Implementation of Evidence-Based Practices to Reduce Youth HIV Transmission and Improve Self-Management: A Survey of Key Stakeholder Perspectives.

Understanding the implementation process is critical to disseminating effective interventions that reduce HIV risk and improve self-management in youth populations. As part of a multi-center implementation study, providers (N = 128) from 13 HIV prevention and care sites were surveyed to capture thei...

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Publicado en:AIDS Patient Care & STDs Vol. 35; no. 10; pp. 385 - 392
Autores principales: Butame, Seyram A., Idalski Carcone, April, Coyle, Karin, Naar, Sylvie
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2021
      vid: 35
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      pub: Mary Ann Liebert, Inc.
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        10.1089/apc.2021.0071
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        atl: Implementation of Evidence-Based Practices to Reduce Youth HIV Transmission and Improve Self-Management: A Survey of Key Stakeholder Perspectives.
      aug:
        au:
          Butame, Seyram A.
          Idalski Carcone, April
          Coyle, Karin
          Naar, Sylvie
        affil: Center for Translational Behavioral Science, Florida State University, Tallahassee, Florida, USA.
      sug:
        subj:
          HIV Infections Prevention and Control
          Adolescent Health Services
          Attitude of Health Personnel Evaluation
          Professional Practice, Evidence-Based
          HIV Infections Therapy
          Self-Management
          Implementation Science
          Human
          Multicenter Studies
          Descriptive Research
          Multimethod Studies
          Organizational Culture
          Leadership
          Summated Rating Scaling
          Descriptive Statistics
          Professional Role
          Adult
          Middle Age
          Female
          Male
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Understanding the implementation process is critical to disseminating effective interventions that reduce HIV risk and improve self-management in youth populations. As part of a multi-center implementation study, providers (N = 128) from 13 HIV prevention and care sites were surveyed to capture their perspectives on evidence-based practices (EBPs) and their discharge. We employ a descriptive analysis of their perspectives before implementation as defined by the Exploration, Preparation, Implementation, and Sustainment (EPIS) model, with comparisons between organizational role and study site. Factors of interest included the following: attitudes toward EBPs, perceptions of organizational climate, perceptions of leadership behavior, implementation climate, and provider views on organizational support. These factors were assessed using scales with 5-point Likert response options. Attitudinal domains such as Appeal (α = 3.24), Fit (α = 3.31), and Requirements (α = 3.20), were positive. Similarly, providers on average perceived organizational support efforts meant to facilitate EBP implementation (α = 2.74). Our findings point to provider attitudes, perceptions of work climate, general organizational support, and leadership as impacting adoption and sustainment of EBPs. Secondary analysis indicates that some perceptions and attitudes differ by site and by professional role in some assessment domains. Our study highlights factors such as provider attitudes and perspectives on the organizational and implementation climates and on leadership behaviors as impacting EPB implementation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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