Golub Sarit A, Wolfer Carly, Beacham Alexa, Lane Benjamin V, Chastain Cody A, Meyers Kathrine A
Department of Psychology, Hunter College of the City University of New York, New York, NY.
Basic and Applied Social Psychology PhD Program, Department of Psychology, Graduate Center of the City University of New York, New York, NY.
J Acquir Immune Defic Syndr. 2025 Apr 1;98(4):377-385. doi: 10.1097/QAI.0000000000003581. Epub 2025 Feb 19.
Effective implementation of evidence-based HIV prevention interventions continues to be a challenge in the United States, and the field is increasingly turning to implementation science for solutions. As such, it is critical to expand the current implementation science vocabulary-and its taxonomy of implementation strategies-to increase its relevance and utility for front-line implementers.
Community-based health centers providing HIV prevention services in the southeastern United States.
We conducted a collective case-study analysis, combining document review and qualitative interviews with program directors, clinicians, and other providers (N = 30) at 5 sites. We used an inductive and iterative analytic approach to specify and categorize strategies, and then conducted in-depth cross-case analysis to derive a practice-driven taxonomy of HIV prevention implementation strategies.
From an initial matrix of 264 activities, we identified 50 strategies common across sites. In contrast to existing implementation science frameworks, most (68%, n = 34) strategies were designed to affect implementation outcomes (eg, acceptability, adoption, feasibility) for patients. We present a practice-driven taxonomy of these strategies, operationalized according to implementation science literature, but with terminology that more directly relates to implementers.
Findings demonstrate the feasibility and utility of this method for developing a practice-driven implementation science vocabulary for HIV prevention. Our evidence-based taxonomy provides a framework for implementers seeking data about the universe of strategies they might consider for their own programs, and increases researchers' ability to measure and evaluate the effectiveness of implementation strategies being enacted in practice settings.
在美国，有效实施基于证据的艾滋病毒预防干预措施仍然是一项挑战，该领域越来越多地转向实施科学来寻求解决方案。因此，扩大当前的实施科学词汇及其实施策略分类法至关重要，以提高其对一线实施者的相关性和实用性。
美国东南部提供艾滋病毒预防服务的社区卫生中心。
我们进行了一项集体案例研究分析，结合文件审查以及对5个地点的项目主任、临床医生和其他提供者（N = 30）的定性访谈。我们采用归纳和迭代分析方法来确定策略并进行分类，然后进行深入的跨案例分析，以得出基于实践的艾滋病毒预防实施策略分类法。
从最初的264项活动矩阵中，我们确定了各地点共有的50项策略。与现有的实施科学框架不同，大多数（68%，n = 34）策略旨在影响患者的实施结果（如可接受性、采用率、可行性）。我们展示了这些策略基于实践的分类法，根据实施科学文献进行操作，但使用的术语与实施者的关系更直接。
研究结果证明了这种方法对于开发基于实践的艾滋病毒预防实施科学词汇的可行性和实用性。我们基于证据的分类法为实施者提供了一个框架，使他们能够获取有关其自身项目可能考虑的策略范围的数据，并提高研究人员衡量和评估在实际环境中实施的策略有效性的能力。
