Dyadic, Small Group, and Community-Level Behavioral Interventions for STD/HIV Prevention

McCree, Donna Hubbard; Eke, Agatha; Williams, Samantha

doi:10.1007/978-0-387-48740-3_4

Cited by 5 publications

(5 citation statements)

References 54 publications

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“…Our findings underscore that a focus on individual HIV testing behaviour alone without addressing the interpersonal, family and community contexts may limit the success of HIV testing interventions, particularly among the East African community where there is less buy-in regarding HIV screening compared with the African-American community overall 17 18. Given the tight-knit community networks among the women in this study, it seems that community perceptions and attitudes exert a greater influence than individual-level factors, especially among East Africans whereby the potential stigmatisation within and towards the family related to HIV testing is of greater concern than possible individual-level advantages of HIV testing.…”

Section: Discussionmentioning

confidence: 89%

“…The promotion of HIV testing, therefore, should coincide with culturally sensitive pretest and post-test counselling, which may contribute to a reduction of stigma and higher uptake of voluntary testing 22. Community-based participatory interventions that aim at engaging community members to educate others and promote positive messages that reduce HIV-related stigma are also more likely to have greater impact at reducing stigma than individually targeted measures 18 23 24…”

Section: Discussionmentioning

confidence: 99%

“…Despite the limitations, these findings provide much needed data on the nuances in HIV testing attitudes, perceptions and behaviours among these subgroups, which are vital to understand how best to tailor messages for each subgroup so that they resonate with these different audiences 18 23 24…”

Section: Discussionmentioning

confidence: 99%

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Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies: Table 1

Jesús

Carrete

Maine³

et al. 2015

Sex Transm Infect

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Objectives The objective of the study was to examine and compare the HIV testing attitudes, perceptions, and behaviors between African American and East African immigrant women in the Washington, D.C. Metropolitan area. Methods Adopting an inductive, qualitative methodological approach, we conducted a total of 40 in-depth, semi-structured interviews between October 2012 and March 2013. Qualitative thematic analysis was used to analyze the data. Results Overall, African American women held more favorable views toward HIV testing than East African immigrant women. Very few East African immigrant women sought HIV testing intentionally. The majority of East African participants were tested inadvertently, while others tested for immigration- or employment-related purposes. There were many barriers that impede women from seeking an HIV test including: negative assumptions (e.g., ‘Getting an HIV test implies that I am HIV positive’); negative emotions (e.g., ‘Fear of being diagnosed with HIV and what this will mean for me’); and potential negative reactions from partner or others (e.g., ‘Getting an HIV test can signal distrust, disrespect, or infidelity’). There were nuances in how each group articulated some of these barriers and East African women expressed unique concerns that originated from experiences in their home countries. Conclusions The study shed light into the complexity of factors that constrain women from presenting themselves voluntarily for an HIV test and highlighted the nuances between African American and East African perceptions. Implications of findings for effective targeted HIV screening promotion and communication strategies among these groups of women are discussed.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies: Table 1

Jesús

Carrete

Maine³

et al. 2015

Sex Transm Infect

View full text Add to dashboard Cite

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“…These findings align with the existing evidence on the benefits of group interventions. The group format for behavioral interventions in the context of HIV prevention utilizes the social interactions among group members to enhance the likelihood of acquiring new information and skills, facilitate behavioral change, and enable the group members to learn with and from each other in a safe environment [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

“I decided in my heart I have to complete the sessions”: A qualitative study on the acceptability of an evidence-based HIV risk reduction intervention among women engaged in sex work in Uganda

et al. 2023

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Background The HIV burden remains a critical public health concern and women engaged in sex work [WESW] are at significantly higher risk compared to the general adult population. Similar to other sub-Saharan African countries, Uganda reports high rates of HIV prevalence among WESW. Yet, they have not been targeted by theory-informed HIV prevention intervention approaches. Methods We conducted semi-structured in-depth interviews with 20 WESW upon intervention completion to explore their experiences with an evidence-based HIV risk reduction intervention that was implemented as part of a combination intervention tested in a clinical trial in Uganda (2018–2023. Specifically, we explored their initial motivations and concerns for participating in the intervention, barriers and facilitators to attendance, and their feedback on specific intervention characteristics. Results The main expectations revolved around access to health-related information, including information on STIs, HIV, and PrEP as well as on how one can protect themselves while engaging in sex work. Initial concerns were around potential breach of confidentiality and fear of arrest. The main facilitators for session attendance were the motivation to learn health-related information, the attitude of facilitators, and the incentives received for participation, whereas main challenges were related to family commitments and work schedules. WESW appreciated the group format of the intervention and found the location and times of the intervention delivery acceptable. Discussion and conclusions Overall, our findings suggest that the HIV risk reduction intervention was appropriate and acceptable to WESW. Yet, WESW experience unique concerns and barriers that need to be accounted for when designing interventions targeting this population, especially in resource-limited settings where sex work is illegal and highly stigmatized. Clinical trial registration NCT03583541.

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“…Conducting simulation model exercise in small-sized groups tend to be more effective in healthcare and incorporating and engaging stakeholders from the get-go will allow them to understand the model building process much easier (Holtgrave and Pinkerton 1998;McCree, Eke, and Williams 2007).…”

Section: Usability Of the Participatory Sd Approachmentioning

confidence: 99%

Healthcare workers’ perspectives on participatory system dynamics modelling and simulation: designing safe and efficient hospital pharmacy dispensing systems together

2020

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With increasingly complex safety-critical systems like healthcare being developed and managed, there is a need for a tool that permits decision-makers to better understand the complexity, test various strategies and guide effective changes. System Dynamics (SD) modelling is an effective approach that can aid strategic decision-making in healthcare systems but has been underutilised partly due to the challenge of engaging healthcare stakeholders in the modelling process. This paper, therefore, investigates the applicability of a participatory SD approach based on healthcare workers' perspectives on ease of use (usability) and usefulness (utility). The study developed an interactive simulation dashboard platform which facilitated participatory simulation for exploring various hospital pharmacy staffing level arrangements and their impacts on interruptions, fatigue, workload, rework, productivity and safety. The findings reveal that participatory SD approach can enhance team learning by converging on a shared mental model, aid decision-making and identifying trade-offs. The implications of these findings are discussed as well as experience and lessons learned on modelling facilitation.

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Dyadic, Small Group, and Community-Level Behavioral Interventions for STD/HIV Prevention

Cited by 5 publications

References 54 publications

Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies: Table 1

Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies: Table 1

“I decided in my heart I have to complete the sessions”: A qualitative study on the acceptability of an evidence-based HIV risk reduction intervention among women engaged in sex work in Uganda

Healthcare workers’ perspectives on participatory system dynamics modelling and simulation: designing safe and efficient hospital pharmacy dispensing systems together

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