Implementing Implementation Research: Teaching Implementation Research to HIV Researchers

Schwartz, Sheree; Smith, Justin D.; Hoffmann, Christopher J.; Hansoti, Bhakti; Mishra, Sharmistha; Means, Arianna Rubin; Go, Vivian F.; Sherr, Kenneth; Nash, Denis; Sullivan, Patrick S.; Baral, Stefan

doi:10.1007/s11904-021-00551-4

Cited by 7 publications

(7 citation statements)

References 46 publications

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“…Within 1 year of Cohort 1 finishing the fellowship, 22 of the 27 fellows (81%) had submitted a HIV IR grant, 13 of which were awarded to 10 different fellows. 34 ISCI provided formal training to supplement awardees beginning with a 2-day workshop in Chicago in 2019 and followed by webinars and individual consultation sessions in the years since. Preliminary evaluation data about ISCI and hub services suggest that they are effective in improving the quality of IR proposed.…”

Section: Future Directionsmentioning

confidence: 99%

Supporting the Growth of Domestic HIV Implementation Research in the United States Through Coordination, Consultation, and Collaboration: How We Got Here and Where We Are Headed

Mustanski¹,

Smith²,

Keiser³

et al. 2022

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background:The Ending the HIV Epidemic (EHE) initiative sets a goal to virtually eliminate new HIV infections in the United States by 2030. The plan is predicated on the fact that tools exist for diagnosis, prevention, and treatment, and the current scientific challenge is how to implement them effectively and with equity. Implementation research (IR) can help identify strategies that support effective implementation of HIV services.Setting:NIH funded the Implementation Science Coordination Initiative (ISCI) to support rigorous and actionable IR by providing technical assistance to NIH-funded projects and supporting local implementation knowledge becoming generalizable knowledge.Methods:We describe the formation of ISCI, the services it provided to the HIV field, and data it collected from 147 NIH-funded studies. We also provide an overview of this supplement issue as a dissemination strategy for HIV IR.Conclusion:Our ability to reach EHE 2030 goals is strengthened by the knowledge compiled in this supplement, the services of ISCI and connected hubs, and a myriad of investigators and implementation partners collaborating to better understand what is needed to effectively implement the many evidence-based HIV interventions at our disposal.

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Section: Future Directionsmentioning

confidence: 99%

Supporting the Growth of Domestic HIV Implementation Research in the United States Through Coordination, Consultation, and Collaboration: How We Got Here and Where We Are Headed

Mustanski¹,

Smith²,

Keiser³

et al. 2022

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Ensuring quality application of the methods and measures used is important for creating generalizable knowledge and scientific integrity; we believe that can be performed while simultaneously promoting diversity and improving equity in IR through broader engagement. 3…”

Section: Broad Engagement Is Needed To End the Epidemicmentioning

confidence: 99%

“…By contrast, although well-articulated standards are useful for bringing a field cohesion, excessive adherence to standards or nomenclature—particularly when those standards and nomenclature are likely to evolve—can be counterproductive. There are a growing number of investigators and implementers looking to engage in IR 3 and a growing number of HIV IR-related funding opportunities and studies. 4 Simultaneously, prevalent HIV-related IR myths that inform perceptions of what is considered “true” IR create barriers to entry for investigators without specialized training and inhibit innovation.…”

Section: Introductionmentioning

confidence: 99%

Five Common Myths Limiting Engagement in HIV-Related Implementation Research

Beres¹,

Schwartz²,

Mody³

et al. 2022

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

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HIV-related implementation research holds great promise in achieving the potential of efficacious prevention and treatment tools in reducing the incidence of HIV and improving HIV treatment outcomes among people living with HIV. From the perspectives of HIV-related implementation research training and academia and through consultations with funders and investigators new to implementation research, we identified 5 myths that act as barriers to engagement in implementation research among new investigators. Prevailing myths broadly include (1) one must rigidly apply all aspects of an implementation framework for it to be valid, (2) implementation research limits the type of designs available to researchers, (3) implementation strategies cannot be patient-level or client-level approaches, (4) only studies prioritizing implementation outcomes are "true" implementation research, and (5) if not explicitly labeled implementation research, it may have limited impact on implementation. We offer pragmatic approaches to negotiate these myths with the goal of encouraging dialog, ensuring high-quality research, and fostering a more inclusive and dynamic field of implementation research. Ultimately, the goal of dispelling these myths was to lower the perceived bar to engagement in HIV-related implementation research while still ensuring quality in the methods and measures used.

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“…The National Institutes of Health (NIH) in the US and other US funders have explicitly mentioned or requested hybrid studies in funding announcements, and the NIH currently uses the typology to assist with directing proposals to specific grant review panels. Further, the designs are included in many/most national and international training programs (3,4) in implementation science and interventions research, and Curran and colleagues have provided well over 50 invited presentations/workshops and hundreds of project consultations on hybrids.…”

Section: Introductionmentioning

confidence: 99%

Reflections on 10 years of effectiveness-implementation hybrid studies

et al. 2022

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This article provides new reflections and recommendations from authors of the initial effectiveness-implementation hybrid study manuscript and additional experts in their conceptualization and application. Given the widespread and continued use of hybrid studies, critical appraisals are necessary. The article offers reflections across five conceptual and methodological areas. It begins with the recommendation to replace the term “design” in favor of “study.” The use of the term “design” and the explicit focus on trial methodology in the original paper created confusion. The essence of hybrid studies is combining research questions concerning intervention effectiveness and implementation within the same study, and this can and should be achieved by applying a full range of research designs. Supporting this recommendation, the article then offers guidance on selecting a hybrid study type based on evidentiary and contextual information and stakeholder concerns/preferences. A series of questions are presented that have been designed to help investigators select the most appropriate hybrid type for their study situation. The article also provides a critique on the hybrid 1-2-3 typology and offers reflections on when and how to use the typology moving forward. Further, the article offers recommendations on research designs that align with each hybrid study type. Lastly, the article offers thoughts on how to integrate costs analyses into hybrid studies.

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Implementing Implementation Research: Teaching Implementation Research to HIV Researchers

Cited by 7 publications

References 46 publications

Supporting the Growth of Domestic HIV Implementation Research in the United States Through Coordination, Consultation, and Collaboration: How We Got Here and Where We Are Headed

Supporting the Growth of Domestic HIV Implementation Research in the United States Through Coordination, Consultation, and Collaboration: How We Got Here and Where We Are Headed

Five Common Myths Limiting Engagement in HIV-Related Implementation Research

Reflections on 10 years of effectiveness-implementation hybrid studies

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