Barriers & Facilitators to Implementation Success

About Menu Overview

The About section provides background information, definitions, and supporting materials that help users understand the purpose and structure of the dashboard. When you hover over or select About in the top navigation bar, a dropdown menu appears with three options: About, Glossary, and Resources.

About

Selecting About opens a page that explains the goals of the Ending the HIV Epidemic Implementation Science Reporting Dashboard. This includes how the dashboard was developed, the research framework guiding the project, and what users can expect to find across the different sections.

Glossary

The Glossary provides clear definitions of terms and concepts commonly used throughout the dashboard. This page is especially helpful for users who may be new to implementation science, public health terminology, or EHE-specific language.

Resources

The Resources page offers additional tools, documents, and reference materials that support deeper learning. These resources may include reports, external links, guidance documents, and supplemental information to help users better understand the data and findings included on the site.

Overview

The Implementation Science Frameworks tool allows users to explore how often different implementation science frameworks appear in published studies related to the Ending the HIV Epidemic (EHE) initiative. This view helps identify which frameworks are most frequently used to guide intervention planning, evaluation, and implementation efforts across jurisdictions.

The page includes descriptive text at the top, a set of interactive filters, and a bar chart summarizing the number of papers associated with each framework.

Page Header

“Implementation Science Frameworks”
This header identifies the subtab you are viewing within the Results section.

Directly beneath it, an introductory sentence explains the purpose:

“Use this tool to quantify the number of studies leveraging various implementation science frameworks. Filter by HIV continuum target, study design, and evidence-based intervention.”

This tells users what the chart represents and how filtering options function.

The central element on the page is a horizontal bar chart that displays the number of studies associated with each implementation science framework. It uses color-coded bars to help users compare counts at a glance.

Interpretation Guidance

This chart helps users:

• Identify trends in framework adoption
• Compare popularity across frameworks
• Understand methodological approaches used in the EHE science portfolio
• Inform future implementation planning and evaluation decisions

Filtering

The filter panel allows users to customize the data displayed in the chart. Users can apply one or more filters simultaneously to narrow the set of studies. Click Apply when you are ready for the data to display.

1. Continuum Target
   This dropdown allows users to filter by the stage(s) of the HIV prevention and treatment continua  addressed in the research. Selecting multiple targets is allowed.

2. Study Design
   This filter enables narrowing results by the type of research design used

3. Intervention
   This dropdown filters studies based on the type of intervention evaluated.

Clear All Button

Resets all filters and returns the display to the full dataset.

User Tips

• Use multiple filters together to locate studies focused on a specific combination (e.g., Mixed Methods + Injectable PrEP + Engagement in Treatment).
• Clear All is helpful when restarting a search or exploring multiple pathways.
• Filtering updates happen only after clicking Apply, preventing accidental changes while selecting multiple criteria.

Overview

The Study Design tool allows users to explore the types of research methodologies used in studies related to the Ending the HIV Epidemic (EHE) initiative. This visualization helps users understand which study designs are most commonly used, allowing comparisons across interventions, implementation stages, and populations.

An introductory sentence at the top of the page sets the context:

“Use this tool to quantify the number of studies employing various study designs. Filter by HIV continuum target, evidence-based intervention, stage of implementation, and more.”

This clarifies what users are viewing and how the filters function.

Page Header

The primary feature of this subtab is a horizontal bar chart showing the number of studies using each type of research design. The y-axis lists study designs; the x-axis shows the corresponding number of papers.

What the Chart Shows

• Each bar corresponds to the number of papers using that study design.
• Longer bars indicate more frequent use.

Interactivity

• Bars update dynamically based on filters.
• Users can combine filters (e.g., “Mixed methods + Engagement in Treatment + Digital Health Navigation”) to isolate a specific subset of research.

Filtering

The filter panel allows users to customize the data displayed in the chart. Users can apply one or more filters simultaneously to narrow the set of studies. Click Apply when you are ready for the data to display.

1. Continuum Target
   Filters the studies by where they fall along the HIV prevention and treatment  continua .

2. EBI (Evidence-Based Intervention)
   Allows users to filter studies by the intervention type being implemented.

3. Stage of Implementation
   Filters studies by the phase of implementation science applied. This helps users see how study design varies across implementation stages.

4. EHE Year
   Allows filtering by publication or project year, giving insight into how study design choices evolve over time.

5. EHE Pillar
   Filters studies by the EHE initiative’s four core pillars:

• Diagnose
• Treat
• Prevent
• Respond

6. EHE Priority Jurisdiction
   Narrows the view to studies conducted in counties or states specifically designated as EHE priority areas.

7. Implementer
   Filters the dataset based on the type of organization conducting the study.

How to Interpret This Page

This subtab is helpful for:

• Understanding the research strategies commonly used within EHE implementation science
• Comparing methodological patterns across interventions or populations
• Identifying gaps in study design usage (e.g., low usage of systematic reviews)
• Supporting grant writing, implementation planning, or academic research by understanding how peers are structuring their studies

User Tips

• Use multiple filters to tailor the chart to very specific subsets of studies.
• “Qualitative: barriers and facilitators” can help users identify studies exploring perceptions, experiences, and barriers.
• “Mixed methods” combines qualitative and quantitative insights—useful when studying complex implementation challenges.
• Use Clear All when switching topics to avoid carrying over unrelated filters.

Overview

The Barriers & Facilitators to Implementation Success tool helps users explore factors that influence the effective adoption, integration, and sustainability of EHE-related interventions across real-world settings. This section highlights contextual, organizational, relational, and individual-level factors that either support or hinder implementation.

Introductory text at the top of the page reads:

“Barriers and facilitators to implementation success refer to factors that hinder or support the effective adoption, integration, and sustainability of implementation strategies and evidence-based interventions in real-world settings. Review these studies to understand research showing the contextual factors, systemic, organizational, relational, individual, and innovation-level influences on implementation success.”

This frames the purpose of the tool and what users will learn from exploring the table.

Main Table

The core of this page is a sortable table listing all relevant publications.

Columns Include:

1. Publication Title
   A clickable link that opens the article.
   Titles represent qualitative, quantitative, and mixed-methods studies that examine challenges and enablers in EHE implementation.
2. DOI
   Shows the DOI number for easy reference or citation.
3. EHE Priority Jurisdiction
   Lists the EHE-designated location(s) associated with the study.

Continuum Navigation Panels

At the top of the results section, the page displays two large colored panels representing two major segments of the HIV continuum:

1. Prevention Continuum (Orange Panel)
   Clicking any icon filters the dataset to show only studies addressing that point in the prevention continuum.

2. Treatment Continuum (Purple Panel)
   Selecting a category adjusts the table to show studies addressing treatment-related barriers and facilitators.
   These continuum panels provide a visual, intuitive way for users to start exploring the research.

Filtering

Beneath the continuum icons is a full filter bar that allows users to refine results further based on study characteristics.

Filter Options Include:

• EBI (Evidence-Based Intervention)
  Filter studies by which intervention type they evaluated (e.g., PrEP navigation, long-acting treatments, digital health navigation).
• Stage of Implementation
  Filter by whether the barrier/facilitator emerged during which stage.
• Strategy
  Filters by implementation strategy type used in the study (e.g., training, facilitation, workflow redesign).
• EHE Pillar
  Narrow results by:
  • Diagnose
  • Treat
  • Prevent
  • Respond
• EHE Priority Jurisdiction
  Select studies conducted in specific EHE-designated counties.
• Implementer
  Filter based on who delivered the intervention.

Export Options

Located in the bottom-right corner:

• Export to CSV
  Downloads all filtered results in CSV format for offline analysis.
• Export as Image
  Saves the current table view as an image — helpful for presentations, reports, and grant applications.

How Users Should Interpret This Page

This section is designed to help users:

• Understand what commonly prevents or supports HIV intervention implementation
• Identify structural and community-specific challenges
• Learn from previous implementation lessons
• Inform planning, program design, and implementation strategy selection
• Compare facilitators/barriers by continuum stage, jurisdiction, or implementer type

This tool is especially useful for:

• Implementation scientists
• Local health departments
• Community-based organization leaders
• Grant writers
• Program planners

Academic researchers

Overview

The Continuum Targets tool allows users to explore how many studies focus on specific points along the HIV prevention and treatment continua. This visualization helps users understand which parts of the HIV care continuum are receiving the most attention in published implementation science research.

The introductory text explains the purpose clearly:

“Use this tool to quantify the number of studies focusing on specific targets within the HIV prevention and treatment continua. Filter by HIV continuum target, evidence-based intervention, stage of implementation, and more.”

This sets the expectation that users can view the distribution of research across prevention, treatment, PrEP, testing, adherence, and viral suppression targets.

Main Visualization: Continuum Target Bar Chart

The heart of this subtab is a horizontal bar chart that displays the number of studies mapped to each continuum target.

What the Chart Shows

Each bar represents a specific target in the HIV prevention or treatment continuum.

Bar Length

The x-axis indicates the number of papers addressing each target.

Interactivity

The chart dynamically updates when filters are applied, allowing users to:

• Compare targets across jurisdictions
• Explore differences between prevention (e.g., PrEP, HIV testing) and treatment (e.g., linkage to care, adherence)
• Identify where research is abundant or lacking
• Understand which continuum targets are receiving the most implementation science attention

Filtering

This subtab includes a rich set of filters that allow users to refine the bar chart based on study attributes.

Available Filters:

1. EBI (Evidence-Based Intervention)
   Filter studies based on the specific intervention involved (e.g., digital navigation, injectables, primary care models).

2. Stage of Implementation
   Allows users to narrow studies by phase

3. Continuum Target
   This dropdown is both a filter and the basis of the visualization. This filter helps focus on a specific area of the continuum while hiding others.

4. EHE Year
   Narrows studies by published or implementation year.

5. EHE Pillar
   Filters results across the four EHE pillars:

• Diagnose
• Treat
• Prevent
• Respond

6. EHE Priority Jurisdiction
   Filters studies conducted within selected EHE priority jurisdictions.

7. Implementer
   Allows filtering by who delivered or led the intervention.

How to Interpret This Page

This tool helps users:

• Understand research priorities within the EHE landscape
• See which prevention or treatment areas have the most scientific focus
• Identify under-studied continuum targets
• Compare patterns by implementer, intervention type, or jurisdiction

This subtab is particularly useful for:

• Program planners
• Policymakers
• Implementation scientists
• Community organizations
• Grant writers seeking to position their programs within research gaps

User Tips

• Use EHE Priority Jurisdiction to see which continuum targets are most studied in your county.
• Combine EBI + Continuum Target filters to understand which interventions are mapped to specific targets.
• Use Stage of Implementation to see how targets shift across the project lifecycle.

Overview

The Implementation Outcomes subtab provides a detailed look at the outcomes reported in EHE-related implementation science studies. These outcomes reflect how well an intervention or implementation strategy was delivered, perceived, or adopted in real-world settings.

This tool helps users explore:

• Which implementation outcomes have been studied
• At what implementation stage they are assessed
• How they are measured
• Which measurement scales researchers use

This subtab offers both high-level and deep-dive views of implementation success factors.

1. Bar Chart: Number of Papers Reporting Identified Implementation Outcomes

Purpose

It shows how many studies reported specific implementation outcomes, based on the stage of implementation selected.

View By Implementation Stage (Filter)

A dropdown menu allows users to switch between stages. Each stage updates the bar chart to show the outcomes measured during that phase.

Interpreting This Chart

• Taller bars indicate outcomes that appear in more studies.

This helps users identify which implementation outcomes are most commonly evaluated in EHE research.

2. Measurement Approach (Pie Chart)
   This chart breaks down the measurement approach used for a selected outcome.

View By Outcome (Dropdown Filter)

Users can change the outcome being displayed (e.g., Acceptability, Adoption, Feasibility).

Chart Details

The pie chart presents the proportion of studies using:

• Qualitative methods
• Quantitative methods

Purpose

This visualization helps users:

• Understand methodological preferences
• See whether certain outcomes rely more heavily on interviews vs. surveys vs. structured scales
• Identify opportunities for methodological diversity in future studies

3. Measurement Scales Utilized (Bar Chart)
   This panel shows the specific measurement scales used to assess each implementation outcome.

View By Outcome (Dropdown Filter)

Users can select an outcome (e.g., Acceptability) to update the chart.

Interpreting the Chart

Each bar indicates how many papers used each measurement scale.

Purpose

This helps users:

• Identify which validated scales are most commonly used
• Understand measurement preferences in the EHE implementation research community
• Select appropriate instruments for future program evaluations

How to Use the Implementation Outcomes Page

This subtab is designed to support:

• Implementation scientists
• Public health researchers
• Evaluation specialists
• Grant writers
• Program planners

Users can:

• Compare which outcomes are most prominent in the literature
• Explore how outcomes differ across implementation stages
• Gather examples of measurement approaches and scales
• Identify gaps in outcome measurement for future research

User Tips

• Use the Implementation Stage filter to understand how outcomes change across phases (e.g., Appropriateness in Exploration vs. Acceptability in Implementation).
• Switch between outcomes using the dropdowns below each chart to explore measurement methods and scales.

Use this page to inform evaluation planning for new interventions or grant applications.

Overview

The Publication Profiles page serves as a repository of individual EHE-related publications. Each entry includes a plain-language summary, citation information, implementation components, and related details such as geography and continuum targets addressed.

This section is ideal for users who want to browse publications, read summaries, or explore individual studies in depth.

A short introduction at the top explains:

“Click on the title for detailed information on each publication in the dashboard including a plain language summary, abstract, citation, and key implementation components.”

Filtering

Users can refine the list of publications using several filters:

Available Filters

• State
  Filters publications by the state in which the study was conducted. Select state first, then county, for more granular filtering.
• County
  Narrows results to specific counties or EHE priority jurisdictions.
• Implementation Stage
  Filters by the stage of implementation represented in each study (e.g., Pre-Implementation, Implementation).
• Implementation Outcomes Reported
  Allows filtering by outcomes such as adoption, acceptability, feasibility, etc.
• Continuum Target Addressed
  Filters by HIV continuum targets (e.g., HIV testing, linkage to care, ART initiation).
• Implementer / Patient / Client
  Filters by who was involved in implementing or participating in the study (e.g., community members, health departments, clinics, patients).

Apply / Clear All

• Apply updates the list to match selected criteria.
• Clear All resets all filters.

Publication List

Each publication is displayed with:

1. Title (Clickable)
   Selecting a title opens a detailed publication page.

2. Summary Text
   A brief plain-language summary explains:

• Focus of the study
• Key insights
• Populations involved
• Implementation context

This allows users to skim quickly without needing to read the full paper.

Publication Detail View

When a user clicks on a title, a detailed view opens showing:

Left Column: Citation

• Full APA/Chicago-style citation
• Author list
• Publication year
• Journal
• DOI link
• Any special notes (e.g., supplement numbers)

Right Column: Implementation Details

Includes:

• Implementation Stage
• Implementation Outcomes Reported
• Continuum Targets Addressed
• Geography
• Implementer / Patient / Client

These categories summarize implementation components in a concise, structured format.

Tabbed Section Below

Three tabs provide additional detail:

• Accessibility
  Whether the article is open access or has full text available.
• Plain Language Abstract
  A patient-friendly or community-friendly summary of the research.
• Scientific Abstract
  The formal abstract from the journal.

Resource Sharing Note

A footer explains how EHE-supported scientists and partners can submit additional materials (e.g., tools, slide decks, abstracts) via the “Share My Resources” form.

Overview

This page visualizes where EHE-related implementation studies have taken place across the United States. It helps users explore geographic distributions of studies and identify research concentrated in priority jurisdictions.

The introduction explains:

“Use this map to filter EHE-funded implementation studies by jurisdiction, or scroll down to see a full list of studies included in the dashboard.”

EHE Map
The map displays:

• EHE States (blue markers)
• EHE Counties (green markers)

Hovering over (or clicking on) a marker reveals:

• County name
• State
• Number of studies
• Optional study titles (depending on configuration)

This map allows users to visually browse studies by geography.

Publications Table
Below the map, a full table lists all publications included in the dashboard.

Columns Typically Include:

• Manuscript Title
  (Clickable to take the user to the relevant publication profile)
• Source Type
  (e.g., Cross-study learning, Evaluation, Community partnerships)
• Publication Source
  (Journal name)
• DOI
• Year

Filter Panel
Users can filter the table by:

• Source Type
• Publication Source
• Year

Apply / Clear All
Same functionality as other pages:

• Apply updates table
• Clear All shows full list again

Overview

This section highlights articles that extend beyond original research studies. These may include:

• Commentary pieces
• Cross-study syntheses
• Capacity-building tools
• Implementation guidance
• Reflections and directions from the EHE network

Tab Navigation
Three tabs organize the content:

1. Commentary
   Editorial pieces, expert perspectives, insights on implementation science directions.

2. Cross Study Learning
   Syntheses and comparative analyses across multiple EHE projects.

3. Tool Capacity Building
   Articles focused on:

• Implementation tools
• Capacity-building hubs
• Training efforts
• Scaling implementation science infrastructure

Publications Table
Once a tab is selected, the table displays the relevant articles.

Columns Shown:

• Article Title
  (Clickable to open the summary)
• Publication Date
• DOI
• Key Words
  (Implementation science, capacity building, health equity, etc.)

Filter Panel
Filters include:

• Publication Source
• Year

These allow users to narrow material to specific journals or timeframes.

Export to CSV
Users can download the filtered table for:

• Reporting
• Grant writing
• Academic reference
• Program planning

Overview

The Community Partnership page highlights the extent to which community partners were involved in EHE-funded implementation science studies. It summarizes specific types of engagement—ranging from conceptualization and data collection to implementation and dissemination—and visualizes how frequently each type of activity was reported.

This section is designed to help users understand how community organizations and academic collaborators worked together in EHE research, and the roles community members played throughout the research process.

An introductory note at the bottom reinforces the purpose:

“All Ending the HIV Epidemic Implementation Science Awards were partnerships between community organizations and academic collaborators. This page shows the types of research activities involving community partners.”

Survey Items Measuring Community Involvement in the Research

The left-hand table provides a detailed breakdown of community involvement across different research activities.

Structure of the Table

The table includes:

Column 1: Community Involvement / Activity

Activities assessed include:

• Analyzing collected data
• CAB (Community Advisory Board) meetings
• Conceptualization
• Data collection
• Dissemination of results
• Implementing the intervention
• Interpreting study findings
• Not described
• Participant recruitment
• Tool design

Each activity has a color-coded label used consistently in the accompanying bar chart.

Column 2–3: Reported Participation (Yes / No)

These columns indicate the percentage of studies that reported community involvement in each activity.

These percentages help users understand where community participation was strongest and where it was limited or underreported.

Number of Studies Reporting Specific Community Involvement Activity

The right-hand side features a horizontal bar chart showing the count of studies reporting each type of community involvement.

What the Chart Shows

Each bar corresponds to an activity and the number of studies that reported community involvement in that area.

Interpretation

This visualization allows users to quickly see:

• Which forms of community involvement occur most frequently
• How deeply community members were integrated into research processes
• Gaps in engagement (e.g., dissemination of results appears in only 1–2 studies)
• Opportunities for increasing community partnership in future EHE work