I don’t want the tray to tip: Experiences of peer evaluators in a multisite hiv retention in care study

Mary Hawk, Morey Riordan, Julio J. Fonseca, Catherine Maulsby

Research output: Contribution to journalArticlepeer-review


Numerous studies demonstrate the efficacy of peer-delivered interventions to improve HIV prevention and care outcomes, yet few explore the role of peers in evaluation and data collection. We conducted qualitative interviews with providers in a multisite HIV Retention in Care initiative to explore peers’ evaluation roles, challenges, and strategies for success. We found peers’ responsibilities included data collection, client assessments, and data entry. Their rapport with clients was considered an evaluation asset. However, peers struggled with balancing rigorous evaluation and data collection demands with the needs and comfort of clients. Recommendations for peer-based evaluation include ensuring self-care, streamlining workflow, and involving peers in evaluation development and reporting processes. Additional research is needed to explore the extent to which peers participate in evaluation activities and to ensure rigor in peer-based evaluation. Given that peers are well-positioned to collect client-level data, best practices, standards, and trainings for peer-based evaluation should be developed.

Original languageEnglish (US)
Pages (from-to)179-192
Number of pages14
JournalAIDS Education and Prevention
Issue number2
StatePublished - Apr 2019


  • Evaluation
  • HIV
  • Peers

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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