Stephanie Villaire, Thomas Sease, Jen Pankow, Ahrein Bennett, Zoe Pulitzer, Laura Hansen, Cynthia Frank, Angela Di Paola, Wayne Lehman, Mark Sanchez, Arista McQuaid, Alysse Schultheis, Brandi Stein, Sandra A Springer, Ank E Nijhawan, Kevin Knight
{"title":"对刑事司法系统相关人员预防和治疗艾滋病毒的障碍和促进因素进行定性检查。","authors":"Stephanie Villaire, Thomas Sease, Jen Pankow, Ahrein Bennett, Zoe Pulitzer, Laura Hansen, Cynthia Frank, Angela Di Paola, Wayne Lehman, Mark Sanchez, Arista McQuaid, Alysse Schultheis, Brandi Stein, Sandra A Springer, Ank E Nijhawan, Kevin Knight","doi":"10.1186/s40352-025-00344-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In an effort to address health risks for HIV among justice-involved individuals, linkage to community services for HIV and substance use disorder prevention and treatment is critical. Stakeholder feedback informing the development of interventions aimed at linking individuals to care is paramount to ensuring the success of the intervention. The current study examines focus group data collected as part of a 5-year NIDA-funded project and presents this data within an implementation science framework.</p><p><strong>Methods: </strong>Six focus groups were conducted across four communities in two states. A total of 19 individuals representing 15 agencies, including both corrections and community healthcare providers, participated in the focus groups. A deductive coding strategy was used to code the focus group transcripts using Atlas.ti 9 software. Audio-recorded interviews were transcribed and coded by trained qualitative researchers.</p><p><strong>Results: </strong>The resulting 1,485 quotes were queried and analyzed using the EPIS inner and outer contexts implementation framework for reporting the findings. Inner context themes encompassing organizational characteristics, staffing processes, and leadership highlight the importance of intra-agency communication, as well as the benefit of hiring peer navigators with lived experience. Outer context themes of interest include funding, sociopolitical context, and interorganizational networks, pointing to service barriers related to funding for PrEP and HIV care, legislative regulations, and the importance of communication to connect people with justice involvement to healthcare and other services.</p><p><strong>Conclusions: </strong>Results support the use of both patient navigation and mobile health unit models to connect justice-involved individuals to healthcare. The themes that emerged during the focus groups helped inform the ACTION study protocol, and the focus group process bolstered the connection between the represented agencies. Ultimately, these focus groups provided valuable information about the communities participating in the study and provided key insights regarding study intervention implementation.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT05286879. Registered 25 February 2022. https://clinicaltrials.gov/study/NCT05286879 .</p>","PeriodicalId":37843,"journal":{"name":"Health and Justice","volume":"13 1","pages":"37"},"PeriodicalIF":3.0000,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143099/pdf/","citationCount":"0","resultStr":"{\"title\":\"A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system.\",\"authors\":\"Stephanie Villaire, Thomas Sease, Jen Pankow, Ahrein Bennett, Zoe Pulitzer, Laura Hansen, Cynthia Frank, Angela Di Paola, Wayne Lehman, Mark Sanchez, Arista McQuaid, Alysse Schultheis, Brandi Stein, Sandra A Springer, Ank E Nijhawan, Kevin Knight\",\"doi\":\"10.1186/s40352-025-00344-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In an effort to address health risks for HIV among justice-involved individuals, linkage to community services for HIV and substance use disorder prevention and treatment is critical. Stakeholder feedback informing the development of interventions aimed at linking individuals to care is paramount to ensuring the success of the intervention. The current study examines focus group data collected as part of a 5-year NIDA-funded project and presents this data within an implementation science framework.</p><p><strong>Methods: </strong>Six focus groups were conducted across four communities in two states. A total of 19 individuals representing 15 agencies, including both corrections and community healthcare providers, participated in the focus groups. A deductive coding strategy was used to code the focus group transcripts using Atlas.ti 9 software. Audio-recorded interviews were transcribed and coded by trained qualitative researchers.</p><p><strong>Results: </strong>The resulting 1,485 quotes were queried and analyzed using the EPIS inner and outer contexts implementation framework for reporting the findings. Inner context themes encompassing organizational characteristics, staffing processes, and leadership highlight the importance of intra-agency communication, as well as the benefit of hiring peer navigators with lived experience. Outer context themes of interest include funding, sociopolitical context, and interorganizational networks, pointing to service barriers related to funding for PrEP and HIV care, legislative regulations, and the importance of communication to connect people with justice involvement to healthcare and other services.</p><p><strong>Conclusions: </strong>Results support the use of both patient navigation and mobile health unit models to connect justice-involved individuals to healthcare. The themes that emerged during the focus groups helped inform the ACTION study protocol, and the focus group process bolstered the connection between the represented agencies. Ultimately, these focus groups provided valuable information about the communities participating in the study and provided key insights regarding study intervention implementation.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT05286879. 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A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system.
Background: In an effort to address health risks for HIV among justice-involved individuals, linkage to community services for HIV and substance use disorder prevention and treatment is critical. Stakeholder feedback informing the development of interventions aimed at linking individuals to care is paramount to ensuring the success of the intervention. The current study examines focus group data collected as part of a 5-year NIDA-funded project and presents this data within an implementation science framework.
Methods: Six focus groups were conducted across four communities in two states. A total of 19 individuals representing 15 agencies, including both corrections and community healthcare providers, participated in the focus groups. A deductive coding strategy was used to code the focus group transcripts using Atlas.ti 9 software. Audio-recorded interviews were transcribed and coded by trained qualitative researchers.
Results: The resulting 1,485 quotes were queried and analyzed using the EPIS inner and outer contexts implementation framework for reporting the findings. Inner context themes encompassing organizational characteristics, staffing processes, and leadership highlight the importance of intra-agency communication, as well as the benefit of hiring peer navigators with lived experience. Outer context themes of interest include funding, sociopolitical context, and interorganizational networks, pointing to service barriers related to funding for PrEP and HIV care, legislative regulations, and the importance of communication to connect people with justice involvement to healthcare and other services.
Conclusions: Results support the use of both patient navigation and mobile health unit models to connect justice-involved individuals to healthcare. The themes that emerged during the focus groups helped inform the ACTION study protocol, and the focus group process bolstered the connection between the represented agencies. Ultimately, these focus groups provided valuable information about the communities participating in the study and provided key insights regarding study intervention implementation.
Trial registration: ClinicalTrials.gov, NCT05286879. Registered 25 February 2022. https://clinicaltrials.gov/study/NCT05286879 .
期刊介绍：
Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.
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