Barriers and facilitators to implementing a motivational interviewing-based intervention: a multi-site study of organizations caring for youth living with HIV.
Understanding possible barriers and facilitators to effective implementation of evidence-based interventions to help high-risk youth prevent and manage HIV is crucial for their scale-up. This manuscript analyzes qualitative interview data collected during the early phase implementation of a motivati...
| Published in: | AIDS Care Vol. 34; no. 4; pp. 486 - 492 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
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Taylor & Francis Ltd
Apr2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156074910&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156074910 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09540121 AAE jtl: AIDS Care issn: 09540121 maglogo: N pubinfo: dt: Apr2022 vid: 34 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 156074910 151372755 156074910 156074910 10.1080/09540121.2021.1950604 156074910 ppf: 486 ppct: 6 formats: tig: atl: Barriers and facilitators to implementing a motivational interviewing-based intervention: a multi-site study of organizations caring for youth living with HIV. aug: au: Nagy, Samantha M. Butame, Seyram A. Todd, Lisa Sheffler, Julia L. Budhwani, Henna Fernandez, Maria I. MacDonell, Karen Naar, Sylvie affil: Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA sug: subj: Attitude of Health Personnel Implementation Science Motivational Interviewing Medical Practice, Evidence-Based Organizational Culture HIV-Positive Persons In Adolescence Human United States Multicenter Studies Multimethod Studies Interviews Conceptual Framework Content Analysis Adolescence Adolescent: 13-18 years ab: Understanding possible barriers and facilitators to effective implementation of evidence-based interventions to help high-risk youth prevent and manage HIV is crucial for their scale-up. This manuscript analyzes qualitative interview data collected during the early phase implementation of a motivational interviewing (MI) based intervention at 10 HIV care clinics in the United States providing services to youth. Using the Exploration-Preparation-Implementation-Sustainment (EPIS) framework to understand the implementation and the dynamic adaptation process (DAP) model to balance notions of intervention fidelity and flexibility, providers and stakeholders at each site (N = 97) were interviewed prior to implementation to gather their perspectives on organizational readiness for the intervention, as well as provider and client characteristics. The interviewers summarized their experience with rapid feedback forms (RFFs). Data extracted from the RFFs highlighted anticipated barriers to and facilitators of the proposed MI-based intervention, with the EPIS framework used to organize these findings. Study findings illustrate the inner and outer contextual factors that affect implementation and denote the points at which the MI-based intervention may be tailored to fit the unique context of a clinic while remaining faithful to the intervention's original design. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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