Handout 3: Final, Comprehensive Action Plan Worksheet The first row has been filled out as an example. Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Objective Indicator Evidence-based Steps to implement People and Possible Code (SSI) practice/activity this activity resources I barriers to need to consult implementation (Use “SMART” phrasing to show before and and how I will how the activity during address them contributes toward implementation the objective, e.g., Over the next XX (months or time frame), I will work with (x) individual or (name of) organization to (evidence-based activity) Improve HE-169 Over the next three With my work APCD and Optimal Established months, I will work Treatment partners, I will: experienced treatment Interventions with the HIV clinic Adherence Volunteers; will adherence is assess baseline to Support nurse and PLHIV review literature compromised by information on Treatment support group on reminder stigma and treatment Adherence: leader (my work systems discrimination adherence # of targeted partners) to develop (people not identify both individuals a tailored reminder disclosing to successes and reached with system for their family barriers to PLHIVs on members, so optimal treatment ART, using visual unwilling to use adherence by interventions pill charts and reminder non-literate to promote mobile phone systems): I will PLHIV adherence to technology. address this by develop ARV engaging the prototype treatment as a HIV clinic result of the reminder system trained lay activities of (visual pill chart, counselors. the Volunteer mobile phone or their technology) partners test the (Output) prototypes and get user feedback from PLHIV support group members finalize the systems and train PLHIV in their use 2.
Handout 3: Final, Comprehensive Action Plan Worksheet The first row has been filled out as an example. Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Objective Indicator Code (SSI) Evidence-based practice/activity (Use “SMART” phrasing to show how the activity contributes toward the objective, e.g., Over the next XX (months or time frame), I will work with (x) individual or (name of) organization to (evidence-based activity) Steps to implement this activity People and resources I need to consult before and during implementation Possible barriers to implementation and how I will address them Improve Treatment Adherence HE-169 Established Interventions to Support Treatment Adherence: # of targeted individuals reached with interventions to promote adherence to ARV treatment as a result of the activities of the Volunteer or their partners (Output) Over the next three months, I will work with the HIV clinic nurse and PLHIV support group leader (my work partners) to develop a tailored reminder system for PLHIVs on ART, using visual pill charts and mobile phone technology. With my work partners, I will: assess baseline information on treatment adherence identify both successes and barriers to optimal treatment adherence by non-literate PLHIV develop prototype reminder system (visual pill chart, mobile phone technology) test the prototypes and get user feedback from PLHIV support group members finalize the systems and train PLHIV in their use APCD and experienced Volunteers; will review literature on reminder systems Optimal treatment adherence is compromised by stigma and discrimination (people not disclosing to their family members, so unwilling to use reminder systems): I will address this by engaging the HIV clinic trained lay counselors. 2.
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