1. Describe the organizational and/or delivery system environment in which your intervention will take place.
Gay and Lesbian community organizations, HIV testing centers, community clinics. Since the intervention is an educational video on HIV vaccine research and how to be involved, our intention is to distribute this video electronically via social media or e-mail.
2. Based on Shortell’s 4 domains of organizational change, identify organizational barriers that could potentially impede successful implementation of your proposed intervention.
Organizational learning is the main barrier that I can foresee. These community organizations would have to have a social media or e-mail subscriber list in order to distribute the video with ease. If the organization already has this sort of list, then including the video into mailing would have to be integrated into their message. One major barrier is getting the participant who receives the link to the video to actually click on the link and not just delete or disregard it.
3. Using the same 4 domain model, describe how your intervention plan can take advantage of organizational strengths OR propose practical methods for addressing these barriers within your program.
One opportunity to increase viewership of the video would be to try to incorporate the video into community organization television programming in the waiting room, if they even have this available.
Since we are incorporating the target communities in the design and evaluation process of the intervention, I do not see patient satisfaction being a major barrier to implementation. We hope that by incorporating the feedback received during the evaluation process, participants receiving the video link will watch the entire video. The intervention will not affect clinical quality performance either. The funding to design the video intervention has already been allocated and the video will be made accessible to the target delivery system for free, so financial issues should not be barriers to implementation.