This Special Projects of National Significance (SPNS) initiative goal was to assess innovative interventions to increase adherence to antiretroviral treatment (ART) among underserved populations. The twelve clinic-based demonstration projects were already engaged in delivering HIV primary care to underserved populations, and they had fully operational adherence support programs for their clients receiving ART. The grant recipients were funded to evaluate their adherence programs based upon their innovative approaches. The programs served a variety of populations, but all targeted uninsured or underinsured people living with HIV who had difficulty accessing care. The programs used a range of different adherence interventions, but all sought to improve the ability of their clients to successfully adhere to ART. No clients were prevented from receiving the services of their programs if they choose not to participate in the study.
The New York Academy of Medicine served as the Center for Adherence Support Evaluation (CASE) for this SPNS initiative. Demonstration project recipients included: the Health Services Center (Anniston, AL); Chase Brexton Health Services (Baltimore, MD); Columbia University Harlem Hospital Center (New York, NY); Columbia University School of Public Health (New York, NY); Dimock Community Health Center (Roxbury, MA); Johns Hopkins University School of Medicine (Baltimore, MD); Mission Neighborhood Health Center (San Francisco, CA); Multnomah County Health Department (Portland, OR); New York State Health Department (AIDS Institute, Renssalaer, NY); North Broward Hospital District (Fort Lauderdale, FL); University of California, San Francisco; and Washington University (St. Louis, MO).