Using Registry Data to Construct a Comparison Group for Programmatic Effectiveness Evaluation : The New York City HIV Care Coordination Program

Many nonrandomized interventions rely upon a pre-post design to evaluate effectiveness. Such designs cannot account for events external to the intervention that may produce the outcome. We describe a method to construct a surveillance registry-based comparison group, which allows for estimating the effectiveness of the intervention while controlling for secular trends in the outcome of interest. Using data from the population-based, human immunodeficiency virus Surveillance Registry in New York City, we created a contemporaneous comparison group for persons enrolled in the New York City human immunodeficiency virus Care Coordination Program (CCP) from December 2009 to March 2013. Inclusion in the Registry-based (non-CCP) comparison group required meeting CCP eligibility criteria. To control for secular trends in the outcome, we randomly assigned persons in the non-CCP, Registry-based comparison group a pseudoenrollment date such that the distribution of pseudoenrollment dates matched the distribution of enrollment dates among CCP enrollees. We then matched CCP to non-CCP persons on propensity for enrollment in the CCP, enrollment dates, and baseline viral load. Registry-based comparison group estimates were attenuated relative to pre-post estimates of program effectiveness. These methods have broad applicability for observational intervention effectiveness studies and programmatic evaluations for conditions with surveillance registries.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:187

Enthalten in:

American journal of epidemiology - 187(2018), 9 vom: 01. Sept., Seite 1980-1989

Sprache:

Englisch

Beteiligte Personen:

Robertson, McKaylee M [VerfasserIn]
Waldron, Levi [VerfasserIn]
Robbins, Rebekkah S [VerfasserIn]
Chamberlin, Stephanie [VerfasserIn]
Penrose, Kate [VerfasserIn]
Levin, Bruce [VerfasserIn]
Kulkarni, Sarah [VerfasserIn]
Braunstein, Sarah L [VerfasserIn]
Irvine, Mary K [VerfasserIn]
Nash, Denis [VerfasserIn]

Links:

Volltext

Themen:

Evaluation Study
Journal Article
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 30.08.2019

Date Revised 09.04.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/aje/kwy103

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM284339210