Barriers and facilitators to implementing a motivational interviewing-based intervention: a multi-site study of organizations caring for youth living with HIV.
Barriers and facilitators to implementing a motivational interviewing-based intervention: a multi-site study of organizations caring for youth living with HIV.
复制标题
DOI：
10.1080/09540121.2021.1950604
复制
发表时间：
2022-04
期刊：
影响因子：
1.7
通讯作者：
Naar S
中科院分区：
文献类型：
--
作者：
Nagy SM;Butame SA;Todd L;Sheffler JL;Budhwani H;Fernandez MI;MacDonell K;Naar S
了解有效实施循证干预措施以帮助高危青少年预防和管理艾滋病毒的可能障碍和促进因素，对于扩大这些措施至关重要。这份手稿报告的定性访谈数据收集在早期阶段实施的动机访谈（MI）为基础的干预措施，在10个艾滋病毒护理诊所在美国，提供护理服务的青年。依靠探索-准备-实施-维持（EPIS）框架来理解实施和动态适应过程（DAP）模型，以平衡干预保真度和灵活性的概念，在每个站点（N=97）的供应商和利益相关者在实施前进行了采访，以收集他们的观点，组织准备干预以及供应商和客户的特点。然后，访谈者用快速反馈表总结了他们的经验。从RFFS中提取的数据突出了拟议的基于MI的干预措施的预期障碍和促进因素，EPIS框架用于组织这些调查结果。研究结果说明了内部和外部的背景因素，可以影响实施和指示点，在该点基于MI的干预可以定制，以适应独特的背景下的诊所，同时保持忠实于干预的原始设计。
Understanding possible barriers and facilitators to effective implementation of evidence-based interventions to help high-risk adolescents and youth prevent and manage HIV is crucial for their scale-up. This manuscript reports on qualitative interview data collected during the early phase implementation of a motivational interviewing (MI) based intervention, at 10 HIV care clinics in the United States, providing care services to youth. Relying on the Exploration-Preparation-Implementation-Sustainment (EPIS) framework to understand implementation and the dynamic adaptation process (DAP) model, to balance notions of intervention fidelity and flexibility, providers and stakeholders at each site (N=97) were interviewed prior to implementation to gather their perspectives on, organizational readiness for the intervention as well as provider and client characteristics. The interviewers then summarized their experience with rapid feedback forms (RFFs). Data extracted from the RFFs highlighted the anticipated barriers to and facilitators of the proposed MI-based intervention, with the EPIS framework used to organize these findings. Study findings illustrate the inner and outer contextual factors that can affect implementation and denote the points at which the MI-based intervention may be tailored to fit the unique context of a clinic, while remaining faithful to the intervention’s original design.
登录
查看更多内容
影响因子：
3.5
作者：
Becan, Jennifer E;Bartkowski, John P;Aarons, Gregory A
通讯作者：
Aarons, Gregory A
影响因子：
1.7
作者：
Naar, Sylvie;Parsons, Jeffrey T.;Stanton, Bonita F.
通讯作者：
Stanton, Bonita F.
DOI：
10.1300/j394v05n01_12
发表时间：
2008-01-01
期刊：
JOURNAL OF EVIDENCE-INFORMED SOCIAL WORK
影响因子：
--
作者：
Austin, Michael J.;Claassen, Jennette
通讯作者：
Claassen, Jennette
影响因子：
--
作者：
Madiba, Sphiwe;Josiah, Unaswi
通讯作者：
Josiah, Unaswi
DOI：
10.1186/1748-5908-7-32
发表时间：
2012-04-18
期刊：
Implementation science : IS
影响因子：
--
作者：
Aarons GA;Green AE;Palinkas LA;Self-Brown S;Whitaker DJ;Lutzker JR;Silovsky JF;Hecht DB;Chaffin MJ
通讯作者：
Chaffin MJ