Filtering by: Implementation Research
Jan
14
12:00 PM12:00
Audiences, Context, Evidence, Implementation Research

CDIAS PSMG: Ross Brownson

Revisiting Concepts of Evidence in Implementation Science

Ross Brownson, PhD
Washington University in St. Louis

ABSTRACT:
Evidence, in multiple forms, is a foundation of implementation research. For public health and clinical practice, evidence includes: Type 1 evidence on etiology and burden; Type 2 evidence on effectiveness of interventions; and Type 3: evidence on dissemination and implementation within context. Because current concepts of evidence have been relatively narrow and insufficient, this presentation will identify and discuss challenges and debates about the uses, usefulness, and gaps in evidence for implementation research. Intersecting gaps include the need to: (1) reconsider how the evidence base is determined, (2) improve understanding of contextual effects on implementation, (3) sharpen the focus on health equity in how we approach and build the evidence-base, and (4) learn from audience and stakeholder differences. Recommendations for enhancing the uses and usefulness of evidence will be presented.

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Oct
27
12:00 PM12:00
Primary Care, HIV Prevention, Intervention, Stepped-Wedge Designs, PrEP, eHealth, Implementation Research

PSMG: Innovations in Ending the HIV Epidemic Series - Parya Saberi and Wayne Steward

A tailored clinic-level intervention using a stepped-wedge design to increase PrEP uptake in primary care settings

Parya Saberi, PharmD, MAS, AAHIVP
University of California, San Francisco

Wayne Steward, PhD, MPH
University of California, San Francisco

ABSTRACT:
Lack of healthcare provider knowledge, capacity, and willingness to prescribe PrEP are barriers to PrEP delivery in clinical settings. In this presentation, we will discuss details of the PrEP Optimization Intervention (PrEP-OI) which combines a PrEP Coordinator with an online panel management tool to assist providers with PrEP uptake, persistence, and management in a large safety-net system. The intervention was rolled out at 12 primary care San Francisco Department of Public Health clinics using a stepped-wedge design preceding a follow-up phase. Additionally, we will review the challenges the study overcame with the development of PrEP-OI's technology-based component, onboarding and implementation, and response to the SARS-CoV-2 pandemic.

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