Contributions of Qualitative Methods to Real-Time Implementation Strategy Design: A Case Study Linking Justice...

Area of Science:

• Public Health
• Implementation Science
• HIV Prevention

Background:

• Pre-exposure prophylaxis (PrEP) is effective in reducing HIV risk but underutilized, particularly in the southern US.
• Suboptimal PrEP use is a significant barrier to HIV prevention in high-incidence areas.

Purpose of the Study:

• To develop and deploy a multicomponent implementation strategy to link individuals released from jail to PrEP services.
• To address the critical need for improved HIV prevention among justice-involved populations in the southern US.

Main Methods:

• Employed a mixed-methods approach combining qualitative research and implementation science.
• Utilized the EPIS framework and socioecological model, incorporating semi-structured interviews, focus groups, and a community summit.
• Applied implementation mapping principles to develop a tailored action plan for strategy deployment.

Main Results:

• Qualitative data informed the development of a multicomponent strategy to facilitate PrEP linkage for individuals transitioning from jail to the community.
• The study is evaluating the feasibility, effectiveness, and sustainability of the implemented strategy.
• Lessons learned will inform future HIV prevention efforts for justice-involved populations.

Conclusions:

• A synergistic approach integrating qualitative methods and implementation science is crucial for effective public health interventions.
• Tailored strategies are needed to overcome barriers and improve PrEP uptake among formerly incarcerated individuals.
• This research offers valuable insights for enhancing HIV prevention services within the jail-to-community continuum.