title: Barbershop Talk With Brothers: using community-based participatory research to develop and pilot test a program to reduce HIV risk among Black heterosexual men.
abstract: There is a need for feasible, evidence-based interventions that support HIV risk reduction among heterosexual Black men. In this article, we describe the process for development of the Barbershop Talk With Brothers (BTWB) program and evaluation. The BTWB program is a theoretically grounded and community-based HIV prevention program that seeks to improve individual skills and motivation to decrease sexual risk, and that builds men's interest in and capacity for improving their community's health. Formative data collection included barbershop observations and barber focus groups, brief behavioral risk assessments of men in barbershops, and focus groups and individual interviews. Based on this information and in consultation with our steering committee, we developed the BTWB program and accompanying program evaluation. From April through November 2011, 80 men were recruited and completed a baseline assessment of a pilot test of the program; 78 men completed the program and 71 completed a 3-month assessment. The pilot evaluation procedures were feasible to implement, and assessments of pre- and post-test measures indicate that key behavioral outcomes and proposed mediators of those outcomes changed in hypothesized directions. Specifically, attitudes and self-efficacy toward consistent condom use improved, and respondents reported lower levels of sexual risk behavior from baseline to follow-up (all p < 0.05). Perceptions of community empowerment also increased (p = 0.06). While HIV stigma decreased, this difference did not reach statistical significance. Our approach to community-engaged program development resulted in an acceptable, feasible approach to reaching and educating heterosexual Black men about HIV prevention in community settings.
authors.forename: Tracey E
authors.initials: TE
authors.lastname: Wilson
authors.forename: Marilyn
authors.initials: M
authors.lastname: Fraser-White
authors.forename: Kim M
authors.initials: KM
authors.lastname: Williams
authors.forename: Angelo
authors.initials: A
authors.lastname: Pinto
authors.forename: Francis
authors.initials: F
authors.lastname: Agbetor
authors.forename: Brignel
authors.initials: B
authors.lastname: Camilien
authors.forename: Kirk
authors.initials: K
authors.lastname: Henny
authors.forename: Ruth C
authors.initials: RC
authors.lastname: Browne
authors.forename: Yolene
authors.initials: Y
authors.lastname: Gousse
authors.forename: Tonya
authors.initials: T
authors.lastname: Taylor
authors.forename: Humberto
authors.initials: H
authors.lastname: Brown
authors.forename: Raekiela
authors.initials: R
authors.lastname: Taylor
authors.forename: Michael A
authors.initials: MA
authors.lastname: Joseph
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D055812:Community-Based Participatory Research / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010865:Pilot Projects; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior; D035781:Siblings; D055815:Young Adult