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We assessed implementation of Lost &amp; Found, a clinic-based intervention to reengage OOC patients. OOC patients were identified using a nurse-validated, real-time OOC list within the electronic medical records (EMR) system. Nurses called OOC patients. Implementation occurred at the McGill University Health Centre from April 2018 to 2019. Results from questionnaires to nurses showed elevated scores for implementation outcomes throughout, but with lower, more variable scores during pre-implementation to month 3 [e.g., adoption subscales (scale: 1\u20135): range from pre-implementation to month 3, 3.7\u20134.9; thereafter, 4.2\u20134.9]. Qualitative results from focus groups with nurses were consistent with observed quantitative trends. Barriers concerning the EMR and nursing staff shortages explained reductions in fidelity. Strategies for overcoming barriers to implementation were crucial in early months of implementation. Intervention compatibility, information systems support, as well as nurses\u2019 team processes, knowledge, and skills facilitated implementation.<\/jats:p>","DOI":"10.1007\/s10461-022-03888-y","type":"journal-article","created":{"date-parts":[[2022,10,22]],"date-time":"2022-10-22T11:40:02Z","timestamp":1666438802000},"page":"1531-1547","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Lost &amp; Found, An Intervention to Reengage Patients Out of HIV Care: A Convergent Explanatory Sequential Mixed-Methods Analysis"],"prefix":"10.1007","volume":"27","author":[{"given":"Blake","family":"Linthwaite","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine","family":"Kronfli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lessard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Engler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana","family":"Ruppenthal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie","family":"Bourbonni\u00e8re","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Obas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melodie","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertrand","family":"Lebouch\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7041-1556","authenticated-orcid":false,"given":"Joseph","family":"Cox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the CVIS clinical team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,10,22]]},"reference":[{"key":"3888_CR1","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS). 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Bertrand Lebouch\u00e9 has received consulting fees from ViiV Healthcare Merck and Gilead; research funding from Merck, Gilead, ViiV Healthcare; and payment for lectures from Merck, Gilead and ViiV Healthcare. Joseph Cox has received consulting fees from ViiV Healthcare, Merck, and Gilead; research funding from ViiV Healthcare, Merck and Gilead; and payment for lectures from Gilead. All other authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}},{"value":"Approval was obtained by the Ethics Committee at the McGill University Health Centre (2018-4369), who reviewed and monitored this study. All efforts were be made to ensure the confidentiality of participants, including the use of randomised study codes, encryption of electronic documents on password protected hospital servers, secure storage of printed materials, and timely destruction of study documents. In lieu of individual informed consent of patients, authorization to access patient charts was obtained from the Director of Professional Services (DPS) of the MUHC Glen Site \u2013 Adult Sector. All nurses agreed to participate. They were not consented by a boss or direct supervisor, but instead by the research coordinator for this study. Participation was voluntary and nurses could withdraw at any time or decline to participate without affecting their employment. Given limited to no risk of harms to participants, no data monitoring committee was be involved in data oversight.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"A signed informed consent form was obtained from each nurse by the research coordinator prior to inclusion in the study and scientific use of acquired data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}