Cardiovascular disease (CVD) is an increasingly important cause of morbidity and mortality among people living with HIV (PLWH) now that HIV is a manageable chronic disease. Identification and treatment of comorbid medical conditions for PLWH, including CVD and its risk factors, typically lack a critical component of care: integrated care for histories of trauma. Experiences of trauma are associated with increased HIV infection, CVD risk, inconsistent treatment adherence, and poor CVD outcomes. To address this deficit among those at greatest risk and disproportionately affected by HIV and trauma-i.e., Black and Latinx individuals-a novel culturally-congruent, evidence-informed care model, "Healing our Hearts, Minds and Bodies" (HHMB), has been designed to address patients' trauma histories and barriers to care, and to prepare patients to engage in CVD risk reduction. Further, in recognition of the need to ensure that PLWH receive guideline-concordant cardiovascular care, implementation strategies have been identified that prepare providers and clinics to address CVD risk among their Black and Latinx PLWH. The focus of this paper is to describe the hybrid Type 2 effectiveness/implementation study design, the goal of which is to increase both patient and organizational readiness to address trauma and CVD risk among 260 Black and Latinx PLWH recruited from two HIV service organizations in Southern California. This study is expected to produce important information regarding the value of the HHMB intervention and implementation processes and strategies designed for use in implementing HHMB and other evidence-informed programs in diverse, resource-constrained treatment settings, including those that serve patients living in deep poverty. Clinical trials registry: NCT04025463.

中文翻译：

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增强患者和组织为降低艾滋病毒感染者的黑人和拉丁裔患者心血管风险做好准备：研究方案。


由于 HIV 是一种可控制的慢性疾病，心血管疾病 (CVD) 已成为 HIV 感染者 (PLWH) 发病和死亡的一个日益重要的原因。对感染者合并症（包括 CVD 及其危险因素）的识别和治疗通常缺乏护理的一个关键组成部分：对创伤史的综合护理。创伤经历与 HIV 感染增加、CVD 风险、治疗依从性不一致以及 CVD 预后不良有关。为了解决那些风险最大、受艾滋病毒和创伤影响尤其严重的人群（即黑人和拉丁裔人群）中的这一缺陷，一种新颖的文化一致性、循证护理模式“治愈我们的心灵、思想和身体”（HHMB）已被提出。旨在解决患者的创伤史和护理障碍，并帮助患者做好降低心血管疾病风险的准备。此外，认识到需要确保 PLWH 接受符合指南的心血管护理，已确定实施策略，帮助提供者和诊所做好准备，以应对黑人和拉丁裔 PLWH 的 CVD 风险。本文的重点是描述混合 2 型有效性/实施研究设计，其目标是提高患者和组织的准备程度，以解决从南部两个 HIV 服务组织招募的 260 名黑人和拉丁裔 PLWH 的创伤和 CVD 风险。加利福尼亚州。这项研究预计将提供有关 HHMB 干预和实施流程以及策略的价值的重要信息，这些流程和策略旨在用于在多样化、资源有限的治疗环境中实施 HHMB 和其他循证计划，包括为生活在深度贫困中的患者提供服务的治疗环境。临床试验注册：NCT04025463。