Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study

BackgroundImplementation science investigates the processes and factors that influence the successful adoption, implementation, and sustainability of interventions in many settings. Although conventional research places significant emphasis on the advancement and effectivenes...

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Main Authors: Meron Mengistu, Kris Tom, Liben Gebremikael, Notisha Massaquoi, Obidimma Ezezika
Format: Article
Language:English
Published: JMIR Publications 2024-11-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2024/1/e57452
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author Meron Mengistu
Kris Tom
Liben Gebremikael
Notisha Massaquoi
Obidimma Ezezika
author_facet Meron Mengistu
Kris Tom
Liben Gebremikael
Notisha Massaquoi
Obidimma Ezezika
author_sort Meron Mengistu
collection DOAJ
description BackgroundImplementation science investigates the processes and factors that influence the successful adoption, implementation, and sustainability of interventions in many settings. Although conventional research places significant emphasis on the advancement and effectiveness of interventions, it is equally imperative to comprehend their performance in practical, real-life situations. Through outcome tracking, implementation science enables researchers to investigate complex implementation dynamics and go beyond efficacy, identifying the various aspects that contribute to the success of interventions. ObjectiveThis study aims to evaluate the implementation outcomes of TAIBU’s intensive case management (ICM) model tailored for African, Caribbean, and Black communities living with HIV in the Greater Toronto Area. Specifically, it seeks to assess the fidelity, reach, and sustainability of the ICM program. Fidelity monitoring will ensure adherence to program protocols and consistency in service delivery, essential for achieving desired health outcomes. Reach assessment will examine the program’s capacity to reach the target population, including demographic coverage and engagement levels among African, Caribbean, and Black individuals. Sustainability assessment will explore the determinants influencing the longevity and impact of the ICM program. MethodsThe study uses a mixed methods approach, where we will use probing questionnaires, interviews, and focus-group discussions to gather program performance and engagement data, in-depth insights, and perspectives from the implementation team responsible for delivering the ICM intervention. The collected fidelity and reach data through questionnaires will be analyzed using appropriate statistical techniques, such as descriptive statistics, to summarize the responses and identify patterns and trends within the data. Sustainability data collected through the interviews and focus groups will be analyzed and organized based on the Consolidated Framework for Implementation Research, which provides an organized way to identify and comprehend the determinants influencing implementation outcomes. ResultsThe study commenced in January 2024, and initial data collection is expected to be completed by December 2024. As of September 2024, we have enrolled 5 participants. ConclusionsThis study will significantly contribute to improving the implementation of the ICM program. By conducting a study in an organizational or institutional setting, researchers can acquire valuable insights into the implementation process from those who are directly involved. The information gathered will inform strategies for improving implementation effectiveness; removing impediments; and enhancing the overall quality of the ICM program for African, Caribbean, and Black individuals living with HIV. International Registered Report Identifier (IRRID)DERR1-10.2196/57452
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spelling doaj-art-05557b3c8ade4f7d8c3d243fc400a93e2025-08-20T02:07:10ZengJMIR PublicationsJMIR Research Protocols1929-07482024-11-0113e5745210.2196/57452Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods StudyMeron Mengistuhttps://orcid.org/0009-0003-7017-6992Kris Tomhttps://orcid.org/0009-0005-6173-8441Liben Gebremikaelhttps://orcid.org/0009-0009-3715-1885Notisha Massaquoihttps://orcid.org/0000-0002-9674-4500Obidimma Ezezikahttps://orcid.org/0000-0001-7832-0483 BackgroundImplementation science investigates the processes and factors that influence the successful adoption, implementation, and sustainability of interventions in many settings. Although conventional research places significant emphasis on the advancement and effectiveness of interventions, it is equally imperative to comprehend their performance in practical, real-life situations. Through outcome tracking, implementation science enables researchers to investigate complex implementation dynamics and go beyond efficacy, identifying the various aspects that contribute to the success of interventions. ObjectiveThis study aims to evaluate the implementation outcomes of TAIBU’s intensive case management (ICM) model tailored for African, Caribbean, and Black communities living with HIV in the Greater Toronto Area. Specifically, it seeks to assess the fidelity, reach, and sustainability of the ICM program. Fidelity monitoring will ensure adherence to program protocols and consistency in service delivery, essential for achieving desired health outcomes. Reach assessment will examine the program’s capacity to reach the target population, including demographic coverage and engagement levels among African, Caribbean, and Black individuals. Sustainability assessment will explore the determinants influencing the longevity and impact of the ICM program. MethodsThe study uses a mixed methods approach, where we will use probing questionnaires, interviews, and focus-group discussions to gather program performance and engagement data, in-depth insights, and perspectives from the implementation team responsible for delivering the ICM intervention. The collected fidelity and reach data through questionnaires will be analyzed using appropriate statistical techniques, such as descriptive statistics, to summarize the responses and identify patterns and trends within the data. Sustainability data collected through the interviews and focus groups will be analyzed and organized based on the Consolidated Framework for Implementation Research, which provides an organized way to identify and comprehend the determinants influencing implementation outcomes. ResultsThe study commenced in January 2024, and initial data collection is expected to be completed by December 2024. As of September 2024, we have enrolled 5 participants. ConclusionsThis study will significantly contribute to improving the implementation of the ICM program. By conducting a study in an organizational or institutional setting, researchers can acquire valuable insights into the implementation process from those who are directly involved. The information gathered will inform strategies for improving implementation effectiveness; removing impediments; and enhancing the overall quality of the ICM program for African, Caribbean, and Black individuals living with HIV. International Registered Report Identifier (IRRID)DERR1-10.2196/57452https://www.researchprotocols.org/2024/1/e57452
spellingShingle Meron Mengistu
Kris Tom
Liben Gebremikael
Notisha Massaquoi
Obidimma Ezezika
Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
JMIR Research Protocols
title Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
title_full Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
title_fullStr Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
title_full_unstemmed Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
title_short Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study
title_sort tracking implementation outcomes of an intensive case management program for hiv protocol for a mixed methods study
url https://www.researchprotocols.org/2024/1/e57452
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AT libengebremikael trackingimplementationoutcomesofanintensivecasemanagementprogramforhivprotocolforamixedmethodsstudy
AT notishamassaquoi trackingimplementationoutcomesofanintensivecasemanagementprogramforhivprotocolforamixedmethodsstudy
AT obidimmaezezika trackingimplementationoutcomesofanintensivecasemanagementprogramforhivprotocolforamixedmethodsstudy