Adjunctive interventions: change methods directed at recipients that support uptake and use of health innovations

Implementation Science, Год журнала: 2024, Номер 19(1)

Опубликована: Фев. 8, 2024

Abstract Background Implementation science groups change methods into two categories: (1) clinical, behavioral, or biomedical intervention targeting recipient’s health outcomes and (2) implementation strategies the delivery system. Differentiating interventions from based on their intended functions is critical to accurately attributing effects outcomes. However, in coordinating 200+ HIV research projects conducting systematic reviews, we identified that had characteristics of both were inconsistently categorized. To alleviate confusion improve method specification, propose should adopt an extant but rarely used term— adjunctive —to classify are distinct common intervention/strategy taxonomy. Main text Adjunctive as target recipients (e.g., patients, participants) a designed increase recipients’ motivation, self-efficacy, capacity for initiating, adhering to, complying with, engaging with over time. In our published reviews interventions, 25 out 45 coded fell this gray area between strategy intervention. We also noted instances which same was labelled (“the thing”), intervention, different studies—further muddying waters. distinguished other by targets , desired theory action causal processes . Whereas have direct, effect outcome, enhance attitudes behaviors engage indirect link outcome via increasing probability utilization adherence incapable directly producing will themselves require effectively impact sustained uptake, utilization, adherence. Case examples, logic modeling, considerations relationship consumer engagement strategies) provided. Conclusion Conceptualizing separate type advance improving tests effectiveness, specification mechanisms

Язык: Английский

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Factors associated with having a steady homosexual partner among men who have sex with men, based on internet recruitment

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Янв. 22, 2025

Objective This study analyzed the status and factors associated with having a steady homosexual partner (HP) among men who have sex (MSM) to provide scientific basis for developing prevention control strategies acquired immunodeficiency syndrome in this population. Methods A questionnaire survey was conducted participants were MSM recruited online by non-governmental organization May 2024. The divided into two groups based on whether they had HP. Univariate multivariate logistic regression analyses used evaluate influencing Results We surveyed 604 participants;211 (34.93%) current Multivariate analysis showed that older HP (adjusted odds ratio [aOR]: 1.04; 95% confidence interval [CI]: 1.01–1.07)was an average monthly income >6,000 Chinese yuan (aOR: 1.47; CI: 1.01–2.16), belief using enhancers such as Rush Popper increases human virus (HIV) infection risk 1.56; 1.02–2.41), identification purely 2.02; 1.37–2.99), engaged anal previous 6 months 4.13; CI:2.51–6.90), knowing HIV of their 1.88; 1.17–3.06). Participants less likely condoms consistently during prior 0.56; 0.35–0.90) one-night stands HPs 0.44; 0.29–0.65). Conclusion low proportion (34.93%). Therefore, public education should be promoted encourage individuals improve awareness risks. Sexual responsibility, including correct use risks like Popper, avoiding high-risk behaviors, stands, is crucial reducing sexually transmitted infections.

Язык: Английский

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Substance Use Classes Among YMSM in an HIV Digital Health Intervention Program: Implications for Acceptability, Engagement, and Health Outcomes

AIDS and Behavior, Год журнала: 2025, Номер unknown

Опубликована: Янв. 27, 2025

Язык: Английский

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Implementation Determinants of PrEP and Behavioral Health Treatment Referral among HIV Test Counselors

AIDS and Behavior, Год журнала: 2025, Номер unknown

Опубликована: Янв. 29, 2025

Язык: Английский

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Pre-Exposure Prophylaxis Awareness and Demand Creation: Overlooked Populations and Opportunities to Move Forward

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

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Defining Study Populations in HIV Prevention Implementation Science Studies: A Case Comparison of 3 Ending the HIV Epidemic Projects

JAIDS Journal of Acquired Immune Deficiency Syndromes, Год журнала: 2025, Номер 98(5S), С. e124 - e128

Опубликована: Март 31, 2025

Introduction: Implementation studies include both recipient populations, who will benefit from the study's evidence-based intervention, and study participate in intervention contribute data to implementation outcomes. Decision making around inclusion criteria for population whether have significant implications design. We present 3 case of HIV prevention that feature diverse populations describe decision-making process defining share generalizable lessons field. Methods: identified each study, described decision regarding exclusion criteria, measuring aims. Results: interventions focus on pre-exposure prophylaxis uptake testing settings such as emergency departments, obstetrics/gynecology clinical practices, free sites. These were designed inform scale-up strategies based effectiveness, affordability, feasibility. Decisions about whom context, strategies, Discussion: important considerations across projects, including approaches. factors can decisions ensure successful measurement aims sustainability

Язык: Английский

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The Strategies Timeline and Activities Reporting Tables: Improving HIV Care by Improving the Reporting of Implementation Strategies

JAIDS Journal of Acquired Immune Deficiency Syndromes, Год журнала: 2025, Номер 98(5S), С. e205 - e215

Опубликована: Март 31, 2025

Background: The United States has made significant progress toward achieving the goals of its Ending HIV Epidemic initiative. However, systematic reviews on implementation research have identified problems regarding strategy specification that limit research's transparency and replicability, in turn improvements care real-world practice. Methods: strategies timeline, activities, resources (STAResources) Table, developed as part substance abuse treatment to Care II Project, was completed for it 3 other projects funded by National Institute Health. Each evaluated terms extent which addressed prior recommendations specification; issues related rigor reproducibility; seemed pragmatic, simple, adaptable, relevant, helpful, useful, acceptable, appropriate, suitable, applicable, fitting. rated a 4-point scale (0 = not at all; 1 little; 2 moderately, very much). Results: Overall, STAResources Table favorably. It received mean 3.0 (SD 0) being applicable. Strategies Timeline, Activities, Rationale (STARationale) emerged during process also Conclusions: To help initiative achieve goals, there is critical need transparent replicable identifying most effective equitably implementing evidence-based practices within settings. Addressing this need, Timeline Activities Reporting (STAReporting)Tables are pragmatic tools helping improve replicability research.

Язык: Английский

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Innovation in Providing Equitable Pre‐exposure Prophylaxis Services in the United States: Expanding Access in Nontraditional Settings

JAIDS Journal of Acquired Immune Deficiency Syndromes, Год журнала: 2025, Номер 98(5S), С. e156 - e169

Опубликована: Март 31, 2025

Background: Pre‐exposure prophylaxis (PrEP) usage has slowly increased in the United States, but significant disparities persist across race, ethnicity, sex, gender, age, and geography. Determinants of PrEP inequities include stigma medical mistrust, lack patient-centered services, access to clinical care, organizational resistance change—within a health care system that neglects these barriers. Methods: We describe 5 implementation strategies providing nontraditional settings underserved populations, using an equity-based approach address key structural determinants. The alternative used Ending HIV Epidemic projects (community-based organizations, telePrEP, mobile clinics, pharmacies, emergency departments) were chosen for setting characteristics their serving structurally populations . Results: Community-based organizations have earned trust within communities can serve as hubs comprehensive sexual including PrEP. Telehealth, which expanded significantly because COVID-19, help overcome transportation scheduling barriers access. Mobile clinics also broaden delivery by bringing tailored services directly communities, often shorter wait times extended hours. Pharmacists prescribe certain states through legislation or collaborative practice agreements, offering convenient, community-based option. Emergency departments provide site delivery, with potential reach individuals not currently engaged regular care. Conclusion: These approaches expand options accessing alleviate traditional settings, although they may eliminate all inequities. Offering more choices increases likelihood broader population will be reached, thereby enhancing overall

Язык: Английский

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Community-Identified Implementation Strategies for Promoting the Adoption of HIV Self-Testing in a Southern California American Indian community: A Rapid Qualitative Analysis

AIDS and Behavior, Год журнала: 2024, Номер 28(6), С. 2101 - 2112

Опубликована: Апрель 9, 2024

HIV incidence increased by 18% between 2015 and 2019 among American Indians (AIs) despite declining rates in other racial/ethnic groups. Culturally-appropriate implementation of prevention programs is needed to address the intersectional conditions contributing vulnerabilities experienced AIs. The objectives this study were understand factors influencing testing decisions identify strategies promote acceptability self-testing (HIVST) a southern California AI community. A total 15 semi-structured interviews completed with adult community members reservation. Analysis used rapid analytic approach that was guided Exploration, Preparation, Implementation, Sustainment (EPIS) framework expert recommendations for implementing change (ERIC) compilation. Two team applied standardized summary template elucidate determinants adopting HIVST. Barriers identified included HIV-related stigma privacy concerns within their Community expressed positive perceptions HIVST, many identifying ease use as appealing attributes. Several suggested facilitating adoption including increasing access tests mailing kits demand through media campaigns (e.g., local flyers, social posts, booths at tribal events). also recommended discreet packaging cultural adaptation accompanying materials educational videos featuring members). qualitative input from facilitated identification may culturally-appropriateness

Язык: Английский

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Factors Influencing Engagement Across the Motivational PrEP Cascade Among Latino SMM: A Mixed-Methods Analysis from the Perspectives of Community Providers and Latino SMM

AIDS and Behavior, Год журнала: 2024, Номер 28(9), С. 2926 - 2940

Опубликована: Май 23, 2024

Язык: Английский

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