ArticleJournal of the International AIDS Society2026
Characterization of Strategies to Enhance the Provision of Holistic Services Across Three Community-Based Organizations in King County, Washington, United States.
Article in Journal of the International AIDS Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
introductionAddressing social determinants of health within HIV services is essential to achieve HIV epidemic control in the United States. Community-based organizations (CBOs) are uniquely positioned to implement integrated services, particularly for under-resourced and marginalized communities. However, effective strategies to support integrated services are needed for these settings. In a community-academic partnership, we applied implementation science tools to identify, prioritize and characterize strategies supporting three CBOs' goals to enhance integrated services and reduce health inequities in King County, Washington, United States.
methodsFrom November 2021 to June 2022, we facilitated nominal group technique methods with each CBO to generate strategies aligned with conditions CBOs deemed necessary for successful integration. Staff evaluated strategies' feasibility and effectiveness using 5-point Likert scales (Feasibility: 1 = Very hard to do with current resources to 5 = Very easy; Effectiveness: 1 = Large negative to 5 = Large positive impact). Go-Zone plots comparing strategies' feasibility and effectiveness scores were generated to inform implementation prioritization. We mapped strategies to Expert Recommendations for Implementing Change (ERIC) thematic clusters and Consolidated Framework for Implementation Research (CFIR) constructs.
resultsThis participatory process generated 118 strategies perceived as highly impactful (mean = 4.7, range = 4.6-5.0) and with mixed feasibility (mean = 3.3, range = 3.2-4.6). Strategies most frequently aimed to improve organizational structural characteristics, staff access to knowledge/information, communications, implementer and community engagement, reflecting and evaluating, and teaming. All nine ERIC thematic clusters were represented, most commonly change infrastructure, train/educate relevant groups, develop interrelationships, use evaluative and iterative strategies, and engage consumers. Highly feasible and impactful strategies often addressed knowledge access and engagement, while fewer addressed structural characteristics and teaming. We observed patterns in barrier-strategy mapping (CFIR-ERIC) and in strategy feasibility and impact when reviewing construct combinations.
conclusionsImplementing integrated services requires systems-level approaches that strengthen organizational infrastructure and respond to community priorities. Despite diverse organizational contexts, a core set of determinants and strategy types emerged, suggesting their importance for integrated services. Implementation science frameworks were valuable for translating context-specific strategies into potentially generalizable takeaways about determinants and strategy types, though they may be unnecessary for strategy and determinant identification with CBOs. Examining the feasibility and effectiveness of strategy types addressing unique combinations of determinants may strengthen barrier-strategy mapping.
Indexed as
Identifiers
42850988What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.