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for this evaluation, a database was designed to track individuals and their clients. the data are collected in a microsoft access form. the ultimate goal of this project is to demonstrate the use of the access form to capture a meaningful amount of client data. the data may be transferred to a sql database for analysis, with an eye towards having the client data captured in a more secure way.
in the context of a shifting hiv epidemic in nyc and the overall changes across the healthcare continuum, the art for all (afa) study was designed to not only provide critical information that could be used to help achieve policy goals for increasing viral suppression among plwh, but to remain flexible within the changing context of the nyc hiv epidemic. the afa study has the unique strength of accessing and analyzing data at multiple levels, with mixed methods. it also has the advantage of integrating nyc dohmh biomedical surveillance data, both with individual behavioral assessments and geospatial (i.e., neighborhood) variables, to provide information about potential moderators and mediators of hiv treatment outcomes. data collected from the afa study will be used to inform modifications to or identify gaps in the implementation of universal art, and in particular, to help guide allocation of resources to obtain local policy goals. the research will be conducted with the nyc dohmh as a full partner and includes a collaborative board with service providers, clinical researchers, and consumers to review data and make formal recommendations.
the data coordinating center (dcc) is responsible for the management and distribution of data collected in the five network sites. the dcc has a diverse array of technical and non-technical skills which have enabled it to operate efficiently throughout the five-year duration of the study. the dcc is organized into four sub-units: study operations, research data management, data analysis, and data technical support. the study operations staff consists of four staff members responsible for coordinating and communicating the study protocol. these four staff members provide the study team with feedback on the protocol for the purposes of improving the study design.
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