Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.

US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed. This mixed-method pilot study sought to un...

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Publicado en:Community Health Equity Research & Policy Vol. 46; no. 1; pp. 53 - 64
Autores principales: Jeter, Elizabeth, Bacon, Cynthia, Johnson, Ragan, Lane, Hannah, Randolph, Schenita D.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.
      aug:
        au:
          Jeter, Elizabeth
          Bacon, Cynthia
          Johnson, Ragan
          Lane, Hannah
          Randolph, Schenita D.
        affil: Duke University School of Nursing, Durham, NC, USA
      sug:
        subj:
          Pre-Exposure Prophylaxis
          African Americans Psychosocial Factors
          Women Psychosocial Factors
          Healthcare Disparities
          Health Promotion
          HIV Infections Prevention and Control
          Program Implementation
          Health Inequities
          Fitness Centers United States
          Human
          Female
          Adult
          Middle Age
          United States
          Health Services Accessibility
          Multimethod Studies
          Pilot Studies
          Organizational Culture
          Surveys
          Teamwork
          Questionnaires
          Scales
          Semi-Structured Interview
          Supervisors and Supervision
          Support, Psychosocial
          Health Knowledge
          Telehealth
          Implementation Science
          Data Analysis Software
          Descriptive Statistics
          Morale
          Trust
          Communication
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed. This mixed-method pilot study sought to understand how salon organizational factors may have influenced UPDOs implementation with a focus on organizational culture, team culture, relational connection, and communication within a Consolidated Framework for Implementation Research (CFIR) inner setting lens. Organizational culture and team culture were measured using the Organizational Culture Survey (OCS) and Team Psychological Safety Scale (TPS). Relational connection and communication were explored qualitatively using participant observations and semi-structured interviews. Findings were positive towards teamwork, morale, information flow, involvement, and supervision as well as reflected positive organizational environment that were supportive of developing knowledge and skills. Relational connection and communication created a trusting environment that facilitated implementation. Future research can benefit from examining organizational environment when scaling interventions to overcome HIV and PrEP inequities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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