Adapting effective narrative-based HIV-prevention interventions to increase minorities' engagement in HIV/AIDS services.
Disparities related to barriers to caring for HIV-positive and at-risk minorities continue to be a major public health problem. Adaptation of efficacious HIV-prevention interventions for use as health communication innovations is a promising approach for increasing minorities' utilization of HIV health and ancillary services. Role-model stories, a widely-used HIV-prevention strategy, employ culturally tailored narratives to depict experiences of an individual modeling health-risk reduction behaviors. This article describes the careful development of a contextually appropriate role model story focused on increasing minorities' engagement in HIV/AIDS health and related services. Findings from interviews with community members and focus groups with HIV-positive minorities indicated several barriers and facilitators related to engagement in HIV health care and disease management (e.g., patient-provider relationships) and guided the development of role-model story narratives.
Department of Psychology, University of Missouri-Kansas City, 4825 Troost, Suite 211, Kansas City, MO 64110-2499, USA. berkleypattonj@umkc.edu
Jannette
J
Berkley-Patton
Kathleen
K
Goggin
Robin
R
Liston
Andrea
A
Bradley-Ewing
Sally
S
Neville
D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000208:ethnology / Q000517:prevention & control; D001741:Black or African American; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D003153:Community Health Services / Q000706:statistics & numerical data*; D054626:Consumer Health Information; D003466:Cultural Characteristics; D015658:HIV Infections / Q000188:drug therapy / Q000208:ethnology / Q000517:prevention & control*; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D007615:Kansas / Q000453:epidemiology; D055118:Medication Adherence; D010817:Physician-Patient Relations; D040242:Risk Reduction Behavior; D020377:Self Efficacy; D012944:Social Support
D044966:Anti-Retroviral Agents