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The question of the question: impactful implementation science to address the HIV epidemic

INTRODUCTION: Questions about the implementation of evidence‐based intervention to treat and prevent HIV have risen to the top of the field's scientific priorities. Despite the availability of highly efficacious treatment and prevention interventions, impact has fallen short of targets because...

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Autores principales: Geng, Elvin H., Nash, Denis, Phanuphak, Nittaya, Green, Kimberly, Solomon, Sunil, Grimsrud, Anna, Sohn, Annette H., Mayer, Kenneth H., Bärnighausen, Till, Bekker, Linda‐Gail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8982316/
https://www.ncbi.nlm.nih.gov/pubmed/35384312
http://dx.doi.org/10.1002/jia2.25898
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author Geng, Elvin H.
Nash, Denis
Phanuphak, Nittaya
Green, Kimberly
Solomon, Sunil
Grimsrud, Anna
Sohn, Annette H.
Mayer, Kenneth H.
Bärnighausen, Till
Bekker, Linda‐Gail
author_facet Geng, Elvin H.
Nash, Denis
Phanuphak, Nittaya
Green, Kimberly
Solomon, Sunil
Grimsrud, Anna
Sohn, Annette H.
Mayer, Kenneth H.
Bärnighausen, Till
Bekker, Linda‐Gail
author_sort Geng, Elvin H.
collection PubMed
description INTRODUCTION: Questions about the implementation of evidence‐based intervention to treat and prevent HIV have risen to the top of the field's scientific priorities. Despite the availability of highly efficacious treatment and prevention interventions, impact has fallen short of targets because these interventions are used with insufficient reach, consistency, sustainability and equity in diverse real‐world settings. At present, substantial excitement for implementation science — defined as research methods and strategies to improve use of evidence‐based interventions — has focused on developing and disseminating methods to conduct rigorous research. Yet, impactful answers depend on a sometimes less visible, but even more important, step: asking good questions about implementation. DISCUSSION: In this commentary, we offer several considerations for researchers formulating implementation research questions based on several distinctive features of the field. First, as findings are used not only by other researchers but by implementers, scientific questions must incorporate a range of stakeholder and community perspectives to be most relevant. Second, real‐world settings are contextually diverse, and the most relevant scientific questions must position answers to make sense within these contexts (whether geographical, organizational and sociological), rather than apart from them. Third, implementation is complex and dynamic; consequently, research questions must make use of emerging standards in describing implementation strategies and their effects whenever possible. Finally, the field of implementation science continues to evolve, so framing problems with a diverse disciplinary lens will enable researchers to pose insightful and impactful questions. CONCLUSIONS: We are now at a juncture marked by both rich evidence‐based interventions and a persistent global pandemic. To achieve continued scientific progress against the HIV epidemic, asking the right questions might be part of the answer itself.
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spelling pubmed-89823162022-04-11 The question of the question: impactful implementation science to address the HIV epidemic Geng, Elvin H. Nash, Denis Phanuphak, Nittaya Green, Kimberly Solomon, Sunil Grimsrud, Anna Sohn, Annette H. Mayer, Kenneth H. Bärnighausen, Till Bekker, Linda‐Gail J Int AIDS Soc Commentary INTRODUCTION: Questions about the implementation of evidence‐based intervention to treat and prevent HIV have risen to the top of the field's scientific priorities. Despite the availability of highly efficacious treatment and prevention interventions, impact has fallen short of targets because these interventions are used with insufficient reach, consistency, sustainability and equity in diverse real‐world settings. At present, substantial excitement for implementation science — defined as research methods and strategies to improve use of evidence‐based interventions — has focused on developing and disseminating methods to conduct rigorous research. Yet, impactful answers depend on a sometimes less visible, but even more important, step: asking good questions about implementation. DISCUSSION: In this commentary, we offer several considerations for researchers formulating implementation research questions based on several distinctive features of the field. First, as findings are used not only by other researchers but by implementers, scientific questions must incorporate a range of stakeholder and community perspectives to be most relevant. Second, real‐world settings are contextually diverse, and the most relevant scientific questions must position answers to make sense within these contexts (whether geographical, organizational and sociological), rather than apart from them. Third, implementation is complex and dynamic; consequently, research questions must make use of emerging standards in describing implementation strategies and their effects whenever possible. Finally, the field of implementation science continues to evolve, so framing problems with a diverse disciplinary lens will enable researchers to pose insightful and impactful questions. CONCLUSIONS: We are now at a juncture marked by both rich evidence‐based interventions and a persistent global pandemic. To achieve continued scientific progress against the HIV epidemic, asking the right questions might be part of the answer itself. John Wiley and Sons Inc. 2022-04-05 /pmc/articles/PMC8982316/ /pubmed/35384312 http://dx.doi.org/10.1002/jia2.25898 Text en © 2022 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Geng, Elvin H.
Nash, Denis
Phanuphak, Nittaya
Green, Kimberly
Solomon, Sunil
Grimsrud, Anna
Sohn, Annette H.
Mayer, Kenneth H.
Bärnighausen, Till
Bekker, Linda‐Gail
The question of the question: impactful implementation science to address the HIV epidemic
title The question of the question: impactful implementation science to address the HIV epidemic
title_full The question of the question: impactful implementation science to address the HIV epidemic
title_fullStr The question of the question: impactful implementation science to address the HIV epidemic
title_full_unstemmed The question of the question: impactful implementation science to address the HIV epidemic
title_short The question of the question: impactful implementation science to address the HIV epidemic
title_sort question of the question: impactful implementation science to address the hiv epidemic
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8982316/
https://www.ncbi.nlm.nih.gov/pubmed/35384312
http://dx.doi.org/10.1002/jia2.25898
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