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Orienteering as a Tool for Cognitive Research: An Implementation Guide
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Stakeholder Perspectives on MAPS.

Amanda L Sanchez1,2,3, Katelin Hoskins1,2,3, Amy R Pettit4

  • 1Penn Medicine Nudge Unit, University of Pennsylvania Health System, Philadelphia, PA.

Journal of Acquired Immune Deficiency Syndromes (1999)
|June 15, 2022
PubMed
Summary
This summary is machine-generated.

Community health workers can deliver Managed Problem Solving (MAPS) to improve HIV medication adherence and viral suppression. Stakeholders support this approach, offering insights for broader implementation in clinics.

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Area of Science:

  • Implementation science
  • Public health interventions
  • HIV/AIDS care

Background:

  • Managed Problem Solving (MAPS) is an evidence-based intervention proven to enhance HIV medication adherence and viral suppression.
  • Despite its efficacy, MAPS is underutilized in community clinics, hindering progress towards the Ending the HIV Epidemic (EHE) initiative's goals.
  • Deploying community health workers (CHWs) to deliver MAPS presents a scalable strategy to overcome implementation barriers.

Purpose of the Study:

  • To investigate barriers and facilitators to implementing CHW-delivered MAPS in Ryan White-funded clinics.
  • To gather stakeholder perspectives on optimizing MAPS delivery for people with HIV (PWH).
  • To inform the development of effective implementation strategies aligned with the EHE initiative.

Main Methods:

  • Conducted semistructured interviews with 13 clinics and diverse stakeholder groups (clinicians, administrators, policymakers).
  • Utilized the Consolidated Framework for Implementation Research to guide inquiry into implementation determinants.
  • Employed rapid qualitative analysis to synthesize data and identify key implementation categories.

Main Results:

  • Stakeholders expressed receptiveness to CHW-delivered MAPS.
  • Identified critical implementation factors, including patient identification/referral processes and care team integration.
  • Highlighted the importance of seamless communication within the clinical setting.

Conclusions:

  • This study provides crucial insights into the barriers and facilitators of implementing evidence-based behavioral interventions in HIV care settings.
  • The findings offer a rapid qualitative approach to incorporate stakeholder data for developing targeted implementation strategies.
  • Results contribute valuable knowledge for national EHE implementation efforts and broader HIV care optimization.