Visher Christy A, Yang Yang, Mitchell Shannon G, Patterson Yvonne, Swan Holly, Pankow Jennifer
Center for Drug & Health Studies, Department of Sociology and Criminal Justice, University of Delaware, Newark, USA.
Department of Psychology, University of Louisiana at Lafayette, Lafayette, USA.
Health Justice. 2015 Dec;3(1):5. doi: 10.1186/s40352-015-0018-2.
In the growing field of implementation science, sustainability is a critical component of the implementation process of moving evidence-based treatments to regular practice. This paper is intended to extend our understanding of factors that influence the sustainability of HIV services in correctional settings following an organization-level intervention designed to implement improvements in preventing, detecting, or treating HIV for persons under correctional supervision.
Using semi-structured interviews to elicit perceptions from the principal researcher and executive sponsor at each of nine participating sites, this study explores the variations in the sustainability of HIV services in these criminal justice settings following the experimental implementation intervention.
In six of the nine sites, changes in HIV services implemented as a result of the organizational intervention were sustained six to nine months following the end of project implementation. Organizational endorsement at multiple levels is likely the principal factor that facilitates sustainability.
The factors that result in the sustainability of changes to health services in correctional organizations include elements internal and external to the organization. Implementation strategies, such as the change team model strategy used in this study, are also sustainable and can be used to identify other changes that could be made, or improve other aspects of service delivery.
在实施科学这一不断发展的领域中，可持续性是将循证治疗推广至常规实践的实施过程的关键组成部分。本文旨在加深我们对影响惩教机构中艾滋病毒服务可持续性因素的理解，此前进行了一项组织层面的干预，旨在改善对惩教监管下人员的艾滋病毒预防、检测或治疗。
本研究通过半结构化访谈，从九个参与地点的首席研究员和执行赞助人那里获取看法，探讨在实验性实施干预后，这些刑事司法环境中艾滋病毒服务可持续性的差异。
在九个地点中的六个，由于组织干预而实施的艾滋病毒服务变化在项目实施结束后的六至九个月内得以持续。多层次的组织支持可能是促进可持续性的主要因素。
导致惩教机构卫生服务变化可持续的因素包括组织内部和外部的因素。本研究中使用的变革团队模型策略等实施策略也是可持续的，可用于识别可能进行的其他变革或改善服务提供的其他方面。
