Alithia Zamantakis, Juan Pablo Zapata, Isaac Greenawalt, Ashley A Knapp, Nanette Benbow, Brian Mustanski
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引用次数: 0
Abstract
Despite ongoing investments in the development and testing of new digital interventions for HIV prevention, the widespread use of interventions with proven effectiveness remains limited. This study assessed real-world implementation of a digital HIV prevention intervention, Keep It Up!. The study aimed to identify barriers and facilitators to implementing Keep It Up! within community-based organizations (CBOs) serving racially diverse sexual and gender minoritized populations. The Keep It Up! trial is a type III effectiveness-implementation hybrid trial to compare two delivery approaches: direct-to-consumer and CBO-based implementation. This manuscript focuses on the CBO-based approach through interviews with CBO staff members before and during implementation (n = 37 and n = 25, respectively). Interviews were coded according to the Consolidated Framework for Implementation Research and thematically analyzed. Staff highlighted adaptability, leadership engagement, compatibility, and organizational culture as facilitators of Keep It Up! implementation. Identified barriers included self-efficacy, motivation, staff turnover, and partnerships and connections. CBO infrastructure, capacity, research experience, and processes influenced the relative importance of these barriers and facilitators. This study is one of the first to detail barriers and facilitators experienced by staff implementing a digital HIV prevention intervention in CBOs. Interviews illuminated the need for interventions like Keep It Up! for young men who have sex with men and detailed the need for additional strategies to assist CBOs unfamiliar with implementing digital health interventions. Trial Registration Number: NCT03896776.
尽管目前正在投资开发和测试新的数字艾滋病预防干预措施,但经证实有效的干预措施的广泛使用仍然有限。本研究评估了数字艾滋病预防干预措施 Keep It Up!该研究旨在确定在为不同种族的性和性别少数人群服务的社区组织(CBOs)中实施 Keep It Up!Keep It Up! 试验是一项第三类效果-实施混合试验,旨在比较两种实施方法:直接面向消费者的实施方法和基于社区组织的实施方法。本手稿通过在实施前和实施过程中对社区组织工作人员的访谈(分别为 37 人和 25 人),重点介绍基于社区组织的方法。根据实施研究综合框架对访谈进行了编码,并进行了主题分析。工作人员强调,适应性、领导参与、兼容性和组织文化是 Keep It Up!确定的障碍包括自我效能、动力、人员流动以及伙伴关系和联系。社区组织的基础设施、能力、研究经验和流程影响了这些障碍和促进因素的相对重要性。这项研究是首批详细介绍在社区组织中实施数字艾滋病预防干预措施的工作人员所遇到的障碍和促进因素的研究之一。访谈揭示了男男性行为者对 Keep It Up! 等干预措施的需求,并详细说明了需要更多策略来帮助不熟悉实施数字健康干预措施的社区组织。试验注册号:NCT03896776:NCT03896776.
期刊介绍:
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76