JMIR Publications

ABSTRACT

Background:

Implementation 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 to go beyond efficacy, identifying the various aspects that contribute to the success of interventions.

Objective:

This study aims to provide support in tracking implementation outcomes related to an intensive case management (ICM) model’s efficacy and to determine how the ICM’s barriers can be lowered to facilitate a more comprehensive program. Therefore, the study seeks to understand the implementation team’s perspectives, experiences, and perceptions regarding the ICM program and its impact on the target population.

Methods:

We will use probing questionnaires, interviews, and focus-group discussions to gather in-depth insights and perspectives from the implementation team responsible for delivering the ICM intervention for Black Canadians with human immunodeficiency virus (HIV). The questionnaires will measure three outcomes: fidelity, reach, and sustainability. The collected data will be analyzed using appropriate statistical techniques, such as descriptive statistics, to summarize the responses and identify patterns and trends within the data. 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 factors influencing implementation outcomes.

Results:

This study received ethical approval from the University of Western Ontario Non-medical Research Ethics Board. The study will commence in 2024, and initial data collection is expected to be completed by December 2024.

Conclusions:

This 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 Black Canadians with HIV. Clinical Trial: N/A