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A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial
Positive Health Check is an evidence-based video doctor intervention developed for improving the medication adherence, retention in care, and viral load suppression of people with HIV receiving clinical care. SETTING: Four HIV primary care clinics within the United States. METHODS: As part of a type...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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JAIDS Journal of Acquired Immune Deficiency Syndromes
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377502/ https://www.ncbi.nlm.nih.gov/pubmed/35583962 http://dx.doi.org/10.1097/QAI.0000000000003018 |
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author | Garner, Bryan R. Burrus, Olivia Ortiz, Alexa Tueller, Stephen J. Peinado, Susana Hedrick, Haley Harshbarger, Camilla Galindo, Carla Courtenay-Quirk, Cari Lewis, Megan A. |
author_facet | Garner, Bryan R. Burrus, Olivia Ortiz, Alexa Tueller, Stephen J. Peinado, Susana Hedrick, Haley Harshbarger, Camilla Galindo, Carla Courtenay-Quirk, Cari Lewis, Megan A. |
author_sort | Garner, Bryan R. |
collection | PubMed |
description | Positive Health Check is an evidence-based video doctor intervention developed for improving the medication adherence, retention in care, and viral load suppression of people with HIV receiving clinical care. SETTING: Four HIV primary care clinics within the United States. METHODS: As part of a type 1 hybrid trial, a mixed-methods approach was used to longitudinally assess the following 3 key implementation constructs over a 23-month period: innovation-values fit (ie, the extent to which staff perceive innovation use will foster the fulfillment of their values), organizational readiness for change (ie, the extent to which organizational members are psychologically and behaviorally prepared to implement organizational change), and implementation climate (ie, the extent to which implementation is expected, supported, and rewarded). Quantitative mixed-effects regression analyses were conducted to assess changes over time in these constructs. Qualitative analyses were integrated to help provide validation and understanding. RESULTS: Innovation-values fit and organizational readiness for change were found to be high and relatively stable. However, significant curvilinear change over time was found for implementation climate. Based on the qualitative data, implementation climate declined toward the end of implementation because of decreased engagement from clinic champions and differences in priorities between research and clinic staff. CONCLUSIONS: The Positive Health Check intervention was found to fit within HIV primary care service settings, but there were some logistical challenges that needed to be addressed. Additionally, even within the context of an effectiveness trial, significant and nonlinear change in implementation climate should be expected over time. |
format | Online Article Text |
id | pubmed-9377502 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | JAIDS Journal of Acquired Immune Deficiency Syndromes |
record_format | MEDLINE/PubMed |
spelling | pubmed-93775022022-08-19 A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial Garner, Bryan R. Burrus, Olivia Ortiz, Alexa Tueller, Stephen J. Peinado, Susana Hedrick, Haley Harshbarger, Camilla Galindo, Carla Courtenay-Quirk, Cari Lewis, Megan A. J Acquir Immune Defic Syndr Implementation Science Positive Health Check is an evidence-based video doctor intervention developed for improving the medication adherence, retention in care, and viral load suppression of people with HIV receiving clinical care. SETTING: Four HIV primary care clinics within the United States. METHODS: As part of a type 1 hybrid trial, a mixed-methods approach was used to longitudinally assess the following 3 key implementation constructs over a 23-month period: innovation-values fit (ie, the extent to which staff perceive innovation use will foster the fulfillment of their values), organizational readiness for change (ie, the extent to which organizational members are psychologically and behaviorally prepared to implement organizational change), and implementation climate (ie, the extent to which implementation is expected, supported, and rewarded). Quantitative mixed-effects regression analyses were conducted to assess changes over time in these constructs. Qualitative analyses were integrated to help provide validation and understanding. RESULTS: Innovation-values fit and organizational readiness for change were found to be high and relatively stable. However, significant curvilinear change over time was found for implementation climate. Based on the qualitative data, implementation climate declined toward the end of implementation because of decreased engagement from clinic champions and differences in priorities between research and clinic staff. CONCLUSIONS: The Positive Health Check intervention was found to fit within HIV primary care service settings, but there were some logistical challenges that needed to be addressed. Additionally, even within the context of an effectiveness trial, significant and nonlinear change in implementation climate should be expected over time. JAIDS Journal of Acquired Immune Deficiency Syndromes 2022-09-01 2022-05-18 /pmc/articles/PMC9377502/ /pubmed/35583962 http://dx.doi.org/10.1097/QAI.0000000000003018 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Implementation Science Garner, Bryan R. Burrus, Olivia Ortiz, Alexa Tueller, Stephen J. Peinado, Susana Hedrick, Haley Harshbarger, Camilla Galindo, Carla Courtenay-Quirk, Cari Lewis, Megan A. A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title | A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title_full | A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title_fullStr | A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title_full_unstemmed | A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title_short | A Longitudinal Mixed-Methods Examination of Positive Health Check: Implementation Results From a Type 1 Effectiveness-Implementation Hybrid Trial |
title_sort | longitudinal mixed-methods examination of positive health check: implementation results from a type 1 effectiveness-implementation hybrid trial |
topic | Implementation Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377502/ https://www.ncbi.nlm.nih.gov/pubmed/35583962 http://dx.doi.org/10.1097/QAI.0000000000003018 |
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