Increasing care engagement is essential to meet HIV prevention goals and achieve viral suppression. It is difficult, however, for agencies to establish the systems and practice improvements required to ensure coordinated care, especially for clients with complex health needs. We describe the theory-driven, field-informed transfer process used to translate key components of the evidence-informed Ryan White Part A New York City Care Coordination Program into an online practice improvement toolkit, STEPS to Care (StC), with the potential to support broader dissemination. Informed by analyses of qualitative and quantitative data collected from eight agencies, we describe our four phases: (1) review of StC strategies and key elements, (2) translation into a three-part toolkit: Care Team Coordination, Patient Navigation, and HIV Self-Management, (3) pilot testing, and (4) toolkit refinement for national dissemination. Lessons learned can guide the translation of evidence-informed strategies to online environments, a needed step to achieve wide-scale implemention.

中文翻译：

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护理步骤：将基于证据的艾滋病毒护理协调计划转换为经过现场测试的在线实践改进工具包

增加护理参与对于实现HIV预防目标和实现病毒抑制至关重要。但是，对于机构而言，很难建立系统并实践所需的改进以确保协调的护理，尤其是对于那些具有复杂健康需求的客户而言。我们描述了理论驱动的现场信息传递过程，该过程用于将证据灵敏的瑞安·怀特（Ryan White）的“纽约市医疗服务协调计划”的关键组成部分转化为在线实践改进工具包，即“护理步骤”（StC）。支持更广泛的传播。通过对从八个机构收集的定性和定量数据的分析，我们描述了我们的四个阶段：（1）回顾StC策略和关键要素，（2）转换为三部分工具包：护理团队协调，患者导航和HIV自我管理，（3）试点测试，以及（4）完善工具包，以便在全国范围内传播。所学到的经验可以指导将循证策略转化为在线环境，这是实现大规模实施的必要步骤。