ArticleHealth & justice2025
A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system.
Article in Health & justice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05286879 (Addressing Risk Through Community Treatment for Infectious Disease and Opioid Use Disorder Now), which is not on this map. Not yet cited in PubMed.
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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.
Addressing Risk Through Community Treatment for Infectious Disease and Opioid Use Disorder Now (ACTION) Among Justice-involved Populations
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Authors and funding
16 authors.
Funding
Abstract
backgroundIn an effort to address health risks for HIV among justice-involved individuals, linkage to community services for HIV and substance use disorder prevention and treatment is critical. Stakeholder feedback informing the development of interventions aimed at linking individuals to care is paramount to ensuring the success of the intervention. The current study examines focus group data collected as part of a 5-year NIDA-funded project and presents this data within an implementation science framework.
methodsSix focus groups were conducted across four communities in two states. A total of 19 individuals representing 15 agencies, including both corrections and community healthcare providers, participated in the focus groups. A deductive coding strategy was used to code the focus group transcripts using Atlas.ti 9 software. Audio-recorded interviews were transcribed and coded by trained qualitative researchers.
resultsThe resulting 1,485 quotes were queried and analyzed using the EPIS inner and outer contexts implementation framework for reporting the findings. Inner context themes encompassing organizational characteristics, staffing processes, and leadership highlight the importance of intra-agency communication, as well as the benefit of hiring peer navigators with lived experience. Outer context themes of interest include funding, sociopolitical context, and interorganizational networks, pointing to service barriers related to funding for PrEP and HIV care, legislative regulations, and the importance of communication to connect people with justice involvement to healthcare and other services.
conclusionsResults support the use of both patient navigation and mobile health unit models to connect justice-involved individuals to healthcare. The themes that emerged during the focus groups helped inform the ACTION study protocol, and the focus group process bolstered the connection between the represented agencies. Ultimately, these focus groups provided valuable information about the communities participating in the study and provided key insights regarding study intervention implementation.
trial registrationClinicalTrials.gov, NCT05286879. Registered 25 February 2022. https://clinicaltrials.gov/study/NCT05286879 .
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