HIV and Alcohol Research Priorities of City, State, and Federal Policymakers: Results of a Delphi Study

Uyei et al. (2015) full text summary PDF

For which topic were research priorities identified?

alcohol- and HIV-related clinical trials

In which location was the research priority setting conducted?

North America - USA

Why was it conducted at all?

Although a substantial body of literature suggests the harmful effects of alcohol consumption on HIV transmission, progression, and survival,1---11 alcohol consumption has not been adequately addressed in HIV clinical practice, prevention strategies, or public health policy.12 This inadequacy may be partly because of a perception that alcohol is less harmful than other high-risk behaviors13 or because interventions to reduce alcohol consumption in HIV-infected populations have shown mixed effects.14,15 The noticeable gaps from research to practice suggest deficiencies in ensuring that evidence-based knowledge informs decisions on public health policies and programs related to alcohol and HIV surveillance, access to services, program and policy evaluation, and advocacy. The disconnect also indicates weaknesses in ensuring that appropriate interventions are not only developed but also implemented to reach the patients and populations for whom they are intended.

What was the objective?

to elicit from experts a list of alcohol- and HIV-related clinical trial research questions that were important to fund and rank order the list to identify questions of highest priority

What was the outcome?

a ranking list of 15 research questions

How long did the research prioritization take?

June 2014 - July 2014

Which methods were used to identify research priorities?

Delphi

How were the priorities for research identified exactly?

Step 1: Delphi round 1: participants were asked for research questions, 90 clinical research questions generated. Step 2: Delphi round 2: participants were asked to select and rank order their top 10, resulting in list of 15 questions. Step 3: Delphi round 3: participants were asked to re-rank top 10 questions

Which stakeholders took part?

Health departments, the centers for disease control and prevention, and the national institutes of health. 13 participants in all 3 rounds.

How were stakeholders recruited?

Participants were recruited from departments of health in 10 regions of the United States with the highest prevalence of HIV, as well as from the Centers for Disease Control and Prevention and National Institutes of Health.

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.