Barriers and Facilitators to Implementing Keep It Up!, A Digital Health Intervention, in Community-Based Organizations.
Despite ongoing investments in the development and testing of new digital interventions for HIV prevention, the widespread use of interventions with proven effectiveness remains limited. This study assessed real-world implementation of a digital HIV prevention intervention, Keep It Up!. The study ai...
| Publicado en: | AIDS & Behavior Vol. 28; no. 12; pp. 3944 - 3956 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181065290&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181065290 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2024 vid: 28 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181065290 180185969 181065290 181065290 10.1007/s10461-024-04525-6 181065290 ppf: 3944 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers and Facilitators to Implementing Keep It Up!, A Digital Health Intervention, in Community-Based Organizations. aug: au: Zamantakis, Alithia Zapata, Juan Pablo Greenawalt, Isaac Knapp, Ashley A. Benbow, Nanette Mustanski, Brian affil: https://ror.org/000e0be47 Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, US sug: subj: Community Health Services Sexual and Gender Minorities HIV Infections Prevention and Control Digital Health Internet-Based Intervention Program Implementation Human Funding Source Secondary Analysis Qualitative Studies Attitude of Health Personnel Interviews Thematic Analysis Leadership Organizational Culture Self-Efficacy Motivation Personnel Turnover Interinstitutional Relations Collaboration Implementation Science ab: Despite ongoing investments in the development and testing of new digital interventions for HIV prevention, the widespread use of interventions with proven effectiveness remains limited. This study assessed real-world implementation of a digital HIV prevention intervention, Keep It Up!. The study aimed to identify barriers and facilitators to implementing Keep It Up! within community-based organizations (CBOs) serving racially diverse sexual and gender minoritized populations. The Keep It Up! trial is a type III effectiveness-implementation hybrid trial to compare two delivery approaches: direct-to-consumer and CBO-based implementation. This manuscript focuses on the CBO-based approach through interviews with CBO staff members before and during implementation (n = 37 and n = 25, respectively). Interviews were coded according to the Consolidated Framework for Implementation Research and thematically analyzed. Staff highlighted adaptability, leadership engagement, compatibility, and organizational culture as facilitators of Keep It Up! implementation. Identified barriers included self-efficacy, motivation, staff turnover, and partnerships and connections. CBO infrastructure, capacity, research experience, and processes influenced the relative importance of these barriers and facilitators. This study is one of the first to detail barriers and facilitators experienced by staff implementing a digital HIV prevention intervention in CBOs. Interviews illuminated the need for interventions like Keep It Up! for young men who have sex with men and detailed the need for additional strategies to assist CBOs unfamiliar with implementing digital health interventions. Trial Registration Number: NCT03896776. Resumen: A pesar de a las inversiones hechas en el desarrollo y prueba de nuevas intervenciones digitales para prevenir el VIH, el uso generalizado de intervenciones eficaces aun es limitado. Este estudio evaluó la implementación en el mundo real de una intervención digital de prevención del VIH, Keep It Up!. El estudio identificó barreras y facilitadores para implementar Keep It Up! dentro de organizaciones comunitarias que atienden a personas minorizadas por género y sexualidad. El ensayo de Keep It Up! es un ensayo híbrido de efectividad-implementación de tipo III para comparar dos enfoques de entrega: implementación directa al consumidor e implementación en organizaciones comunitarias. Este manuscrito se centra en la implementación en organizaciones comunitarias a través de entrevistas con miembros del personal de las organizaciones antes y durante la implementación (n = 37 y n = 25, respectivamente). Las entrevistas se codificaron de acuerdo con el Marco Conceptual Consolidado para la Investigación de Implementación y se analizaron temáticamente. El personal destacó la adaptabilidad, el compromiso del liderazgo, la compatibilidad, y la cultura organizacional como facilitadores de la implementación de Keep It Up!. Las barreras identificadas incluyeron la autoeficacia, la motivación, la rotación de personal, y las asociaciones y conexiones. La infraestructura, capacidad, experiencia en investigación, y procesos de las organizaciones comunitarias influyeron en la importancia relativa de estas barreras y facilitadores. Este estudio es uno de los primeros en detallar las barreras y los facilitadores que experimenta el personal que implementa una intervención digital de prevención del VIH en las organizaciones comunitarias. Las entrevistas iluminaron la necesidad de intervenciones como Keep It Up! para hombres jóvenes que tienen sexo con hombres y detalló la necesidad de estrategias adicionales para ayudar a las organizaciones comunitarias que no están familiarizadas con la implementación de intervenciones de salud digitales. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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