期刊
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
卷 90, 期 -, 页码 S226-S234出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAI.0000000000002983
关键词
implementation science; technology; HIV prevention; sustainability; equity
资金
- NIAAA [K01AA028199]
- NIH/NIAID
- NIH/NIMH [P30AI045008]
- Penn Mental Health AIDS Research Center [P30MH097488]
- Johns Hopkins University Center for AIDS Research [P30AI094189]
- NIH/NIAID [P30AI094189, P30AI124414, UH3 AI133675-04, R34 MH121295-01]
- CDC/NCCDPHP [U48DP006396]
- MACC+ Implementation Science Consultation Hub
- Center for AIDS Research at Emory University [P30AI050409]
The use of digital technology in HIV-related interventions and implementation strategies is significant and presents both challenges and opportunities. This article explores five case studies that highlight the role of technology in HIV-related implementation research, emphasizing the importance of study design, outcome measurement, and equity.
Introduction: The use of digital technology in HIV-related interventions and implementation strategies is increasing. Whether the use of technology is to directly improve patient outcomes (ie, part of the intervention) or as part of the strategy to implement interventions has important implications. In this article, we present 5 case studies of projects that feature the use of technology in HIV-related implementation research to identify and describe challenges specific to technology-based implementation research about study design, outcome measurement, implementing in an evolving technology landscape, and equity. Methods: For each case study, we identified the technological components, classified the components as intervention or implementation strategy, and identified implications for measuring performance and ensuring equity. The Exploration, Preparation, Implementation, and Sustainment framework was used to identify the research stage of each project. Results: Technology is being leveraged across a diverse array of implementation strategies to promote Ending the HIV Epidemic in the United States. The case studies were primarily in the exploration and preparation phases of implementation, yet technology played a different role in each project- developing educational materials, mass media to recruit participants or distribute evidence-based campaigns, providing training, guiding tailoring, and implementing novel methods to democratize intervention development. Discussion: Technology can play multiple roles in HIV-related implementation research projects, including serving as the intervention, being leveraged within implementation strategies, or both. We identified multiple considerations across projects that should be taken into account when measuring success and planning for equitable and sustained impact.
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