Jeb Jones1, Justin Knox2, Steven Meanley3, Cui Yang4, David W Lounsbury5, Terry T Huang6, Jose Bauermeister3, Graciela Gonzalez-Hernandez7, Victoria Frye8, Christian Grov9, Viraj Patel10, Stefan D Baral11, Patrick S Sullivan1, Sheree R Schwartz11. 1. Department of Epidemiology, Emory University, Atlanta, GA. 2. Department of Psychiatry, Columbia University Irving Medical Center, New York, NY. 3. Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA. 4. Department of Health, Behavior and Society, Johns Hopkins School of Public Health, Baltimore, MD. 5. Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY. 6. Department of Health Policy and Management and Center for Systems and Community Design, Graduate School of Public Health and Health Policy, City University of New York, New York, NY. 7. Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA. 8. Department of Community Health and Social Medicine, School of Medicine, City University of New York, New York, NY. 9. Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York, New York, NY. 10. Department of Medicine, Division of General Internal Medicine, Montefiore Health System, Bronx, NY; and. 11. Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD.
Abstract
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.
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.
Authors: Daniel Romer; Sharon Sznitman; Ralph DiClemente; Laura F Salazar; Peter A Vanable; Michael P Carey; Michael Hennessy; Larry K Brown; Robert F Valois; Bonita F Stanton; Thierry Fortune; Ivan Juzang Journal: Am J Public Health Date: 2009-10-15 Impact factor: 9.308
Authors: Laura Jadwin-Cakmak; José A Bauermeister; Jacob M Cutler; Jimena Loveluck; Triana Kazaleh Sirdenis; Kathryn B Fessler; Elliot E Popoff; Akilah Benton; Naomi F Pomerantz; Stevi L Gotts Atkins; Teresa Springer; Gary W Harper Journal: J Adolesc Health Date: 2020-04-05 Impact factor: 5.012
Authors: Patrick Sean Sullivan; Ryan J Zahn; Sarah Wiatrek; Cristian J Chandler; Sabina Hirshfield; Rob Stephenson; Jose A Bauermeister; Mary Ann Chiasson; Martin J Downing; Deborah J Gelaude; Aaron J Siegler; Keith Horvath; Erin Rogers; Ana Alas; Evelyn J Olansky; Heather Saul; Eli S Rosenberg; Gordon Mansergh Journal: JMIR Res Protoc Date: 2019-11-15