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Implementation outcomes

LJ Lauren Jennings
RW Rebecca L. West
NH Nafisa Halim
JK Jeanette L. Kaiser
MG Marya Gwadz
WM William B. MacLeod
AG Allen L. Gifford
JH Jessica E. Haberer
CO Catherine Orrell
LS Lora L. Sabin
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Translation of the optimized intervention into real-world benefits will require a clear understanding of the implementation process. We will assess implementation using a modified Proctor framework (Fig. ​(Fig.3)3) [52], as this enables measurement of the distinct implementation outcomes in relation to the intervention outcomes, while also considering impact on clients. Brief questionnaires will be administered to all enrolled patients and clinic staff by the study team at two time points during the study to assess both short-term and long-term experiences. A subset of study participants (n=30) will also be selected for IDIs to explore acceptability, intervention appropriateness, feasibility, and patient satisfaction further. Clinic observations at each study site will be conducted to assess the fidelity of intervention implementation.

Modified Proctor Framework [52]. Abbreviations. Abbreviations. DVL, detectable viral load

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