
Implementation Science Communications, Journal Year: 2023, Volume and Issue: 4(1)
Published: Nov. 17, 2023
In the USA, 19% of new HIV infections occur among cisgender women (cis women); however, only 10% eligible cis have been prescribed pre-exposure prophylaxis (PrEP) for prevention infection (an evidence-based intervention). A fundamental challenge expanding to is ensuring implementation strategies are tailored various healthcare settings in which seek care and heterogeneous providers nested within these settings. This project's specific aims (1) explore clinician-level characteristics organizational climate factors that related variability adoption PrEP service delivery as an intervention women; (2) identify latent audience segments women's health acceptability, adoption, maintenance analyze demographic correlates segments; (3) segment-specific facilitate at-risk women. Using i-PARIHS framework, this mixed-methods study examines three domains guiding segmentation women: innovation (degree fit with existing practices, usability), recipient beliefs knowledge context (organizational culture, readiness change), needs determine appropriate facilitation methods. To achieve aim 1, qualitative interviews will be conducted PrEP-eligible women, providers, other key stakeholders. Aim 2 consist a quantitative survey 340 providers. Latent class analysis used segmentation. 3, panel 5-8 each segment meet engage iterative discussions guided by Fernandez's mapping outcomes performance objectives, determinants, change objectives refine segment. exploratory mixed methods provide empirical foundation inform development implementations aimed at increasing heterogenous groups
Language: Английский