Goldhammer Hilary, Marc Linda G, Massaquoi Massah, Cancio Richard, Cahill Sean, Downes Alicia, Rebchook Greg, Bourdeau Beth, Head Jennifer, Psihopaidas Demetrios, Chavis Nicole S, Cohen Stacy M, Mayer Kenneth H, Keuroghlian Alex S
The Fenway Institute, Fenway Health, 1340 Boylston St, Boston, MA, 02215, USA.
Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
AIDS Behav. 2024 Oct 7. doi: 10.1007/s10461-024-04511-y.
Despite advances in HIV care and treatment in the U.S., disparities in outcomes along the HIV care continuum persist. The widespread replication of effective and sustainable interventions that prioritize the engagement of underserved populations has been identified as a promising path to ending the HIV epidemic in the U.S. Intervention dissemination products, however, rarely provide the comprehensive and accessible information needed to replicate interventions within community settings. To bridge the divide between research and community-based implementation, the Using Evidence-informed Interventions to Improve Health Outcomes among People Living with HIV (E2i) initiative-grounded in the HIV/AIDS Bureau Implementation Science Framework-created a suite of tools to promote the rapid replication of interventions focused on transgender women, Black men who have sex with men, behavioral health integration, and identifying and addressing trauma. The resulting dissemination products are detailed and digestible multimedia toolkits that follow adult learning theory principles and align with the Template for Intervention Description and Replication criteria for adapting non-pharmacological interventions. Each E2i toolkit consists of five components: implementation guides, narrative videos of site implementation, best practice demonstration videos, interactive learning modules, and recruitment posters and brochures. Over 2 years (2022-2024), the E2i toolkit webpages amassed 7703 unique users and 17,666 pageviews. These toolkits can serve as a blueprint for designing comprehensive and accessible dissemination products for replication of HIV interventions in care settings. Dissemination products that bridge the gap between intervention research and replication in community settings are a crucial missing tool for ending the HIV epidemic.
尽管美国在艾滋病护理和治疗方面取得了进展,但艾滋病护理连续过程中的结果差异依然存在。广泛推广有效且可持续的干预措施,优先让服务不足的人群参与进来,已被视为在美国终结艾滋病流行的一条充满希望的途径。然而,干预措施传播产品很少提供在社区环境中复制干预措施所需的全面且易于获取的信息。为了弥合研究与基于社区的实施之间的差距,“利用循证干预措施改善艾滋病感染者健康结果”(E2i)倡议——以艾滋病防治局实施科学框架为基础——创建了一套工具,以促进针对跨性别女性、与男性发生性关系的黑人男性、行为健康整合以及识别和解决创伤的干预措施的快速复制。由此产生的传播产品是详细且易于理解的多媒体工具包,遵循成人学习理论原则,并符合改编非药物干预措施的干预描述与复制模板标准。每个E2i工具包由五个部分组成:实施指南、现场实施的叙事视频、最佳实践示范视频、交互式学习模块以及招募海报和宣传册。在两年时间里(2022年至2024年),E2i工具包网页累计有7703名独立用户和17666次页面浏览量。这些工具包可作为设计全面且易于获取的传播产品的蓝图,以便在护理环境中复制艾滋病干预措施。弥合干预研究与社区环境中复制之间差距的传播产品是终结艾滋病流行至关重要但缺失的工具。