. 2024 Aug 27;5:91. doi: 10.1186/s43058-024-00628-2

Table 3.

Readiness to Adopt Digital Health Interventions (RADHI) and innovation compatibility

RADHI Group	Descriptive Summaries of KIU! by CBO Staff	Illustrative Quotes
High	Most felt KIU! is or would be compatible. Several found it to easily coexist with and complement existing processes, practices, and programming. Some noted its compatibility with their existing youth and/or MSM population, and five with the needs of their existing client populations for increasing programming related to drug, alcohol, and sex risk reduction. In comparison to the low group, those in this group who had not yet implemented KIU! had greater belief that it would ultimately be compatible and meet their needs.	“I think it does integrate pretty well. It’s just the beginning stages of us integrating it to what we already currently have…but I think it’s working right now.” (Prevention and Outreach Director at a medium-size CBO) “The population who this is target to are folks that we see that come in and say, ‘I would like an STI test,” and then we say, ‘What about HIV?’—the first ones to say, ‘Oh no, I’m not at risk for that.’ So [KIU] will be very beneficial.” (Department Manager at a medium-size CBO)
Middle	All found KIU! compatible with their CBOs. Half (10/19) noted KIU! easily coexists with and complements existing processes, practices, and programming. Some already engage in face-to-face programming with skits and conversation on the same content but felt KIU! would be an extension and diversification of services. Four felt KIU! was compatible with aim to reach more HIV-negative clients, three with their aim to reach more MSM, and two with their aim to reach more MSM of all color.	“We do certain scenarios where they can bring up the conversation of asking the person their status, or asking a person have they gotten tested, or whatnot. So our values and the activities that we currently do is what I see in the Keep It Up videos.” (Health Program Manager at a medium-size CBO) “We have a whole algorithm and keep it up is already on it. So it’s definitely already integrated into our processes.” (Nurse Navigator at a large CBO)
Low	Most felt that KIU! easily coexists with existing process, practices, and programming. KIU! was compatible with some CBO’s aim to reach more YMSM and mission to eliminate barriers to HIV prevention. Four described KIU! as “another tool” in the prevention box and were unsure of how compatible KIU! would be for their CBOs. Two felt KIU! may not be compatible with client population due to not addressing racial/ethnic lived experiences and length of the innovation.	“Unfortunately, in [state], because we’re a melting pot of like all sorts of cultures, things like that, there may be some areas of the Keep It Up program, with some of the photos and stuff, that may be a little racy for people around here.” (Deputy Director of Prevention at a large CBO) “People are always using the internet anyway, social media anyway. So…” (Clinical Services Coordinator at a medium-sized CBO)

RADHI Group

Descriptive Summaries of KIU! by CBO Staff

Illustrative Quotes

High

Most felt KIU! is or would be compatible. Several found it to easily coexist with and complement existing processes, practices, and programming.

Some noted its compatibility with their existing youth and/or MSM population, and five with the needs of their existing client populations for increasing programming related to drug, alcohol, and sex risk reduction.

In comparison to the low group, those in this group who had not yet implemented KIU! had greater belief that it would ultimately be compatible and meet their needs.

“I think it does integrate pretty well. It’s just the beginning stages of us integrating it to what we already currently have…but I think it’s working right now.” (Prevention and Outreach Director at a medium-size CBO)

“The population who this is target to are folks that we see that come in and say, ‘I would like an STI test,” and then we say, ‘What about HIV?’—the first ones to say, ‘Oh no, I’m not at risk for that.’ So [KIU] will be very beneficial.” (Department Manager at a medium-size CBO)

Middle

All found KIU! compatible with their CBOs. Half (10/19) noted KIU! easily coexists with and complements existing processes, practices, and programming.

Some already engage in face-to-face programming with skits and conversation on the same content but felt KIU! would be an extension and diversification of services.

Four felt KIU! was compatible with aim to reach more HIV-negative clients, three with their aim to reach more MSM, and two with their aim to reach more MSM of all color.

“We do certain scenarios where they can bring up the conversation of asking the person their status, or asking a person have they gotten tested, or whatnot. So our values and the activities that we currently do is what I see in the Keep It Up videos.” (Health Program Manager at a medium-size CBO)

“We have a whole algorithm and keep it up is already on it. So it’s definitely already integrated into our processes.” (Nurse Navigator at a large CBO)

Low

Most felt that KIU! easily coexists with existing process, practices, and programming.

KIU! was compatible with some CBO’s aim to reach more YMSM and mission to eliminate barriers to HIV prevention.

Four described KIU! as “another tool” in the prevention box and were unsure of how compatible KIU! would be for their CBOs.

Two felt KIU! may not be compatible with client population due to not addressing racial/ethnic lived experiences and length of the innovation.

“Unfortunately, in [state], because we’re a melting pot of like all sorts of cultures, things like that, there may be some areas of the Keep It Up program, with some of the photos and stuff, that may be a little racy for people around here.” (Deputy Director of Prevention at a large CBO)

“People are always using the internet anyway, social media anyway. So…” (Clinical Services Coordinator at a medium-sized CBO)