A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States
Abstract Background Alabama is one of seven priority states for the National Ending the HIV Epidemic Initiative due to a disproportionate burden of rural infections. To reverse growing infection rates, the state must increase its focus on prevention efforts, including novel strategies. One such appr...
| Main Authors: | , , , , , , , , , , , |
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| פורמט: | Article |
| שפה: | English |
| יצא לאור: |
BMC
2024-01-01
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| סדרה: | BMC Health Services Research |
| נושאים: | |
| גישה מקוונת: | https://doi.org/10.1186/s12913-023-10451-5 |
| _version_ | 1827377431304994816 |
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| author | Kaylee Burgan C. Greer McCollum Alfredo Guzman Brooke Penney Samantha V. Hill Kachina Kudroff Shey Thorn Toya Burton Kelly Turner Michael J. Mugavero Aadia Rana Latesha Elopre |
| author_facet | Kaylee Burgan C. Greer McCollum Alfredo Guzman Brooke Penney Samantha V. Hill Kachina Kudroff Shey Thorn Toya Burton Kelly Turner Michael J. Mugavero Aadia Rana Latesha Elopre |
| author_sort | Kaylee Burgan |
| collection | DOAJ |
| description | Abstract Background Alabama is one of seven priority states for the National Ending the HIV Epidemic Initiative due to a disproportionate burden of rural infections. To reverse growing infection rates, the state must increase its focus on prevention efforts, including novel strategies. One such approach is to utilize dashboards that visualize real-time data on the pre-exposure prophylaxis (PrEP) care continuum to assist in prioritizing evidence-based preventative care for those most vulnerable for HIV infection. Methods We conducted a mixed methods evaluation to ascertain stakeholders’ perceptions on the acceptability, feasibility, appropriateness, and usability of a PrEP care continuum dashboard, as well as gain insight on ways to improve the activities necessary to sustain it. Clinicians, administrators, and data personnel from participating sites in Alabama completed surveys (n = 9) and participated in key informant interviews (n = 10) to better understand their experiences with the prototype data dashboard and to share feedback on how it can be modified to best fit their needs. Results Surveys and interviews revealed that all participants find the pilot data dashboard to be an acceptable, feasible, and appropriate intervention for clinic use. Overall, stakeholders find the pilot dashboard to be usable and helpful in administrative efforts, such as report and grant writing; however, additional refining is needed in order to reduce burden and optimize usefulness. Participants voiced concerns about their site’s abilities to sustain the dashboard, including the lack of systematized PrEP protocols and limited funds and staff time dedicated to PrEP data collection, cleaning, and upload. Conclusion Study participants from clinics providing HIV prevention services, including PrEP, in Alabama voiced interest in sustaining and refining a data dashboard that tracks clients across the PrEP care continuum. Despite viewing the platform itself as an acceptable, feasible, and appropriate intervention, participants agreed that efforts need to be focused on standardizing PrEP data collection protocols in order to ensure consistent, accurate data capture and that limited funds and staff time are barriers to the sustained implementation of the dashboard in practice. |
| first_indexed | 2024-03-08T12:39:06Z |
| format | Article |
| id | doaj.art-1f77d6b521dc4bae9fd256b37a581f73 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-08T12:39:06Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-1f77d6b521dc4bae9fd256b37a581f732024-01-21T12:15:24ZengBMCBMC Health Services Research1472-69632024-01-0124111410.1186/s12913-023-10451-5A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United StatesKaylee Burgan0C. Greer McCollum1Alfredo Guzman2Brooke Penney3Samantha V. Hill4Kachina Kudroff5Shey Thorn6Toya Burton7Kelly Turner8Michael J. Mugavero9Aadia Rana10Latesha Elopre11Division of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDepartment of Pediatrics, Division of Adolescent Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamFive Horizons Health ServicesWhatley Health ServicesHealth Services CenterDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamDivision of Infectious Diseases, Heersink School of Medicine, University of Alabama at BirminghamAbstract Background Alabama is one of seven priority states for the National Ending the HIV Epidemic Initiative due to a disproportionate burden of rural infections. To reverse growing infection rates, the state must increase its focus on prevention efforts, including novel strategies. One such approach is to utilize dashboards that visualize real-time data on the pre-exposure prophylaxis (PrEP) care continuum to assist in prioritizing evidence-based preventative care for those most vulnerable for HIV infection. Methods We conducted a mixed methods evaluation to ascertain stakeholders’ perceptions on the acceptability, feasibility, appropriateness, and usability of a PrEP care continuum dashboard, as well as gain insight on ways to improve the activities necessary to sustain it. Clinicians, administrators, and data personnel from participating sites in Alabama completed surveys (n = 9) and participated in key informant interviews (n = 10) to better understand their experiences with the prototype data dashboard and to share feedback on how it can be modified to best fit their needs. Results Surveys and interviews revealed that all participants find the pilot data dashboard to be an acceptable, feasible, and appropriate intervention for clinic use. Overall, stakeholders find the pilot dashboard to be usable and helpful in administrative efforts, such as report and grant writing; however, additional refining is needed in order to reduce burden and optimize usefulness. Participants voiced concerns about their site’s abilities to sustain the dashboard, including the lack of systematized PrEP protocols and limited funds and staff time dedicated to PrEP data collection, cleaning, and upload. Conclusion Study participants from clinics providing HIV prevention services, including PrEP, in Alabama voiced interest in sustaining and refining a data dashboard that tracks clients across the PrEP care continuum. Despite viewing the platform itself as an acceptable, feasible, and appropriate intervention, participants agreed that efforts need to be focused on standardizing PrEP data collection protocols in order to ensure consistent, accurate data capture and that limited funds and staff time are barriers to the sustained implementation of the dashboard in practice.https://doi.org/10.1186/s12913-023-10451-5PrEPPre-exposure prophylaxisData dashboardCare continuum |
| spellingShingle | Kaylee Burgan C. Greer McCollum Alfredo Guzman Brooke Penney Samantha V. Hill Kachina Kudroff Shey Thorn Toya Burton Kelly Turner Michael J. Mugavero Aadia Rana Latesha Elopre A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States BMC Health Services Research PrEP Pre-exposure prophylaxis Data dashboard Care continuum |
| title | A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States |
| title_full | A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States |
| title_fullStr | A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States |
| title_full_unstemmed | A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States |
| title_short | A mixed methods evaluation assessing the feasibility of implementing a PrEP data dashboard in the Southeastern United States |
| title_sort | mixed methods evaluation assessing the feasibility of implementing a prep data dashboard in the southeastern united states |
| topic | PrEP Pre-exposure prophylaxis Data dashboard Care continuum |
| url | https://doi.org/10.1186/s12913-023-10451-5 |
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