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Developing a Toolkit to Support Dissemination and Implementation of the Red Carpet Entry Program.

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Title: Developing a Toolkit to Support Dissemination and Implementation of the Red Carpet Entry Program.
Authors: Holt SL; RTI International, Research Triangle Park, NC, USA. sholt@rti.org., Ortiz A; RTI International, Research Triangle Park, NC, USA., Rivell A; RTI International, Research Triangle Park, NC, USA., Vu KL; RTI International, Research Triangle Park, NC, USA., Mullen N; RTI International, Research Triangle Park, NC, USA., Jordan A; RTI International, Research Triangle Park, NC, USA., Galindo CA; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Betts JE; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Gelaude D; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Source: AIDS and behavior [AIDS Behav] 2026 Aug; Vol. 30 (8), pp. 2304-2317. Date of Electronic Publication: 2026 Feb 02.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
Imprint Name(s): Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
MeSH Terms: HIV Infections*/diagnosis , HIV Infections*/prevention & control , HIV Infections*/therapy , HIV Infections*/drug therapy , Program Development* , Information Dissemination*, Humans ; Program Evaluation ; Implementation Science
Abstract: The Red Carpet Entry (RCE) program is an evidence-informed structural intervention to improve linkage to HIV care within 72 h of diagnosis. In this paper, we review a rigorous, novel approach for evaluating an implementation toolkit to support adoption and effective implementation of RCE. We fielded and evaluated an RCE implementation toolkit at two clinic sites over an 8-month period. We evaluated the toolkit by assessing implementation processes, contexts, and outcomes at each clinic site, and by surveying and interviewing key implementation staff (n = 9) to solicit their feedback on the toolkit routinely throughout program implementation. This study offers preliminary evidence that the toolkit can support effective implementation of RCE and bolsters evidence regarding the impact of RCE on linkage to care. Both clinics used the toolkit to implement the RCE program with a high degree of fidelity-clients received 85-100% of intended RCE services at the clinic sites. Moreover, as a result of implementing RCE, one site saw an improvement in linkage to care from 68% at baseline to 77% during the implementation period. Staff reported that toolkit components were well-designed for communicating key information but needed to be more succinct and easier to navigate to increase their utility for busy clinic staff. We refined the toolkit to incorporate key lessons learned from our evaluation. Toolkits, especially those that have been tested with program implementers and are informed by evidence regarding implementation and client outcomes, are a critical tool for supporting the integration of evidence-based practices into routine healthcare.
(© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Competing Interests: Declarations. Competing interests: The authors have no relevant financial or non-financial interests to disclose. Ethical Approval: This study was reviewed and approved by the RTI International Institutional Review Board (IRB), as well as the IRBs at Rutgers, University of South Florida, and the Florida Department of Health. Informed Consent: Informed consent was obtained from all participants included in the study. Study participants provided consent electronically prior to each survey and verbally prior to each follow-up interview.
References: AIDS Care. 2016;28(3):325-33. (PMID: 26493721)
JAMA Health Forum. 2022 Apr 8;3(4):e220371. (PMID: 35977315)
Implement Sci. 2014 Apr 17;9:46. (PMID: 24742308)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
JAMA Health Forum. 2022 Jan 4;3(1):e220001. (PMID: 36218860)
J Am Med Inform Assoc. 2021 Jun 12;28(6):1298-1307. (PMID: 33619519)
BMC Med Inform Decis Mak. 2014 Dec 24;14:121. (PMID: 25539950)
AIDS Behav. 2023 Dec;27(12):4070-4083. (PMID: 37523048)
BMJ Open. 2015 Apr 13;5(4):e006808. (PMID: 25869686)
J Acquir Immune Defic Syndr. 2016 Jun 1;72(2):e57-60. (PMID: 26977745)
Chest. 2022 Mar;161(3):764-772. (PMID: 34587482)
AIDS. 2017 Jul 1;31 Suppl 3:S253-S260. (PMID: 28665883)
Implement Sci Commun. 2020 Oct 06;1:86. (PMID: 33043301)
J Spec Pediatr Nurs. 2012 Apr;17(2):171-4. (PMID: 22463478)
BMC Health Serv Res. 2017 Jul 18;17(1):497. (PMID: 28720092)
Implement Sci. 2017 Aug 29;12(1):108. (PMID: 28851459)
Cochrane Database Syst Rev. 2010 Mar 17;(3):CD008272. (PMID: 20238364)
Adm Policy Ment Health. 2009 Jan;36(1):24-34. (PMID: 19104929)
Lancet Infect Dis. 2014 Apr;14(4):281-90. (PMID: 24602844)
Implement Sci. 2014 Jan 10;9:7. (PMID: 24410955)
Health Educ Res. 2009 Apr;24(2):292-305. (PMID: 18469319)
Annu Rev Public Health. 2018 Apr 1;39:55-76. (PMID: 29328872)
J Acquir Immune Defic Syndr. 2020 Sep 1;85(1):46-50. (PMID: 32379083)
Med Care Res Rev. 2008 Aug;65(4):379-436. (PMID: 18511812)
Adm Policy Ment Health. 2011 Mar;38(2):65-76. (PMID: 20957426)
Grant Information: CC999999 United States ImCDC Intramural CDC HHS; GS00Q14OADU217 United States CC CDC HHS; GS00Q14OADU217 United States JG JG CDC HHS
Contributed Indexing: Keywords: HIV prevention; HIV treatment; Implementation science; Linking to care; Toolkit
Local Abstract: [Publisher, Spanish; Castilian] El programa Red Carpet Entry (RCE) es una intervención estructural basada en la evidencia para mejorar la conexión a atención al VIH en un plazo de 72 horas desde el diagnóstico. En esta publicación, presentamos un método riguroso y novedoso para evaluar un manual (“toolkit” en inglés) de implementación para apoyar la adopción e implementación eficaz de RCE. Desplegamos y evaluamos un manual para la implementación de RCE en dos centros clínicos durante un periodo de 8 meses. Evaluamos el manual por evaluar los procesos de implementación, los contextos y los resultados en cada centro clínico, y por encuestar y entrevistar al personal clave de implementación (n = 9) para solicitar sus opiniones sobre el manual a lo largo de la implementación del programa. Este estudio ofrece evidencia preliminar de que el manual puede apoyar la implementación eficaz del RCE y refuerza la evidencia sobre el efecto de RCE en la conexión a la atención al VIH. Ambas clínicas utilizaron el manual para implementar el programa de RCE con un alto grado de fidelidad: los clientes recibieron entre el 85 y el 100% de los servicios de RCE en los centros clínicos. Además, como resultado de la implementación de RCE, un centro experimentó una mejora en la conexión a la atención al VIH del 68% al inicio al 77% durante el periodo de implementación. El personal indicó que los componentes del manual estaban bien diseñados para comunicar información importante, pero necesitaban ser más concisos y fáciles de navegar para aumentar su utilidad para el personal ocupado de la clínica. Limamos el manual por incorporar las lecciones clave aprendidas de nuestra evaluación. Manuales son herramientas fundamentales para apoyar la integración de prácticas basadas en la evidencia en la atención sanitaria rutinaria, especialmente los manuales que han sido probados con implementadores de programas y que están informados por la evidencia en cuanto a la implementación y resultados para los clientes.
Entry Date(s): Date Created: 20260202 Date Completed: 20260819 Latest Revision: 20260920
Update Code: 20260920
PubMed Central ID: PMC12943678
DOI: 10.1007/s10461-026-05055-z
PMID: 41627696
Database: MEDLINE
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  Data: The Red Carpet Entry (RCE) program is an evidence-informed structural intervention to improve linkage to HIV care within 72 h of diagnosis. In this paper, we review a rigorous, novel approach for evaluating an implementation toolkit to support adoption and effective implementation of RCE. We fielded and evaluated an RCE implementation toolkit at two clinic sites over an 8-month period. We evaluated the toolkit by assessing implementation processes, contexts, and outcomes at each clinic site, and by surveying and interviewing key implementation staff (n = 9) to solicit their feedback on the toolkit routinely throughout program implementation. This study offers preliminary evidence that the toolkit can support effective implementation of RCE and bolsters evidence regarding the impact of RCE on linkage to care. Both clinics used the toolkit to implement the RCE program with a high degree of fidelity-clients received 85-100% of intended RCE services at the clinic sites. Moreover, as a result of implementing RCE, one site saw an improvement in linkage to care from 68% at baseline to 77% during the implementation period. Staff reported that toolkit components were well-designed for communicating key information but needed to be more succinct and easier to navigate to increase their utility for busy clinic staff. We refined the toolkit to incorporate key lessons learned from our evaluation. Toolkits, especially those that have been tested with program implementers and are informed by evidence regarding implementation and client outcomes, are a critical tool for supporting the integration of evidence-based practices into routine healthcare.<br /> (© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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  Data: Declarations. Competing interests: The authors have no relevant financial or non-financial interests to disclose. Ethical Approval: This study was reviewed and approved by the RTI International Institutional Review Board (IRB), as well as the IRBs at Rutgers, University of South Florida, and the Florida Department of Health. Informed Consent: Informed consent was obtained from all participants included in the study. Study participants provided consent electronically prior to each survey and verbally prior to each follow-up interview.
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  Data: AIDS Care. 2016;28(3):325-33. (PMID: <searchLink fieldCode="PM" term="%2226493721%22">26493721)</searchLink><br />JAMA Health Forum. 2022 Apr 8;3(4):e220371. (PMID: <searchLink fieldCode="PM" term="%2235977315%22">35977315)</searchLink><br />Implement Sci. 2014 Apr 17;9:46. (PMID: <searchLink fieldCode="PM" term="%2224742308%22">24742308)</searchLink><br />Implement Sci. 2009 Aug 07;4:50. (PMID: <searchLink fieldCode="PM" term="%2219664226%22">19664226)</searchLink><br />JAMA Health Forum. 2022 Jan 4;3(1):e220001. (PMID: <searchLink fieldCode="PM" term="%2236218860%22">36218860)</searchLink><br />J Am Med Inform Assoc. 2021 Jun 12;28(6):1298-1307. (PMID: <searchLink fieldCode="PM" term="%2233619519%22">33619519)</searchLink><br />BMC Med Inform Decis Mak. 2014 Dec 24;14:121. (PMID: <searchLink fieldCode="PM" term="%2225539950%22">25539950)</searchLink><br />AIDS Behav. 2023 Dec;27(12):4070-4083. (PMID: <searchLink fieldCode="PM" term="%2237523048%22">37523048)</searchLink><br />BMJ Open. 2015 Apr 13;5(4):e006808. (PMID: <searchLink fieldCode="PM" term="%2225869686%22">25869686)</searchLink><br />J Acquir Immune Defic Syndr. 2016 Jun 1;72(2):e57-60. (PMID: <searchLink fieldCode="PM" term="%2226977745%22">26977745)</searchLink><br />Chest. 2022 Mar;161(3):764-772. (PMID: <searchLink fieldCode="PM" term="%2234587482%22">34587482)</searchLink><br />AIDS. 2017 Jul 1;31 Suppl 3:S253-S260. (PMID: <searchLink fieldCode="PM" term="%2228665883%22">28665883)</searchLink><br />Implement Sci Commun. 2020 Oct 06;1:86. (PMID: <searchLink fieldCode="PM" term="%2233043301%22">33043301)</searchLink><br />J Spec Pediatr Nurs. 2012 Apr;17(2):171-4. (PMID: <searchLink fieldCode="PM" term="%2222463478%22">22463478)</searchLink><br />BMC Health Serv Res. 2017 Jul 18;17(1):497. (PMID: <searchLink fieldCode="PM" term="%2228720092%22">28720092)</searchLink><br />Implement Sci. 2017 Aug 29;12(1):108. (PMID: <searchLink fieldCode="PM" term="%2228851459%22">28851459)</searchLink><br />Cochrane Database Syst Rev. 2010 Mar 17;(3):CD008272. (PMID: <searchLink fieldCode="PM" term="%2220238364%22">20238364)</searchLink><br />Adm Policy Ment Health. 2009 Jan;36(1):24-34. (PMID: <searchLink fieldCode="PM" term="%2219104929%22">19104929)</searchLink><br />Lancet Infect Dis. 2014 Apr;14(4):281-90. (PMID: <searchLink fieldCode="PM" term="%2224602844%22">24602844)</searchLink><br />Implement Sci. 2014 Jan 10;9:7. (PMID: <searchLink fieldCode="PM" term="%2224410955%22">24410955)</searchLink><br />Health Educ Res. 2009 Apr;24(2):292-305. (PMID: <searchLink fieldCode="PM" term="%2218469319%22">18469319)</searchLink><br />Annu Rev Public Health. 2018 Apr 1;39:55-76. (PMID: <searchLink fieldCode="PM" term="%2229328872%22">29328872)</searchLink><br />J Acquir Immune Defic Syndr. 2020 Sep 1;85(1):46-50. (PMID: <searchLink fieldCode="PM" term="%2232379083%22">32379083)</searchLink><br />Med Care Res Rev. 2008 Aug;65(4):379-436. (PMID: <searchLink fieldCode="PM" term="%2218511812%22">18511812)</searchLink><br />Adm Policy Ment Health. 2011 Mar;38(2):65-76. (PMID: <searchLink fieldCode="PM" term="%2220957426%22">20957426)</searchLink>
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  Data: <i>Keywords: </i>HIV prevention; HIV treatment; Implementation science; Linking to care; Toolkit<br /><i>Local Abstract: </i>[Publisher, Spanish; Castilian] El programa Red Carpet Entry (RCE) es una intervención estructural basada en la evidencia para mejorar la conexión a atención al VIH en un plazo de 72 horas desde el diagnóstico. En esta publicación, presentamos un método riguroso y novedoso para evaluar un manual (“toolkit” en inglés) de implementación para apoyar la adopción e implementación eficaz de RCE. Desplegamos y evaluamos un manual para la implementación de RCE en dos centros clínicos durante un periodo de 8 meses. Evaluamos el manual por evaluar los procesos de implementación, los contextos y los resultados en cada centro clínico, y por encuestar y entrevistar al personal clave de implementación (n = 9) para solicitar sus opiniones sobre el manual a lo largo de la implementación del programa. Este estudio ofrece evidencia preliminar de que el manual puede apoyar la implementación eficaz del RCE y refuerza la evidencia sobre el efecto de RCE en la conexión a la atención al VIH. Ambas clínicas utilizaron el manual para implementar el programa de RCE con un alto grado de fidelidad: los clientes recibieron entre el 85 y el 100% de los servicios de RCE en los centros clínicos. Además, como resultado de la implementación de RCE, un centro experimentó una mejora en la conexión a la atención al VIH del 68% al inicio al 77% durante el periodo de implementación. El personal indicó que los componentes del manual estaban bien diseñados para comunicar información importante, pero necesitaban ser más concisos y fáciles de navegar para aumentar su utilidad para el personal ocupado de la clínica. Limamos el manual por incorporar las lecciones clave aprendidas de nuestra evaluación. Manuales son herramientas fundamentales para apoyar la integración de prácticas basadas en la evidencia en la atención sanitaria rutinaria, especialmente los manuales que han sido probados con implementadores de programas y que están informados por la evidencia en cuanto a la implementación y resultados para los clientes.
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