TY - JOUR
T1 - Explorations of the Role of Digital Technology in HIV-Related Implementation Research
T2 - Case Comparisons of Five Ending the HIV Epidemic Supplement Awards
AU - Jones, Jeb
AU - Knox, Justin
AU - Meanley, Steven
AU - Yang, Cui
AU - Lounsbury, David W.
AU - Huang, Terry T.
AU - Bauermeister, Jose
AU - Gonzalez-Hernandez, Graciela
AU - Frye, Victoria
AU - Grov, Christian
AU - Patel, Viraj
AU - Baral, Stefan D.
AU - Sullivan, Patrick S.
AU - Schwartz, Sheree R.
N1 - Funding Information:
J.K. was supported by NIAAA (K01AA028199). S.M., J.B., and G.G. were supported through NIH/NIAID and NIH/NIMH supplements to the Penn Center for AIDS Research (P30AI045008) and the Penn Mental Health AIDS Research Center (P30MH097488). C.Y. is supported by the Johns Hopkins University Center for AIDS Research (P30AI094189). D.L., T.H., V.F., and C.G. are supported through NIH/NIAID P30AI124414, UH3 AI133675-04, and R34 MH121295-01. T.H. is additionally supported by CDC/NCCDPHP U48DP006396. S.B. and S.S. were supported through the MACC+ Implementation Science Consultation Hub and the HIV and IS Fellowship for ESIs both funded by the NIH/NIAID through supplements to the Johns Hopkins University Center for AIDS Research (P30AI094189). P.S. is supported by the Center for AIDS Research at Emory University (P30AI050409).
Funding Information:
We prepared case studies of 5 ongoing implementation research projects funded by EHE Supplement Awards and supported through NIH-funded Centers for AIDS Research and NIMH-funded AIDS Research Centers. EHE projects were supported through implementation science technical hubs, and studies were identified during the formative stages of development as each study team encountered similar issues about delineating implementation strategies and interventions and selecting appropriate process and implementation outcomes. Thus, we followed an inductive approach in which an emergent phenomenon led us to systematically explore these issues.
Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - Introduction:The use of digital technology in HIV-related interventions and implementation strategies is increasing. Whether the use of technology is to directly improve patient outcomes (ie, part of the intervention) or as part of the strategy to implement interventions has important implications. In this article, we present 5 case studies of projects that feature the use of technology in HIV-related implementation research to identify and describe challenges specific to technology-based implementation research about study design, outcome measurement, implementing in an evolving technology landscape, and equity.Methods:For each case study, we identified the technological components, classified the components as intervention or implementation strategy, and identified implications for measuring performance and ensuring equity. The Exploration, Preparation, Implementation, and Sustainment framework was used to identify the research stage of each project.Results:Technology is being leveraged across a diverse array of implementation strategies to promote Ending the HIV Epidemic in the United States. The case studies were primarily in the exploration and preparation phases of implementation, yet technology played a different role in each project - developing educational materials, mass media to recruit participants or distribute evidence-based campaigns, providing training, guiding tailoring, and implementing novel methods to democratize intervention development.Discussion:Technology can play multiple roles in HIV-related implementation research projects, including serving as the intervention, being leveraged within implementation strategies, or both. We identified multiple considerations across projects that should be taken into account when measuring success and planning for equitable and sustained impact.
AB - Introduction:The use of digital technology in HIV-related interventions and implementation strategies is increasing. Whether the use of technology is to directly improve patient outcomes (ie, part of the intervention) or as part of the strategy to implement interventions has important implications. In this article, we present 5 case studies of projects that feature the use of technology in HIV-related implementation research to identify and describe challenges specific to technology-based implementation research about study design, outcome measurement, implementing in an evolving technology landscape, and equity.Methods:For each case study, we identified the technological components, classified the components as intervention or implementation strategy, and identified implications for measuring performance and ensuring equity. The Exploration, Preparation, Implementation, and Sustainment framework was used to identify the research stage of each project.Results:Technology is being leveraged across a diverse array of implementation strategies to promote Ending the HIV Epidemic in the United States. The case studies were primarily in the exploration and preparation phases of implementation, yet technology played a different role in each project - developing educational materials, mass media to recruit participants or distribute evidence-based campaigns, providing training, guiding tailoring, and implementing novel methods to democratize intervention development.Discussion:Technology can play multiple roles in HIV-related implementation research projects, including serving as the intervention, being leveraged within implementation strategies, or both. We identified multiple considerations across projects that should be taken into account when measuring success and planning for equitable and sustained impact.
KW - HIV prevention
KW - equity
KW - implementation science
KW - sustainability
KW - technology
UR - http://www.scopus.com/inward/record.url?scp=85132131573&partnerID=8YFLogxK
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U2 - 10.1097/QAI.0000000000002983
DO - 10.1097/QAI.0000000000002983
M3 - Article
C2 - 35703775
AN - SCOPUS:85132131573
VL - 90
SP - S226-S234
JO - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
JF - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
SN - 1525-4135
ER -