AIDS and Behavior, Год журнала: 2024, Номер unknown
Опубликована: Дек. 5, 2024
Язык: Английский
Implementation Science, Год журнала: 2024, Номер 19(1)
Опубликована: Июнь 24, 2024
Abstract Background Studies of implementation strategies range in rigor, design, and evaluated outcomes, presenting interpretation challenges for practitioners researchers. This systematic review aimed to describe the body research evidence testing across diverse settings domains, using Expert Recommendations Implementing Change (ERIC) taxonomy classify Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework outcomes. Methods We conducted a studies examining from 2010-2022 registered with PROSPERO (CRD42021235592). searched databases terms “implementation strategy”, “intervention”, “bundle”, “support”, their variants. also solicited study recommendations science experts mined existing reviews. included that quantitatively assessed impact at least one strategy improve health or care an outcome could be mapped five evaluation dimensions RE-AIM. Only meeting prespecified methodologic standards were included. described characteristics frequency use arms. examined common pairings cooccurrence significant Findings Our search resulted 16,605 studies; 129 met inclusion criteria. tested average 6.73 (0-20 range). The most outcomes ( n =82; 64%) =73; 56%). frequently occurring experimental arm Distribute Educational Materials =99), Conduct Meetings =96), Audit Provide Feedback =76), External Facilitation =59). These often used combination. Nineteen associated significantly improved However, many not sufficiently draw conclusions. Conclusion methodologically rigorous built upon prior data syntheses identify had been experimentally summarized on clinical settings. present improving future similar efforts.
Язык: Английский
Процитировано
10
AIDS and Behavior, Год журнала: 2024, Номер 28(7), С. 2321 - 2339
Опубликована: Апрель 2, 2024
Язык: Английский
Процитировано
8
Annual Review of Psychology, Год журнала: 2023, Номер 75(1), С. 55 - 85
Опубликована: Сен. 19, 2023
Men who have sex with men (MSM) are disproportionately affected by HIV, accounting for two-thirds of HIV cases in the United States despite representing ∼5% adult population. Delivery and use existing highly effective prevention treatment strategies remain suboptimal among MSM. To summarize state science, we systematically review implementation determinants HIV-related health interventions using science frameworks. Research on barriers has focused predominantly characteristics individual recipients (e.g., ethnicity, age, drug use) less so deliverers nurses, physicians), little focus system-level factors. Similarly, most target to influence their uptake adherence, rather than improving supporting systems. research is burgeoning; future needed broaden examination at provider system levels, as well expand knowledge how match barriers—particularly address stigma. Collaboration coordination federal, state, local public agencies; community-based organizations; care providers; scientists important successful innovations.
Язык: Английский
Процитировано
18
BMC Health Services Research, Год журнала: 2023, Номер 23(1)
Опубликована: Сен. 20, 2023
Abstract Background Uptake of HIV pre-exposure prophylaxis (PrEP) remains low among transgender people as compared to other subgroups, despite high rates acquisition. In California, Latinx comprise 40% the population and Latina women experience some highest burden any subgroup, indicating a critical need for appropriate services. With funding from California HIV/AIDS Research Programs, this academic-community partnership developed, implemented, evaluated PrEP project that co-located services with gender affirming care in Federally Qualified Heath Center (FQHC). Trans staff led intervention adaptation activities. Methods This paper engages qualitative methods describe how demonstration project- Triunfo- successfully engaged Spanish-speaking Latinas We conducted 13 in-depth interviews participants five providers clinic staff. Interviews were Spanish or English. six months ethnographic observation activities recorded field notes. thematic analysis. Results Beneficial elements centered around three intertwined themes: creating trusted space, providing comprehensive patient navigation, offering social support “entre nosotras” (“between us women/girls”). The combination these factors contributed intervention’s success supporting initiate persist on PrEP, many whom had previously never received healthcare. Participants shared past experiences transphobia concerns discrimination healthcare setting. Developing trust proved foundational making feel welcome “en casa/ at home” setting, which began moment entered continued throughout their interactions providers. A affirming, bilingual clinician peer health educators (PHE) played part development, participant recruitment, navigation. Conclusions Our research adds nuance existing literature navigation by profiling multifaced roles PHE served participants. instrumental empowering overcome structural barriers healthcare, engaging group who avoided clinical settings.
Язык: Английский
Процитировано
11
AIDS and Behavior, Год журнала: 2025, Номер unknown
Опубликована: Янв. 31, 2025
This study assessed disparities in pre-exposure prophylaxis (PrEP) use among transgender and gender expansive youth young adults (N = 477) between 15 24 years old the CARES (ATN 149) TechStep 160) protocols within National Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN). Structural equation modeling was used to test mediation pathways identity PrEP uptake full sample stratified by sex assigned at birth. Lifetime higher those male birth (26%) versus female (9%), explained greater structural behavioral risks perceived need PrEP, especially trans women. Among birth, men (12%) than nonbinary participants (6%). Our findings characterize key drivers of highlight reduce barriers healthcare youth, particularly South.
Язык: Английский
Процитировано
0
AIDS and Behavior, Год журнала: 2025, Номер unknown
Опубликована: Фев. 1, 2025
Abstract HIV testing and pre-exposure prophylaxis (PrEP) are recommended in Germany for individuals at increased risk. However, data on testing, PrEP use, knowledge among trans non-binary people limited. We analysed from the ‘Sexuelle Gesundheit und nicht-binären Communitys’ (TASG) study, a participatory study HIV/STI sexual health Germany. The was designed, promoted, with active involvement of community members. Participants were invited to complete an anonymous online survey between 1 March July 2022. outcomes included within last 5 years, PrEP-specific knowledge. Predictors identified using bootstrap stepwise selection procedure. Among 2468 HIV-negative participants information potential risks, 21.5% had needs PrEP. Of these, only 44.3% (208/470, missing: 60) reported years. Older participants, those living larger cities, higher education levels more likely have tested HIV. Additionally, 8.3% (38/459, 71) ever 451 (missing: 79), 57.4% knew least one three key PrEP-related facts time survey. Our findings highlight substantial gaps prevention these services. Reducing barriers is essential enable broader access critical
Язык: Английский
Процитировано
0
JAIDS Journal of Acquired Immune Deficiency Syndromes, Год журнала: 2025, Номер 98(5S), С. e170 - e180
Опубликована: Март 31, 2025
Background: Pre-exposure prophylaxis (PrEP) for HIV prevention has been available since 2012, but uptake remains disappointing and inequitable. Furthermore, there is little evidence on the effectiveness of interventions to increase PrEP demand among priority populations in United States. The objectives this article were describe how consumer perceptions vary by distinct population groups identify gaps awareness, knowledge, interest. Methods: We synthesized evidence-based improve heavily burdened HIV. focus centered factors, people's awareness PrEP, especially people who are likely benefit, influences uptake. Results: Awareness equity use vulnerable States remain low because both demand-side obstacles accessibility challenges. Designing an effective package involves integrating strategies that address interest/motivation, access. Conclusions: underutilization 1.2 million individuals could benefit from it highlights need creation reduce disparities. To effectively benefits requires consideration characteristics target structural inequalities contribute PrEP-related Demand activities can correct misconceptions, provide help decide whether a good fit them. utilization implementation science frameworks essential generation supply-side barriers use.
Язык: Английский
Процитировано
0
Journal of the Association of Nurses in AIDS Care, Год журнала: 2025, Номер unknown
Опубликована: Апрель 8, 2025
Abstract Pre-exposure prophylaxis (PrEP) is the administration of antiretroviral medications before HIV exposure to prevent infection. PrEP or biomedical prevention an essential part ending epidemic strategy. Currently, there are 4 guideline-approved dosing approaches PrEP, which include 2 oral formulations and 1 long-acting injectable. Unfortunately, most individuals who would benefit from do not receive a prescription, even fewer initiate continue PrEP. Barriers uptake persistence complex extend along socio-ecologic framework individual through structural. In this article, we highlight barriers care among priority populations, discuss evidence-based solutions, offer multilevel considerations for clinicians, researchers, community members increase access, uptake, in all.
Язык: Английский
Процитировано
0
Journal of Community Health, Год журнала: 2025, Номер unknown
Опубликована: Апрель 21, 2025
Язык: Английский
Процитировано
0
Archives of Sexual Behavior, Год журнала: 2025, Номер unknown
Опубликована: Апрель 22, 2025
Язык: Английский
Процитировано
0