Contributions of Qualitative Methods to Real-Time Implementation Strategy Design
A Case Study Linking Justice Involved Individuals at Risk for HIV to Pre-exposure Prophylaxis
Bibliographic Data
| ID | 19479095 |
|---|---|
| Authors | Robin T Higashi (0000-0001-5232-6852, Southwestern Medical Center, corresponding author), Timothy P Hogan (0000-0002-3086-2483, Applied Optimization (United States)), Emily C Repasky (0000-0002-5714-6540, Southwestern Medical Center), Jessica Lee (0000-0001-5760-2692, Southwestern Medical Center), M Brynn Torres (Southwestern Medical Center), Julia L Marcus (0000-0002-8552-414X, Harvard University), Barry-Lewis Harris (0000-0002-9662-4795, Dallas County), Ank E Nijhawan (0000-0003-0522-4110, Southwestern Medical Center), Douglas Krakower (0000-0003-4027-472X, Harvard University) |
| Year | 2026 |
| Volume | 25 |
| Publication date | 2026-01-19 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Qualitative Methods (JOURNAL) |
| Journal identifiers | ISSN: 1609-4069 • E-ISSN: 1609-4069 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/16094069261426142 |
| PMID | 42064424 |
| OpenAlex | W7128641069 |
| Language | EN |
| References cited | 30 |
Pre-exposure prophylaxis (PrEP) exemplifies a medical advance that is highly efficacious in reducing an individual’s risk of acquiring HIV. However, the use of PrEP remains considerably suboptimal in communities that could benefit from it most, especially in the southern United States where HIV infection rates are highest. We conducted a study using both qualitative methods and implementation science to develop and deploy a multicomponent implementation strategy to link individuals being released from jail to PrEP services in a southern US city. Implementation science supports the translation of evidence-based strategies from clinical knowledge to routine use; simultaneously, qualitative methodologies, given their emphasis on “how” to advance adoption, execution, and sustainment, are critical to implementation science. Our study design for supporting individuals along the “jail-to-community continuum” was rooted in the EPIS (Exploration-Preparation-Implementation-Sustainment) framework and the socioecological model. We began with iterative qualitative data collection involving semi-structured interviews, focus groups, and a community summit with formerly incarcerated individuals, jail clinicians and staff, and members of community organizations who work with justice involved individuals and those who provide PrEP and related services. Following rapid qualitative analysis, we drew on implementation mapping principles to create an action plan that guided the development of implementation strategies for PrEP. Our analysis plan will evaluate the feasibility, effectiveness, and sustainability of our multicomponent implementation strategy. We conclude by offering recommendations based on lessons learned and reflect on the synergistic relationship between qualitative methods and implementation science
Action plan · Call to action · Economic Justice · Focus group · Human immunodeficiency virus (HIV) · Qualitative property · Qualitative research · Summit · Work (physics) · Health Policy Implementation Science · HIV/AIDS Research and Interventions · Mental Health and Patient Involvement
Rapid versus traditional qualitative analysis using the Consolidated Framework for Implementation Research (CFIR)
Implementation Strategies to Increase PrEP Uptake in the South
Implementation strategies
Qualitative methods in implementation research
Implementation Mapping
Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration
Systematic review of the Exploration, Preparation, Implementation, Sustainment (Epis) framework
A refined compilation of implementation strategies
Achieving Integration in Mixed Methods Designs—Principles and Practices
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States
Characterizing the Relationship between HIV Peer Support Groups and Internalized Stigma Among People Living with HIV in Nigeria
Rapid Techniques in Qualitative Research
Applying Rapid Qualitative Analysis for Health Equity
| Citation velocity | historical |
|---|---|
| Highly cited | No |