The question of the question: impactful implementation science to address the HIV epidemic

dc.contributor.authorElvin H Geng
dc.contributor.authorDenis Nash
dc.contributor.authorNittaya Phanuphak
dc.contributor.authorKimberly Green
dc.contributor.authorSunil Solomon
dc.contributor.authorAnna Grimsrud
dc.contributor.authorAnnette H Sohn
dc.contributor.authorKenneth H Mayer
dc.contributor.authorTill Bärnighausen
dc.contributor.authorLinda-Gail Bekker
dc.date.accessioned2024-04-01T17:40:02Z
dc.date.available2024-04-01T17:40:02Z
dc.date.issued2022-04
dc.description.abstractIntroduction: Questions about the implementation of evidence-based intervention to treat and prevent HIV have risen to the top of the field's scientific priorities. Despite the availability of highly efficacious treatment and prevention interventions, impact has fallen short of targets because these interventions are used with insufficient reach, consistency, sustainability and equity in diverse real-world settings. At present, substantial excitement for implementation science - defined as research methods and strategies to improve use of evidence-based interventions - has focused on developing and disseminating methods to conduct rigorous research. Yet, impactful answers depend on a sometimes less visible, but even more important, step: asking good questions about implementation. Discussion: In this commentary, we offer several considerations for researchers formulating implementation research questions based on several distinctive features of the field. First, as findings are used not only by other researchers but by implementers, scientific questions must incorporate a range of stakeholder and community perspectives to be most relevant. Second, real-world settings are contextually diverse, and the most relevant scientific questions must position answers to make sense within these contexts (whether geographical, organizational and sociological), rather than apart from them. Third, implementation is complex and dynamic; consequently, research questions must make use of emerging standards in describing implementation strategies and their effects whenever possible. Finally, the field of implementation science continues to evolve, so framing problems with a diverse disciplinary lens will enable researchers to pose insightful and impactful questions. Conclusions: We are now at a juncture marked by both rich evidence-based interventions and a persistent global pandemic. To achieve continued scientific progress against the HIV epidemic, asking the right questions might be part of the answer itself.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38252
dc.language.isoen
dc.schoolPublic Health
dc.subjectHIV; effectiveness research; implementation science; implementation strategies; public health; research questions.
dc.titleThe question of the question: impactful implementation science to address the HIV epidemic
dc.typeArticle
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