Exploring Potential Implementation Barriers and Facilitators of the SMART Program: A Stepped-Care Package of eHealth HIV Prevention Interventions for Adolescent Men Who Have Sex with Men

Ventuneac, Ana; Li, Dennis H.; Mongrella, Melissa; Moskowitz, David; Weingardt, Kenneth R.; Brown, C. Hendricks; Parsons, Jeffrey T.; Mustanski, Brian

doi:10.1007/s13178-019-00402-3

Cited by 17 publications

(14 citation statements)

References 30 publications

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“… 37 It may be useful to partner with community organizations to deliver e-health interventions, although technology capacity-building and staff training may be needed to support such organizations. 38 …”

Section: Discussionmentioning

confidence: 99%

Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

Chenneville

Drake

Gabbidon

et al. 2021

J Int Assoc Provid AIDS Care

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Young men who have sex with men (YMSM) living with HIV experience challenges with retention in care, which negatively affects viral suppression. To address this, researchers piloted Bijou, a program designed to provide health education through electronically delivered behavior and risk reduction modules. Participants were 29 YMSM aged 19-24 living with HIV from the southeastern US. Participants completed pre, post, and 3-month follow-up (3MFU) surveys assessing knowledge, intervention acceptability, satisfaction, self-efficacy, ehealth literacy, and usability. Findings revealed significant improvement in knowledge and e-health literacy from pre-test to post-test but lost significance at 3MFU. Self-efficacy scores did not show significant differences from pre-test to post-test or 3MFU. Participants who completed all modules considered Bijou usable and acceptable; however, many did not complete the program. Findings suggest a need for adaptations to promote knowledge retention, e-health literacy, engagement over time, and research with a larger, more representative sample.

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Section: Discussionmentioning

confidence: 99%

Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

Chenneville

Drake

Gabbidon

et al. 2021

J Int Assoc Provid AIDS Care

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“…Intervention content was iteratively developed and presented back to the YACs for critique. A Community Collaboration Board, comprising organizations that serve racially/ ethnically diverse MSM, reviewed an early prototype of the intervention to ensure that content would be acceptable and culturally relevant to their clients and to discuss future implementation considerations (Ventuneac et al 2019). Finally, a Content Advisory Team of seven local AMSM aged 14-18 beta-tested the intervention content and delivery system using a concurrent think-aloud protocol (Peute et al 2015) to identify remaining usability issues.…”

Section: Methodsmentioning

confidence: 99%

“…Responding to this gap, we developed SMART, a suite of three online HIV prevention interventions for AMSM ages 13-18 (Ventuneac et al 2019) that is currently being evaluated in both English and Spanish throughout the US, Puerto Rico, Guam, and American Samoa. SMART comprises a stepped-care strategy, reflecting the public health prevention model of low-cost interventions for a population, selective interventions for groups at heightened risk, and intensive interventions for individuals indicated as having the highest susceptibility (National Research Council and Institute of Medicine 2009).…”

Section: Introductionmentioning

confidence: 99%

Using Intervention Mapping to Developmentally Adapt an Online HIV Risk Reduction Program for Adolescent Men Who Have Sex with Men

Moskowitz

Macapagal

et al. 2020

Prev Sci

Self Cite

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Adolescent men who have sex with men (AMSM) experience a dramatic health disparity in HIV, accounting for over 80% of new diagnoses among youth. Current evidence-based HIV prevention programs, however, focus primarily on adults and heterosexual youth, thereby missing the unique experiences and socio-environmental contexts of AMSM aged 13-18. To address these gaps, we used the Intervention Mapping (IM) protocol to developmentally adapt an existing evidence-based online HIV risk reduction program (i.e., Keep it Up!/KIU!), originally designed for young adult MSM aged 18-29, into a new intervention called SMART Squad.Using a hybrid of IM creation and adaptation tasks, we specified three behavioral outcomes and identified corresponding performance objectives for SMART Squad based on the original goals of KIU!. We constructed matrices of change objectives using determinants from the Information-Motivation-Behavioral Skills model, modifying them for the younger population with additional theoretical and empirical evidence and expert review. SMART Squad activities were

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“…To facilitate this, future implementation packages should also suggest appointing an eHealth ambassador within the organization whose function is to ensure that these meetings take place, and provide a reliable and continuous level of enthusiasm for the intervention. Previous research has advocated the use of ambassadors in implementing eHealth [32,[59][60][61].…”

Section: Improvements For Project Managementmentioning

confidence: 99%

Implementations of Evidence-Based eHealth Interventions for Caregivers of People With Dementia in Municipality Contexts (Myinlife and Partner in Balance): Evaluation Study

et al. 2021

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Background Very few evidence-based eHealth interventions for caregivers of people with dementia are implemented into practice. Municipalities are one promising context in which to implement these interventions due to their available policy and innovation incentives regarding (dementia) caregiving and prevention. In this study, two evidence-based eHealth interventions for caregivers of people with dementia (Partner in Balance and Myinlife) were implemented in 8 municipalities in the Euregion Meuse-Rhine. Partner in Balance is a blended care, 8-week, self-management intervention intervention designed to aid caregivers of people with dementia in adapting to their new roles that is delivered through coaches in participating health care organizations who are trained to use it to offer online support to their clients. Myinlife is an eHealth/mHealth intervention integrated into the Dutch Alzheimer’s Association website and available from the App Store or Google Play, designed to help caregivers of people with dementia use their social network to better organize care and share positive (caregiving) experiences. Objective This study’s objectives were to evaluate the success of the implementation of Myinlife and Partner in Balance and investigate determinants of their successful implementation in the municipality context. Methods This study collected eHealth use data, Partner in Balance coach evaluation questionnaires, and information on implementation determinants. This was done by conducting interviews with the municipality officials based on the measurement instrument for determinants of implementation (MIDI). These data from multiple sources and perspectives were integrated and analyzed to form a total picture of the determinants (barriers and facilitators to implementation in the municipality context). Results The municipality implementation of Partner in Balance and Myinlife showed varying levels of success. In the end, 3 municipalities planned to continue the implementation of Partner in Balance, while none planned to continue the implementation of Myinlife. The 2 Partner in Balance municipalities that did not consider the implementation to be successful viewed the implementation as an external project. For Myinlife, it was clear that more face-to-face contact was needed to engage the implementing municipality and target groups. Successful implementations were linked to implementer self-efficacy and sense of ownership, which seemed to be absent in unsuccessful implementations. Conclusions The experiences of implementing these interventions suggested that this implementation context was feasible regarding the required budget and infrastructure. The need to foster sense of ownership and self-efficacy in implementers will be integrated into future implementation protocols as part of standard implementation materials for municipalities and organizations implementing Myinlife and Partner in Balance.

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Exploring Potential Implementation Barriers and Facilitators of the SMART Program: A Stepped-Care Package of eHealth HIV Prevention Interventions for Adolescent Men Who Have Sex with Men

Cited by 17 publications

References 30 publications

Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

Using Intervention Mapping to Developmentally Adapt an Online HIV Risk Reduction Program for Adolescent Men Who Have Sex with Men

Implementations of Evidence-Based eHealth Interventions for Caregivers of People With Dementia in Municipality Contexts (Myinlife and Partner in Balance): Evaluation Study

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