NIMH Project Accept (HPTN 043): results from in-depth interviews with a longitudinal cohort of community members
NIMH Project Accept (HPTN 043): results from in-depth interviews with a longitudinal cohort of community members
Introduction
NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma.
Methods
A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time.
Results
Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities.
Discussion
The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.
e87091
Maman, S.
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van Rooyan, H.
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Stankard, P.
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Murima, O.
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Muravha, T.
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Ntogwisangu, J.
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Phakathi, Z.
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Srirak, N.
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Morin, S.F.
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McGrath, N.
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2014
Maman, S.
59bb65c1-0caf-4b93-a7d3-b788afe40404
van Rooyan, H.
2b9556b8-014e-4b4c-9f77-0541def44ef3
Stankard, P.
744e44c1-0a6d-4f7f-b7ca-0fc6b5574698
Murima, O.
39d36ff0-9a95-450e-b265-f6284c663512
Muravha, T.
14784b52-4aab-4918-9791-51c811c3d98f
Ntogwisangu, J.
981073ec-4325-452e-a25a-8457f663d51c
Phakathi, Z.
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Srirak, N.
c3644749-764d-4fa7-a0c4-19eec2dd968d
Morin, S.F.
0d7fd6a1-a86a-4430-bd2b-d391a7c8420c
McGrath, N.
b75c0232-24ec-443f-93a9-69e9e12dc961
Maman, S., van Rooyan, H., Stankard, P., Murima, O., Muravha, T., Ntogwisangu, J., Phakathi, Z., Srirak, N., Morin, S.F. and McGrath, N.
(2014)
NIMH Project Accept (HPTN 043): results from in-depth interviews with a longitudinal cohort of community members.
PLoS ONE, 9 (1), .
(doi:10.1371/journal.pone.0087091).
(PMID:24489841)
Abstract
Introduction
NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma.
Methods
A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time.
Results
Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities.
Discussion
The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.
Other
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Published date: 2014
Organisations:
Primary Care & Population Sciences
Identifiers
Local EPrints ID: 362885
URI: http://eprints.soton.ac.uk/id/eprint/362885
ISSN: 1932-6203
PURE UUID: 8612fd8d-7766-4b2b-97af-a7e6d426bee2
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Date deposited: 10 Mar 2014 16:23
Last modified: 15 Mar 2024 03:46
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Contributors
Author:
S. Maman
Author:
H. van Rooyan
Author:
P. Stankard
Author:
O. Murima
Author:
T. Muravha
Author:
J. Ntogwisangu
Author:
Z. Phakathi
Author:
N. Srirak
Author:
S.F. Morin
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