title: Development of a multilevel intervention to increase HIV clinical trial participation among rural minorities.
abstract: Minorities are disproportionately affected by HIV/AIDS in the rural Southeast; therefore, it is important to develop targeted, culturally appropriate interventions to support rural minority participation in HIV/AIDS research. Using intervention mapping, we developed a comprehensive multilevel intervention for service providers (SPs) and people living with HIV/AIDS (PLWHA). The authors collected data from both groups through 11 focus groups and 35 individual interviews. Resultant data were used to develop matrices of behavioral outcomes, performance objectives, and learning objectives. Each performance objective was mapped with changeable, theory-based determinants to inform components of the intervention. Behavioral outcomes for the intervention included the following: (a) eligible PLWHA will enroll in clinical trials and (2) SPs will refer eligible PLWHA to clinical trials. The ensuing intervention consists of four SPs and six PLWHA educational sessions. Its contents, methods, and strategies were grounded in the theory of reasoned action, social cognitive theory, and the concept of social support. All materials were pretested and refined for content appropriateness and effectiveness.
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7590, USA. gcorbie@med.unc.edu
authors.forename: Giselle
authors.initials: G
authors.lastname: Corbie-Smith
authors.forename: Ebun
authors.initials: E
authors.lastname: Odeneye
authors.forename: Bahby
authors.initials: B
authors.lastname: Banks
authors.forename: Margaret
authors.initials: M
authors.lastname: Shandor Miles
authors.forename: Malika
authors.initials: M
authors.lastname: Roman Isler
mesh_terms: D000328:Adult; D001741:Black or African American; D002986:Clinical Trials as Topic; D005260:Female; D017144:Focus Groups; D015658:HIV Infections; D006293:Health Promotion; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008913:Minority Groups; D018579:Patient Selection; D016730:Program Development / Q000379:methods*; D036301:Qualitative Research; D012424:Rural Population; D015144:Southeastern United States; D055815:Young Adult