Identifying Implementation Strategies That Address Barriers and Facilitate Implementation of Digital Interventions in HIV Primary Care Settings: Results from the Pilot Implementation of Positive Health Check

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Zulkiewicz, Brittany A. ; Burrus, Olivia ; Harshbarger, Camilla ; Ortiz, Alexa ; Garner, Bryan R. ; Lewis, Megan A.
• Description:
  We used the 1-month pilot implementation of Positive Health Check, a brief web-based video counseling intervention that supports patients with HIV attending HIV primary care clinics, to exemplify how studying implementation strategies earlier in the evidence-generation process can improve implementation outcomes in later pragmatic trials. We identified how implementation strategies were operationalized and the barriers and facilitators these strategies addressed using multiple data sources, including adapted implementation procedures and weekly structured interviews conducted with 9 key stakeholders in 4 HIV primary care clinics. Nineteen of 73 discrete implementation strategies for clinical innovations were used in the pilot implementation of Positive Health Check. Clinic staff reported 17 barriers and facilitators related to the clinic environment, patient population, intervention characteristics, and training and technical assistance. Identifying the link between strategies, barriers, and facilitators helped plan for a subsequent larger multisite pragmatic trial.
• Subjects:
  Counseling Health Services Accessibility HIV Infections Humans Primary Health Care Telemedicine
• Source:
  AIDS Behav. 25(1):154-166
• Pubmed ID:
  32594271
• Pubmed Central ID:
  PMC8820780
• Document Type:
  Journal Article
• Funding:
  U18 PS004967/PS/NCHHSTP CDC HHSUnited States/ ; U18PS004967/ACL/ACL HHSUnited States/ ; contract 200-2007-20016, Task Order 0025/CC/CDC HHSUnited States/
• Volume:
  25
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8c6b09e3cc715ebc93701eda27ec0291c4ee0ca1a53a251bcb8d29ae73a9ed4b
• Download URL:
  https://stacks.cdc.gov/view/cdc/114249/cdc_114249_DS1.pdf
• File Type:
  [PDF - 355.96 KB ]