2025
Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru
Oliveros D, Konda K, Madden L, Montenegro-Idrogo J, Tafur Quintanilla K, Sosa Barbarán K, Nikitin B, Ponticiello M, Benites C, Sánchez J, Altice F. Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru. BMC Health Services Research 2025, 25: 466. PMID: 40156011, PMCID: PMC11954239, DOI: 10.1186/s12913-025-12618-8.Peer-Reviewed Original ResearchConceptsPrimary health centersNominal group techniqueDecentralized HIV careHIV careHealth centersHIV servicesGroup of healthcare providersDecentralization of HIV careNominal group technique groupsPatient's continuity of careContinuity of carePeruvian Ministry of HealthGroup techniqueEvidence-based strategiesMinistry of HealthHIV stigmaLack of confidenceHealthcare accessPerceived BarriersProvider groupsHealth outcomesHealthcare providersPatient continuityIdentified barriersEducational meetingsExploring barriers and potential solutions before implementing a scale-up strategy to expand methadone coverage among people who inject drugs in Tajikistan
O'Hara G, Madden L, Burkhonov A, Alaei A, Mohsinzoda G, Bromberg D, Abdullozoda J, Yusufi S, Altice F. Exploring barriers and potential solutions before implementing a scale-up strategy to expand methadone coverage among people who inject drugs in Tajikistan. Journal Of Substance Use And Addiction Treatment 2025, 172: 209682. PMID: 40139416, DOI: 10.1016/j.josat.2025.209682.Peer-Reviewed Original ResearchConceptsOpioid agonist therapyNominal group techniquePre-implementationImplementation strategiesSecondary HIV prevention strategyHIV prevention strategiesPre-implementation studyAgonist therapyOpioid agonist therapy scale-upHIV epidemicPre-implementation activitiesMethadoneFocus groupsPrevention strategiesCentral Asian regionOpioidGroup techniquePWIDOrganizational factorsNIATxSocietal factorsRecipientsScale-up strategyDrugExploration of the multi-level barriers to scaling up methadone for HIV prevention among people who inject drugs in Kazakhstan
Liberman A, Rozental Y, Ivasiy R, Kussainova A, Primbetova S, Madden L, Terlikbayeva A, Altice F. Exploration of the multi-level barriers to scaling up methadone for HIV prevention among people who inject drugs in Kazakhstan. Journal Of Substance Use And Addiction Treatment 2025, 172: 209640. PMID: 39986387, PMCID: PMC12009200, DOI: 10.1016/j.josat.2025.209640.Peer-Reviewed Original ResearchNominal group techniqueHIV preventionCommunity health workersMulti-level barriersIn-depth interviewsHealth workersPWID clientsSocioecological modelCommunity stakeholdersOpioid use disorderFocus groupsHIV epidemicClinical directorsClinical sitesEducating clientsOpioid agonist therapyImprove implementationGroup techniqueResearch teamCHWsPolicy levelUse disorderCliniciansAlternative medicationsEligibility
2024
Using nominal group technique to identify perceived barriers and facilitators to improving uptake of the Prison Needle Exchange Program in Canadian federal prisons by correctional officers and healthcare workers
Kronfli N, Lafferty L, Leone F, Stoové M, Hajarizadeh B, Lloyd A, Altice F. Using nominal group technique to identify perceived barriers and facilitators to improving uptake of the Prison Needle Exchange Program in Canadian federal prisons by correctional officers and healthcare workers. International Journal Of Drug Policy 2024, 130: 104540. PMID: 39079352, DOI: 10.1016/j.drugpo.2024.104540.Peer-Reviewed Original ResearchCorrectional officersCanadian federal prisonsFederal prisonsFear of beingNeedle exchange programsWrap-around servicesComplex application processCorrectional employeesFocus groupsPrisonNominal group techniquePerceived BarriersAutomatic approvalFear of repercussionsHealthcare workersLack of confidentialityExchange programsSyringe programsOfficeDrug useCoverage of evidence-based interventionsCanadian effortsBloodborne virusesEvidence-based interventionsGroup technique
2019
Using nominal group technique to identify barriers, facilitators, and preferences among patients seeking treatment for opioid use disorder: A needs assessment for decision making support
Muthulingam D, Bia J, Madden LM, Farnum SO, Barry DT, Altice FL. Using nominal group technique to identify barriers, facilitators, and preferences among patients seeking treatment for opioid use disorder: A needs assessment for decision making support. Journal Of Substance Use And Addiction Treatment 2019, 100: 18-28. PMID: 30898324, PMCID: PMC6432946, DOI: 10.1016/j.jsat.2019.01.019.Peer-Reviewed Original ResearchConceptsOpioid use disorderNominal group techniquePharmacologic therapyUse disordersSyringe exchange programsIndividual-level barriersEvidence-based interventionsAddiction treatment centersEvidence-based strategiesOUD treatmentPharmacologic treatmentSpecific medicationsTreatment optionsPharmacologic propertiesMedicationsDecision aidPatient considerationsSide effectsTreatment centersOpioid crisisSpecific knowledge gapsGroup techniqueDecision aid developmentTreatmentTherapy
2017
Using nominal group technique among clinical providers to identify barriers and prioritize solutions to scaling up opioid agonist therapies in Ukraine
Madden L, Bojko MJ, Farnum S, Mazhnaya A, Fomenko T, Marcus R, Barry D, Ivanchuk I, Kolomiets V, Filippovych S, Dvoryak S, Altice FL. Using nominal group technique among clinical providers to identify barriers and prioritize solutions to scaling up opioid agonist therapies in Ukraine. International Journal Of Drug Policy 2017, 49: 48-53. PMID: 28957756, PMCID: PMC11884252, DOI: 10.1016/j.drugpo.2017.07.025.Peer-Reviewed Original ResearchConceptsOpioid agonist therapyNominal group techniqueAgonist therapyBuprenorphine maintenance treatmentAddiction treatment approachesImplementation science strategiesOAT servicesMaintenance treatmentClinical providersTreatment approachesTreatment servicesNGT discussionRegional controlTherapyCliniciansGroup techniqueStructural barriers
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