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Developing Prepare2Thrive, a community-based intervention targeting treatment engagement among African American individuals living with HIV and serious mental illness.

Authors
  • Du Bois, Steve N1
  • Guy, Arryn A1
  • Manser, Kelly A1
  • Thomas, Nicole Novie1
  • Noble, Scott1
  • Lewis, Rodney1
  • Toles, Jock1
  • Spivey, Craig1
  • Khan, Humza1
  • Tully, Timothy1
  • 1 Department of Psychology, Illinois Institute of Technology, Chicago, IL, USA.
Type
Published Article
Journal
AIDS care
Publication Date
Sep 01, 2020
Volume
32
Issue
9
Pages
1102–1110
Identifiers
DOI: 10.1080/09540121.2020.1717420
PMID: 31992049
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

African American individuals living with HIV and serious mental illness (SMI) may report relatively low treatment engagement, despite treatment engagement being critical to managing both health conditions. Here, we have two aims: to describe the methodology we used to collect focus group data on treatment engagement with a sample of African American individuals living with HIV and SMI, and to describe the results of those focus groups in the context of intervention development. We conducted two focus groups (N = 15), integrating a social-ecological model for our theoretical framework, Community-Based Participatory Research for study design and execution, and group concept mapping for data analysis. Three thematic clusters relating to treatment engagement emerged from each group, with overlap across groups: Medication knowledge, Patient-provider relationships, and Barriers to treatment engagement. Items related to the Patient-provider relationship loaded onto all emergent clusters, demonstrating the pervasive impact of this variable. Findings informed the design of Prepare2Thrive, a community-based, culture-specific intervention aiming to increase treatment engagement among African American individuals living with HIV and SMI. Both our design and findings can be used in future collaborations aiming to maximize treatment engagement, and more broadly health, among individuals in this community.

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