Predicting organizational readiness to implement HIV prevention with couples using practitioners' intentions: testing...

Area of Science:

• Implementation Science
• Public Health
• HIV Prevention

Background:

• Couple-based interventions are crucial for ending the AIDS epidemic.
• Successful clinical trials show promise for manual-based and web-based HIV prevention modalities.
• Real-world implementation requires understanding organizational readiness to support these interventions.

Purpose of the Study:

• To examine which domains of staff-reported organizational readiness predict providers' intention to deliver couple-based HIV-prevention interventions.
• To identify key factors that enhance organizational preparedness for disseminating HIV prevention programs.

Main Methods:

• Assessed organizational readiness at baseline in 253 facilitators from a randomized clinical trial on couple-based HIV prevention.
• Measured general capacities, couple-based intervention-specific capacities, and staff motivation.
• Utilized multilevel regression models to analyze predictors of implementation intention at 6, 12, and 18 months.

Main Results:

• Higher perceived organizational resources significantly predicted increased intention to facilitate the intervention (B = 0.126, p = .028).
• Stronger staff motivation was a significant predictor of increased intention to facilitate the intervention (B = 0.510, p = .009).
• These factors were significant after adjusting for staff demographics and study condition.

Conclusions:

• Perceived organizational resources and staff motivation are critical domains for strengthening readiness in couple-based HIV prevention programs.
• Training administrators and staff in these areas can enhance program implementation.
• Further research is needed to understand the impact of these domains on actual intervention delivery.