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Improving timely linkage to care among newly diagnosed HIV-infected youth: Results of SMILE

Explore the positive impact of the SMILE initiative in promptly linking newly diagnosed HIV-infected youth to care through a dedicated coordination system and structural change initiatives. This study presents a 6-year interrupted time-series design focusing on 2,115 referred youths. Analyze the shift in timely linkage outcomes with the implementation of SMILE II.

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Improving timely linkage to care among newly diagnosed HIV-infected youth: Results of SMILE

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  1. Improving timely linkage to care among newly diagnosed HIV-infected youth: Results of SMILE Robin Lin Miller, Ph.D.,  Danielle Chiaramonte, M.A., Trevor Strzyzykowski, B.A., Dhruv Sharma, Ph.D., Chitrak Banerjee, M.Sc., Kaston D. Anderson-Carpenter, Ph.D., J. Dennis Fortenberry,  M.D., and the Adolescent Medicine Trials Network for HIV/AIDS Interventions THPDE0104

  2. The SMILE Initiative • 2 phase intervention to link youth to care quickly (< 42 days) • Dedicated coordinator + formal referral network • Structural change initiatives • 6-year interrupted time-series design • 2,115 youth referred • 80% Black, 79% male, 62% MSM

  3. Box and Whisker Plot of Number of Days to Linkage from HIV Test Date (N=1,448) SMILE I …Implemented SMILE II Implemented Intervention Quarter 2010 2012 2013 2014 2015 2011

  4. Proportion of Youth Linked to Care in 42 or Fewer Days (N=1,448) SMILE II Implemented SMILE I Implemented Intervention Quarter 2010 2012 2013 2014 2015 2011

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