@article{TEXTUAL,
      recid = {13323},
      author = {Li, Dennis H. and Zamantakis, Alithia and Zapata, Juan P.  and Danielson, Elizabeth C. and Saber, Rana and Benbow,  Nanette and Smith, Justin D. and Swann, Gregory and  Macapagal, Kathryn and Mustanski, Brian},
      title = {A mixed-methods approach to assessing implementers’  readiness to adopt digital health interventions (RADHI)},
      journal = {Implementation Science Communications},
      address = {2024-08-27},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Background: Despite being the primary setting for HIV  prevention among men who have sex with men (MSM) since the  start of the epidemic, community-based organizations (CBOs)  struggle to reach this historically stigmatized and largely  hidden population with face-to-face interventions. HIV  researchers have readily turned to the internet to deliver  critical HIV education to this group, with evidence of high  effectiveness and acceptability across studies. However,  implementation outside of research contexts has been  limited and not well studied. We aimed to assess HIV CBOs'  readiness to adopt digital health interventions and  identify contextual factors that may contribute to  differing levels of readiness.&lt;/p&gt; &lt;p&gt;Methods: We recruited  22 CBOs across the US through a pragmatic  request-for-proposals process to deliver Keep It Up!  (KIU!), an evidence-based eHealth HIV prevention program.  We used mixed methods to examine CBO readiness to adopt  digital health interventions (RADHI). Before  implementation, CBO staff completed a 5-item RADHI scale  (scored 0-4) that demonstrated concurrent and predictive  validity. We interviewed CBO staff using semi-structured  questions guided by the Consolidated Framework for  Implementation Research and compared RADHI score groups on  determinants identified from the interviews.&lt;/p&gt;  &lt;p&gt;Results: Eighty-five staff (range = 1-10 per CBO)  completed the RADHI. On average, CBOs reported  moderate-to-great readiness (2.74) to adopt KIU!. High  RADHI CBOs thought KIU! was a top priority and an  innovative program complementary to their existing  approaches for their clients. Low RADHI CBOs expressed  concerns that KIU! could be a cultural mismatch for their  clients, was lower priority than existing programs and  services, relied on clients' own motivation, and might not  be suitable for clients with disabilities. Value, appeal,  and limitations did not differ by RADHI group.&lt;/p&gt;  &lt;p&gt;Conclusions: While HIV CBOs are excited for the  opportunities and advantages of digital interventions,  additional pre-implementation and implementation support  may be needed to increase perceived value and usability for  different client populations. Addressing these limitations  is critical to effective digital prevention interventions  for HIV and other domains such as mental health, chronic  disease management, and transitions in care. Future  research can utilize our novel, validated measure of CBOs'  readiness to adopt digital health interventions.&lt;/p&gt;  &lt;p&gt;Trial registration: &lt;a  href="http://clinicaltrials.gov/show/NCT03896776"  target="_blank"&gt;NCT03896776&lt;/a&gt;. clinicaltrials.gov, 1  April 2019.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/13323},
}