 42), 12-26, Walden University Academic Guides (n4). Conceptual & theoretical frameworks overview: dacademnicguies. iframes (© 2021 Watton Unvarsty, LLC "