Adapting effective narrative-based HIV-prevention interventions to increase minorities' engagement in HIV/AIDS services

Health Commun. 2009 Apr;24(3):199-209. doi: 10.1080/10410230902804091.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / drug therapy
  • Acquired Immunodeficiency Syndrome / ethnology
  • Acquired Immunodeficiency Syndrome / prevention & control
  • Anti-Retroviral Agents / therapeutic use
  • Black or African American*
  • Community Health Services / statistics & numerical data*
  • Consumer Health Information
  • Cultural Characteristics*
  • HIV Infections / drug therapy
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • Healthcare Disparities / statistics & numerical data
  • Humans
  • Kansas / epidemiology
  • Medication Adherence
  • Physician-Patient Relations
  • Risk Reduction Behavior
  • Self Efficacy
  • Social Support

Substances

  • Anti-Retroviral Agents