实施的障碍和促进者 Keep It Up!,一个数字健康干预,在社区组织中
Alithia Zamantakis1,2, Juan Pablo Zapata1,2, Isaac Greenawalt1
1Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, US.
AIDS and behavior
|October 10, 2024
概括
在社区组织 (CBO) 中实施数字艾滋病毒预防干预措施面临挑战. 适应能力和领导力支持促进了采用,而员工流动和培训需求阻碍了性和性别少数群体的广泛使用.
科学领域:
- 实施科学 实施科学
- 数字健康干预措施 数字健康干预措施
- 公共卫生 公共卫生
背景情况:
- 数字艾滋病毒预防干预措施显示出希望,但面临着有限的现实世界的吸收.
- 基于社区的组织 (CBO) 对于接触各种人群,包括性和性别少数群体至关重要.
- 了解CBO内部的实施障碍和促进者对于成功的数字健康战略至关重要.
研究的目的:
- 识别实施"继续这样做!"的障碍和促进者. 在CBOs中进行数字HIV预防干预.
- 探索服务于种族多样性,性和性别少数群体的员工的实施经验.
- 为加强在社区环境中采用数字艾滋病毒预防工具的战略提供信息.
主要方法:
- 在干预实施前和期间,使用半结构化采访对CBO工作人员 (n=62) 的定性方法.
- 应用实施研究综合框架 (CFIR) 来编码采访数据.
- 专题分析,以确定在实施"继续前进!"的过程中经常出现的障碍和促进者. 干预,干预,干预,干预.
主要成果:
- 促进者包括干预适应性,领导参与,感知相容性和积极的组织文化.
- 障碍包括员工的自我效能,动机,高流动率以及与伙伴关系和联系有关的挑战.
- CBO的基础设施,能力,研究经验和既定流程显著影响了实施动态.
结论:
- 数字艾滋病毒预防干预措施,比如'继续吧!' 对于关键人群来说是必要的,例如与男性发生性关系的年轻人.
- 需要有针对性的战略来支持CBOs,特别是那些刚开始实施数字健康的CBOs.
- 解决与员工相关的因素和加强组织能力对于成功扩大数字艾滋病毒预防至关重要.
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