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Articles

Adapting Effective Narrative-Based HIV-Prevention Interventions to Increase Minorities' Engagement in HIV/AIDS Services

, , , &
Pages 199-209 | Published online: 04 May 2009
 

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.

ACKNOWLEDGMENTS

This study was supported in part by funds from the University of Missouri-Kansas City Center for the City. Support was also provided by Project MOTIV8, NIH/NIMH RO1 MH68197 and a Diversity Supplement to MH68197. The authors would like to thank Rose Farnan, LaTrischa Miles, and Yvette Tyler for their feedback on earlier versions of this article.

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