Barriers and Facilitators to Implementation Success – ehedashboard.org

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Barriers & Facilitators to Implementation Success

Barriers and facilitators to implementation success refer to factors that hinder or support the effective adoption, integration, and sustainability of implementation strategies and evidence-based interventions in real-world settings. Review these studies to understand research showing the contextual factors, systemic, organizational, relational, individual, and innovation-level influences on implementation success.

Prevention Continuum

HIV testing
Linkage to preventative care
Retention in preventative care

Treatment Continuum

ART adherence
ART initiation
Entire prevention and care cascade
HIV infection
Linkage to HIV care
Retention in care
Viral suppression
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Manuscript Title Continuum Target Study Design Intervention IS Framework EHE Priority Jurisdiction
Generating Evidence for Effective HIV Implementation at Scale: The Value and Feasibility of a Network for Implementation Science in HIV
HIV Pre-exposure Prophylaxis Use and Persistence among Black Ciswomen: "Women Need to Protect Themselves, Period" PrEP initation, PrEP persistence Mixed methods Oral PrEP No Framework Cook County-IL
Defining Study Populations in HIV Prevention Implementation Science Studies: A Case Comparison of 3 Ending the HIV Epidemic Projects No Framework Baltimore City-MD, Bronx County-NY, Broward County-FL, Duval County-FL, Hillsborough County-FL, Miami-Dade County-FL, Orange County-FL, Palm Beach County-FL, Pinellas County-FL
Developing Implementation Science Capacity Within Health Departments Located in Ending the HIV Epidemic Priority Areas IS "Core Competencies" Across US
Innovation in Providing Equitable Pre‐exposure Prophylaxis Services in the United States: Expanding Access in Nontraditional Settings PrEP (full continuum) Experienced-based qualitative synthesis Across US
Leveraging Implementation Science to End the HIV Epidemic in the United States: Progress and Opportunities for Federal Agencies
Proyecto Compadre: Using Implementation Science to Tailor Peer Navigation for Latino Men in the US–Mexico Border Region HIV testing, Linkage to HIV care Mixed methods Peer navigation EPIS San Diego County-CA
Two Pilots of an Implementation Science Training Program for HIV Prevention and Care Service Providers: Lessons Learned and Future Directions
Community Engagement to Empowerment: Emphasizing Relationships, Process, Resources, and Context to Strengthen Community Engagement in EHE Research Partnerships NA Multiple methods Across US
Toward Using Twitter for PrEP-Related Interventions: An Automated Natural Language Processing Pipeline for Identifying Gay or Bisexual Men in the United States Linkage to preventative care Other No Intervention No Framework Philadelphia County-PA
Provider Perspectives on Factors Affecting the PrEP Care Continuum Among Black Cisgender Women in the Midwest United States: Applying the Consolidated Framework for Implementation Research PrEP initation, PrEP persistence Qualitative: barriers and facilitators Oral PrEP CFIR, IRLM Cook County-IL
Improving Community-Engaged Implementation Science: Perspectives From “Ending the HIV Epidemic” Supplement Award Cases in the United States NA Qualitative: semi-structured reflection Alabama, Bronx County-NY, Cook County-IL, Kings County-NY, Mecklenburg County-NC, Miami-Dade County-FL, Missouri, New York County-NY, Queens County-NY
Mapping Implementation Science with Expert Recommendations for Implementing Change (MIS‑ERIC): Strategies to Improve PrEP Use among Black Cisgender Women Living in Mississippi Linkage to preventative care Qualitative: barriers and facilitators Oral PrEP ERIC, PARiHS, Proctor Mississippi
Ending the HIV Epidemic: One Southern Community Speaks ART adherence, ART initiation, HIV diagnosis, HIV testing, Linkage to HIV care, Viral suppression Qualitative: barriers and facilitators, Quantitative: Descriptive statistics Navigator/ Community health worker No Framework, Social Ecological Model Shelby County-TN
Rapid ART, Rapid PrEP, and Status Neutral Implementation in Ryan White-Funded Clinics: Results From a Multisite Survey ART initiation, HIV testing, Linkage to HIV care, PrEP initation, PrEP persistence, Viral suppression Cross-sectional Rapid ART, Rapid PrEP Proctor Alabama, Baltimore City-MD, Cook County-IL, Dallas County-TX, Los Angeles County-CA, San Diego County-CA
What predicts a clinical discussion about PrEP? Results from a U.S. national cohort of HIV-vulnerable sexual and gender minorities PrEP initation Cross-sectional Patient-provider communication No Framework N/A
Heterogeneous preferences for care engagement among people with HIV experiencing homelessness or unstable housing during the COVID-19 pandemic Viral suppression Discrete choice experiment HIV primary care model No Framework Alameda County-CA
Integrating People With Lived Experience of Carceral System Involvement Into Research: Lessons Learned From Ending the HIV Epidemic Research Teams NA Qualitative: multi-site synthesis Across US
Building the Road to End the HIV Epidemic Through Coordinating and Capacity-Building Hubs to Enhance the Science of HIV Implementation Research (CHESHIRE): Reflections and Directions
African American Clergy Recommendations to Enhance the Federal Plan to End the HIV Epidemic: A Qualitative Study ART adherence, ART initiation, Engagement in treatment (including retention and re-engagement), HIV diagnosis, HIV testing, Linkage to HIV care, Linkage to preventative care, PrEP adherence, PrEP initation, PrEP persistence, Viral suppression Qualitative: barriers and facilitators No Intervention No Framework Alabama, Arkansas, Mississippi
Perspectives on preparing for long-acting injectable treatment for HIV among consumer, clinical and nonclinical stakeholders: A qualitative study exploring the anticipated challenges and opportunities for implementation in Los Angeles County ART adherence, Viral suppression Qualitative: barriers and facilitators injectable PrEP, Long acting CFIR Los Angeles County-CA
HIV and Intersectional Stigma Reduction Among Organizations Providing HIV Services in New York City: A Mixed‑Methods Implementation Science Project All Mixed methods Stigma reduction activities CFIR New York County-NY
Pre-Exposure Prophylaxis Awareness and Demand Creation: Overlooked Populations and Opportunities to Move Forward
Examining the Awareness, Acceptability, and Adoption of Conventional and non-conventional Forms of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among jail-involved Black Sexual Minority men (BSMM) and Black Transgender Women (BTW) in Two Diverse US Cities Linkage to preventative care Qualitative: barriers and facilitators injectable PrEP, Long acting, Oral PrEP, Post-release PrEP EPIS Cook County-IL, East Baton Rouge Parish-LA
Lessons Learned From Engaging Healthcare Providers in Research on Implementation of HIV Preexposure Prophylaxis PrEP (full continuum) Qualitative: thematic analysis Charlotte-NC, King County-WA, Los Angeles County-CA, Miami-Dade County-FL, Philadelphia County-PA, Prince George's County-MD, Riverside County-CA, San Bernadino County-CA, San Juan Municipio-PR, Washington-DC
PrEP Persistence Support and Monitoring in Areas of High HIV Burden in the Midwestern United States PrEP adherence, PrEP initation, PrEP persistence Cross-sectional Oral PrEP EPIS Cook County-IL, Missouri
Explorations of the Role of Digital Technology in HIV-Related Implementation Research: Case Comparisons of Five Ending the HIV Epidemic Supplement Awards PrEP (full continuum) Case Study Baltimore City-MD, Fulton County-GA, Philadelphia County-PA, South Carolina, Washington-DC
Reducing intersecting stigmas in HIV service organizations: An implementation science model IRLM Bronx County-NY, Kings County-NY, New York County-NY, Queens County-NY
Comprehensive Process Mapping and Qualitative Interviews to Inform Implementation of Rapid Linkage to HIV Care Programs in a Mid-Sized Urban Setting in the Southern United States Linkage to HIV care Qualitative: barriers and facilitators Rapid ART CFIR Shelby County-TN
Communities Started the End of the HIV Epidemic: Experiences With and Recommendations for Conducting Community-Engaged HIV Implementation Research
Rapid Qualitative Analysis Approach to Stakeholder and Client Interviews to Inform Mobile-Based HIV Testing in the US Deep South HIV testing Qualitative: barriers and facilitators Mobile HIV testing CFIR, Proctor Alabama
Stakeholder Perspectives on MAPS ART adherence, Viral suppression Qualitative: barriers and facilitators Managed problem solving (MAPS) CFIR Philadelphia County-PA
Strengthening the US Health Workforce to End the HIV Epidemic: Lessons Learned From 11 Ending the HIV Epidemic Jurisdictions NA Experienced-based qualitative synthesis Alabama, Baltimore City-MD, Baton Rouge-LA, Cook County-IL, Dallas County-TX, King County-WA, Miami-Dade County-FL, Missouri, Philadelphia County-PA, San Diego County-CA, Shelby County-TN
The Strategies Timeline and Activities Reporting Tables: Improving HIV Care by Improving the Reporting of Implementation Strategies IRLM, Proctor Across US
Not a Monolith: Regional HIV Implementation Science Lessons With Latino/a/x Populations NA Experienced-based qualitative synthesis Across US
Using Implementation Mapping to Ensure the Success of PrEP Optimization Through Enhanced Continuum Tracking (PrOTECT) AL-A Structural Intervention to Track the Statewide PrEP Care Continuum in Alabama PrEP adherence, PrEP initation, PrEP persistence Cross-sectional, Qualitative: barriers and facilitators No Intervention CFIR, ERIC, IRLM Alabama
Implementation Science Approaches to Addressing the Social and Structural Determinants of Health of Criminal–Legal Involved People Living With HIV to Improve HIV Care Outcomes NA Experienced-based qualitative synthesis Cuyahoga County-OH, King County-WA, New York City, Orlando-FL, Washington-DC
STAR (Stigma and Resilience) Coalition Compendium Team. A Systematic Review of Intervention Studies That Address HIV-Related Stigmas Among US Healthcare Workers and Health Systems: Applying a Theory-Based Ontology to Link Intervention Types, Techniques, and Mechanisms of Action to Potential Effectiveness] NA Systematic review Across US
Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity: Findings from TRANSforming the Carolinas Engagement in treatment (including retention and re-engagement), HIV testing, Linkage to HIV care, Linkage to preventative care, PrEP initation, Viral suppression Mixed methods, Policy analysis Digital health navigation EPIS South Carolina
Lessons Learned in Engaging Adolescents and Young Adults to End the US HIV Epidemic NA Qualitative: thematic analysis Alameda County-CA, Boston, Broward County-FL, Cook County-IL, Duval County-FL, Los Angeles County-CA, MA, Mecklenburg County-NC, Miami-Dade County-FL, Orange County-CA, Pinellas County-FL, Riverside County-CA, San Bernadino County-CA, San Diego County-CA
Implementation Science Methods, Challenges, and Associated Solutions: Transportable Lessons Learned and Best Practices From the Second National Meeting for Research and Community Collaboration Toward Ending the HIV Epidemic in the United States NA Qualitative: rapid qualitative analysis Across US
Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention ART adherence, Engagement in treatment (including retention and re-engagement) Qualitative: barriers and facilitators Navigator/ Community health worker CFIR, ERIC, IRLM Philadelphia County-PA
Policymaker Perspectives on Implementation Determinants of Rapid ART and Same-Day PrEP in Seven Priority Jurisdictions for Ending the HIV Epidemic: A Multisite Qualitative Study ART initiation, PrEP initation Qualitative: barriers and facilitators Rapid ART, Rapid PrEP CFIR
HIV Treatment Outcomes in POP-UP: Drop-in HIV Primary Care Model for People Experiencing Homelessness Engagement in treatment (including retention and re-engagement), Viral suppression Cohort, Discrete choice experiment HIV primary care model COM-B San Francisco County-CA
Innovations to Address Unmet Behavioral Health Needs in National Ending the HIV Epidemic Priority Jurisdictions NA Experienced-based qualitative synthesis Baltimore City-MD, King County-WA, Shelby County-TN, Suffolk County-MA, Washington-DC
Addressing Racism's Role in the US HIV Epidemic: Qualitative Findings From Three Ending the HIV Epidemic Prevention Projects PrEP (full continuum) Qualitative: multi-site formative Mecklenburg County-NC, Sacramento County-CA, South Carolina
Intersectional Stigma and Prevention Among Gay, Bisexual, and Same Gender–Loving Men in New York City, 2020: System Dynamics Models ART adherence, ART initiation, Engagement in treatment (including retention and re-engagement), HIV diagnosis, HIV testing, Linkage to HIV care, Linkage to preventative care, PrEP adherence, PrEP initation, PrEP persistence, Viral suppression Qualitative: system dynamics modeling No Intervention No Framework Bronx County-NY
Five point initiative: a community-informed bundled implementation strategy to address HIV in Black communities HIV testing, Linkage to preventative care Cross-sectional, Pilot No Intervention No Framework Miami-Dade County-FL
Community-Engaged Research in HIV Implementation Science: Characterizing Academic and Community Partnerships in the “Ending the HIV Epidemic” Supplement Awards NA Quantitative: Descriptive statistics Across US
QUALITATIVE EXAMINATION OF THE IMPACT OF THE COVID-19 PANDEMIC ON ACCESS AND ADHERENCE TO PRE-EXPOSURE PROPHYLAXIS (PREP) AMONG SEXUAL AND GENDER MINORITIES PrEP adherence, PrEP initation, PrEP persistence Mixed methods Oral PrEP No Framework Los Angeles County-CA
Language Justice in Implementation Science: Experiences Working With Latinxs to End the HIV Epidemic

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Barriers/Facilitators

Science Frameworks

Implementation Science Frameworks

Outcomes

Community Partnerships

Welcome to the Dashboard

This dashboard provides an accessible way to explore national and jurisdictional findings from implementation science research supporting the Ending the HIV Epidemic initiative. The homepage gives you quick access to major sections of the site and highlights key insights drawn from ongoing research and community partnerships.

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At the top of the page, you’ll find four main sections that guide your experience:

  • About explains the purpose of the dashboard, the research framework guiding this project, and how to interpret the data and publications included here.
  • Results presents visual summaries, charts, and findings from implementation science activities conducted across EHE jurisdictions.
  • Publications provides access to peer-reviewed articles, research outputs, and additional documentation relevant to EHE implementation science.
  • Community highlights survey findings, community partnerships, and engagement activities that support and shape local EHE strategies.

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