# Ending the HIV Epidemic through stigma-reduction: Applying "Getting-To-Outcomes' in a Ryan White Healthcare Site

> **NIH NIH P30** · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · 2021 · $316,125

## Abstract

PROJECT SUMMARY
HIV-related stigma is driving suboptimal HIV-related care, thwarting efforts to end the HIV epidemic.
Available evidence must be leveraged on how to mitigate HIV-related stigma by implementing
evidence-based approaches within healthcare settings. This requires an empirical understanding of
how such interventions can best be implemented in real-world environments. Building on the
outcomes from our EHE planning supplement “Building a Coalition to Overcome Intersecting Stigmas
and Improve HIV Prevention, Care Access, and Health Outcomes in New York City” and ongoing
activities, this study will investigate whether “Getting To Outcomes” (GTO) – an evidence-based
implementation model that guides institutions through the adoption, implementation, and evaluation of
evidence-based intervention programs – is a feasible and acceptable implementation strategy for
addressing HIV-related stigma in a healthcare setting in New York City. By focusing on healthcare,
this supplement primarily addresses the EHE pillar Treat and indirectly Diagnose and Prevent. GTO
is grounded in implementation theory by integrating all major domains that influence implementation
according to the Consolidated Framework for Implementation Research. Three research questions
will be answered: (1) Is GTO an acceptable, feasible, and appropriate implementation strategy in
healthcare settings for the planning, delivery, and evaluation of an evidence-informed multilevel
intervention to reduce HIV-related stigma? (2) Which specific implementation determinants and
strategies facilitate engagement in GTO? and (3) Which specific implementation determinants and
strategies are associated with the quality of the planning, delivery, and evaluation of an evidence-
informed stigma intervention? We will collaborate with the Ryan Chelsea-Clinton Community Health
Center (RCC) by training a multidisciplinary Clinic Team in GTO and supporting this team through
stigma intervention selection, implementation, and evaluation. As a healthcare clinic, RCC has
identified the need to address stigma at the provider and system levels to enhance client engagement
and retention, including for the promotion of viral suppression. The GTO process is facilitated by: (1)
adapted tools; (2) training of the Clinic Team in using GTO; and (3) technical assistance by an
Implementation Coach (IC). To answer research questions, data will be informed by the Consolidated
Framework for Implementation Research; Expert Recommendations for Implementing Change; and
the Stages of Implementation Completion, and will be collected from a variety of sources over the
course of the project including interviews, the IC’s log, meeting minutes, and GTO tools.

## Key facts

- **NIH application ID:** 10395047
- **Project number:** 3P30MH043520-33S1
- **Recipient organization:** NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
- **Principal Investigator:** ROBERT H REMIEN
- **Activity code:** P30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $316,125
- **Award type:** 3
- **Project period:** 1987-09-30 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10395047

## Citation

> US National Institutes of Health, RePORTER application 10395047, Ending the HIV Epidemic through stigma-reduction: Applying "Getting-To-Outcomes' in a Ryan White Healthcare Site (3P30MH043520-33S1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10395047. Licensed CC0.

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