title: Identifying Key Elements to Inform the Development of an HIV Health Behavior Maintenance Intervention.
abstract: To collect information that will inform the development of an intervention to support the maintenance of HIV-related health-promoting behaviors.
  
  
  
  Focused, in-depth individual and group interviews.
  
  
  
  The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) and DOHMH-funded community-based organizations that primarily serve low-income people living with HIV within the five boroughs of NYC.
  
  
  
  A total of 42 individuals who had participated in The Positive Life Workshop-an HIV self-management intervention adapted and implemented by the NYC DOHMH.
  
  
  
  Purposive sampling was used to recruit study participants. Five 60- to 90-minute focus groups (n = 38) and 4 individual interviews were conducted to assess motivations for and barriers to maintaining HIV-related health-promoting behaviors and to elicit feedback on the content and format for the proposed maintenance intervention. Thematic analysis was used to summarize the data.
  
  
  
  Participants reported that relationships with family, a responsibility to protect others from HIV, and faith/spirituality supported the maintenance of health-promoting behaviors. Barriers to behavior maintenance included substance use and mental health issues. Meeting in small groups was also highlighted as a motivator to sustaining health behaviors, particularly in decreasing isolation and receiving affirmation from others.
  
  
  
  Participants identified several factors that could be incorporated into an intervention to support HIV-related health-promoting behavior maintenance that could supplement existing HIV self-management interventions.
authors.affiliation: 1 New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, Queens, NY, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Hile
authors.affiliation: 1 New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, Queens, NY, USA.
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Feldman
authors.affiliation: 1 New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, Queens, NY, USA.
authors.forename: Amanda R
authors.initials: AR
authors.lastname: Raker
authors.affiliation: 1 New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, Queens, NY, USA.
authors.forename: Mary K
authors.initials: MK
authors.lastname: Irvine
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy*; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D000073278:Self-Management / Q000379:methods* / Q000523:psychology*
keywords: HIV; intervention; maintenance; self-management