Ventuneac Ana, Li Dennis H, Mongrella Melissa C, Moskowitz David A, Weingardt Kenneth R, Brown C Hendricks, Parsons Jeffrey T, Mustanski Brian
Icahn School of Medicine at Mount Sinai, Division of Infectious Diseases, New York, NY, USA.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Sex Res Social Policy. 2020 Sep;17(3):378-388. doi: 10.1007/s13178-019-00402-3. Epub 2019 Sep 10.
Little is known about how to best implement eHealth HIV interventions for adolescent men who have sex with men (AMSM) in real-world settings. In response, our current study describes formative implementation research with community-based organizations (CBOs) in preparation for future implementation of the SMART Program, a stepped-care package of three interventions adapted for AMSM. In-depth interviews focusing on eHealth implementation were conducted with a convenience sample of 12 stakeholders from nine CBOs that actively implemented sexual-minority-focused HIV/AIDS prevention programs. Qualitative analysis was conducted using Dedoose to identify salient themes. Most programs implemented at the CBOs engaged adult MSM for HIV prevention, but CBOs reported less experience with outreach of AMSM for HIV prevention. While comfortable with and skilled at implementing traditional in-person HIV prevention programs, interviewees reported that eHealth programs fell outside of their organizations' technical capacities. They suggested specific strategies to facilitate successful implementation of SMART and other eHealth programs, including technical-capacity-building at CBOs, better training of staff, and partnering with a national coordinating center that provides support for the technology. Overall, the CBOs reported enthusiasm for the SMART Program and thought it an efficient way to bridge their current gaps in online programming and lack of AMSM HIV prevention strategies.
在现实环境中，对于如何为男男性行为青少年（AMSM）最佳地实施电子健康艾滋病毒干预措施，人们知之甚少。作为回应，我们当前的研究描述了与社区组织（CBO）开展的形成性实施研究，为未来实施SMART计划做准备，该计划是一套针对AMSM调整的包含三种干预措施的阶梯式护理方案。我们对来自九个积极实施针对性少数群体的艾滋病毒/艾滋病预防项目的CBO的12名利益相关者进行了便利抽样访谈，重点关注电子健康实施情况。使用Dedoose进行定性分析以确定突出主题。大多数CBO实施的项目让成年男男性行为者参与艾滋病毒预防，但CBO报告称在针对AMSM进行艾滋病毒预防外展方面经验较少。虽然受访者对实施传统的面对面艾滋病毒预防项目感到得心应手且熟练，但他们表示电子健康项目超出了其组织的技术能力范围。他们提出了促进SMART及其他电子健康项目成功实施的具体策略，包括在CBO进行技术能力建设、对工作人员进行更好的培训，以及与提供技术支持的国家协调中心合作。总体而言，CBO对SMART计划表示出热情，并认为它是弥补其当前在线项目差距和缺乏AMSM艾滋病毒预防策略的有效方式。
