Categorising implementation determinants and strategies within the US HIV implementation literature: a systematic...

Area of Science:

• Implementation Science
• Public Health
• HIV/AIDS Research

Background:

• HIV/AIDS remains a significant public health issue in the US, particularly for specific populations.
• The Ending the HIV Epidemic (EHE) initiative requires sustained use of effective interventions.
• Over 200 NIH-funded implementation studies exist, necessitating a comprehensive review.

Purpose of the Study:

• To conduct a systematic literature review on HIV prevention and care implementation in the USA.
• To identify and categorize implementation determinants (barriers and facilitators).
• To categorize implementation strategies across the HIV prevention and care continuum.

Main Methods:

• Systematic review protocol following PRISMA guidelines.
• Database searches (Ovid MEDLINE, PsycINFO, Web of Science) from Nov 2020 to Jan 2022.
• Inclusion criteria: USA, post-2000, English, HIV/AIDS-related, implementation outcomes, behavioral studies.

Main Results:

• Three systematic reviews planned for pre-exposure prophylaxis, testing/diagnosing and linkage to care, and treatment.
• Determinants coded using an adapted Consolidated Framework for Implementation Research 2.0.
• Implementation strategies and outcomes categorized using existing frameworks.

Conclusions:

• This review will enhance knowledge of implementation determinants and strategies for HIV prevention and care.
• Findings will support the goals of the Ending the HIV Epidemic national strategic plan.
• Dissemination via publications, conferences, and online tools.