Community-Identified Implementation Strategies for Promoting the Adoption of HIV Self-Testing in a Southern California American Indian community
A Rapid Qualitative Analysis
Bibliographic Data
| ID | 15334310 |
|---|---|
| Authors | Maximo Prescott (0000-0003-1879-1835, San Diego State University, corresponding author), Jessica L Montoya (0000-0002-0318-7590, University of California San Diego), Christina Perry (0000-0002-9258-5653, Southern California Reproductive Center), Ray Teran (Southern California Reproductive Center), Richard F Armenta (0000-0002-1504-3666, California State University, San Marcos), Richard Armenta, Tommi Gaines (University of California San Diego), Tommi L Gaines |
| Year | 2024 |
| Volume | 28 |
| Issue | 6 |
| Pages | 2101-2112 |
| Publication date | 2024-04-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-024-04309-y |
| PMID | 38594409 |
| OpenAlex | W4394622522 |
| Language | EN |
| References cited | 32 |
HIV incidence increased by 18% between 2015 and 2019 among American Indians (AIs) despite declining rates in other racial/ethnic groups. Culturally-appropriate implementation of prevention programs is needed to address the intersectional conditions contributing to HIV vulnerabilities experienced by AIs. The objectives of this study were to understand factors influencing HIV testing decisions and identify implementation strategies to promote the acceptability of HIV self-testing (HIVST) in a southern California AI community. A total of 15 semi-structured interviews were completed with adult community members of a southern California AI reservation. Analysis used a rapid analytic approach that was guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework and expert recommendations for implementing change (ERIC) compilation. Two team members applied a standardized summary template to elucidate implementation determinants and implementation strategies for adopting HIVST. Barriers to HIV testing identified by community members included HIV-related stigma and privacy concerns within their community. Community members expressed positive perceptions of the acceptability of HIVST, with many identifying ease of use and privacy as appealing attributes. Several implementation strategies were suggested for facilitating the adoption of HIVST, including increasing access to tests by mailing kits to community members and increasing demand for kits through media campaigns (e.g., local flyers, social media posts, and booths at tribal events). Community members also recommended discreet packaging of kits and cultural adaptation of accompanying materials (e.g., educational videos featuring community members). The qualitative input from AI community members facilitated identification of implementation strategies that may promote the acceptability and culturally-appropriateness of HIVST
Ethnic group · Family medicine · Human immunodeficiency virus (HIV · Medical education · Political science · Public relations · Qualitative research · Social media · Sociology · Stigma (botany · World Wide Web · Computer Science · Health Policy Implementation Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine
The updated Consolidated Framework for Implementation Research based on user feedback
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Systematic review of the Exploration, Preparation, Implementation, Sustainment (Epis) framework
A refined compilation of implementation strategies
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| Citation velocity | historical |
|---|---|
| Highly cited | No |