scholarly journals Evaluating the Feasibility of Implementing an HIV Prevention Intervention for Incarcerated African American Men: Lessons Learned From a Pilot Study

2020 ◽  
Vol 21 (5) ◽  
pp. 822-830
Author(s):  
Carlos C. Mahaffey ◽  
Danelle Stevens-Watkins ◽  
A. Kathleen Burlew ◽  
Myles D. Moody ◽  
Paris B. Wheeler ◽  
...  
Keyword(s):  
African American ◽  
Pilot Study ◽  
Hiv Prevention ◽  
African American Men ◽  
Setting Time ◽  
Lessons Learned ◽  
Future Research ◽  
Prison Setting ◽  
Hiv Intervention ◽  
Culturally Adapted

This pilot study evaluated the feasibility of implementing an evidence-based, culturally adapted HIV intervention with substance-using African American men in a prison setting. We recruited 60, soon-to-be released African American male prisoners from a larger study ( N = 211) to be randomly selected for participation in the group-based HIV intervention, Real Men Are Safe–Culturally Adapted (REMAS-CA). Participants who were not selected for participation in the intervention received standard Centers for Disease Control and Prevention HIV prevention counseling education, provided during participant assessment in the larger study. Nearly all of the participants who were selected to participate (87%) completed the REMAS-CA intervention. To examine feasibility, data were collected about any revisions made to the HIV intervention components for the prison setting, time needed to implement the program in full, details of implementing the intervention to ensure participation and maintain retention, and participant perception of the intervention. Revisions to the intervention included reducing the number of sessions from five to three, modifying the protocol language based on the setting, and removing six activities deemed inappropriate and/or unallowable by the prison officials. The cultural considerations and intervention, overall, were well received by the participants. However, several revisions made specific to the prison and its administration could affect the potential effectiveness of the intervention. Future research is needed to determine the effectiveness of REMAS-CA among this community.

Abstract 53: Results Of The Nashville Barber-pharmacist Hypertension Management Pilot Study

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Jarod Parrish ◽  
Ciantel A Blyler ◽  
Henry E Okafor ◽  
L. Cindy Chang ◽  
Devika Nair ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Los Angeles ◽  
Care Delivery ◽  
Medication Management ◽  
Lessons Learned ◽  
Future Research ◽  
Hypertension Management ◽  
Male Clients ◽  
Community Stakeholders

Background: The Los Angeles Barbershop Blood Pressure Study (LABBPS) demonstrated that collaboration between barbers and pharmacists delivering hypertension management could significantly improve blood pressure as well as access to care. It is unknown if this model can be translated to other locations. This single-arm, proof-of-concept pilot study tested the development and implementation of a similar protocol in Nashville, TN (NCT04232124). Methods: Between 2019 and 2021, community stakeholders, clinicians, investigators, and the LABBPS team convened to adapt the study design and protocol. Established barbershops with barbers willing to be trained on study procedures were recruited as study sites. Non-Hispanic Black male clients, aged 35-79 years with systolic blood pressure (SBP) > 140 mmHg on two screening days were eligible for participation. Enrolled participants met with a pharmacist for lifestyle and medication management at least once monthly for a six-month period. Barbers measured blood pressure during haircuts for additional monitoring. Results: Eight barbershops in business for an average of 20 (± 5) years participated in the trial. Barbers from each shop (range: 1-4) were trained. A total of 419 clients completed screening visit 1, 82 were eligible and 52 (12%) completed visit 2. We enrolled 36, with 30 completing the initial clinical visit and 27 had complete data at 6-months. Participants were on average age 50 (± 10) years, had a body mass index 33 (± 6), 44% were currently smoking, 52% with high school or less education, and 56% reported current primary care. Baseline BP 157.7±17.1/ 95.1±13.9 mmHg improved to 125.7±11.9/75.6±9.5, a change of -32.1±21.6/ -19.5±14.1, respectively. At 6-months 85% of the group had a BP<140/90, 74% BP<135/85, and 67% BP<130/80. At baseline 15% of participants reported health as excellent/very good and this increased to 56% at 6-months (p=0.002). Adverse reactions reported were minimal. Conclusion: Implementation of the barber-pharmacist model of hypertension management and care delivery improved BP control among hypertensive Black men in Nashville. Lessons learned regarding adaptation overcoming unforeseen barriers will inform expansion into additional naïve locations for future research.

Acceptability, Feasibility, and Preliminary Efficacy of a Theory-Based Relational Embodied Conversational Agent Mobile Phone Intervention to Promote HIV Medication Adherence in Young HIV-Positive African American MSM

2019 ◽  
Vol 31 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Mark S. Dworkin ◽  
Sangyoon Lee ◽  
Apurba Chakraborty ◽  
Colleen Monahan ◽  
Lisa Hightow-Weidman ◽  
...  
Keyword(s):  
African American ◽  
Health Literacy ◽  
Pilot Study ◽  
Self Efficacy ◽  
African American Men ◽  
Personal Health ◽  
Conversational Agent ◽  
Embodied Conversational Agent ◽  
African American Msm

An embodied conversational agent can serve as a relational agent and provide information, motivation, and behavioral skills. To evaluate the feasibility, acceptability, and preliminary efficacy of My Personal Health Guide, a theory-based mobile-delivered embodied conversational agent intervention to improve adherence to antiretroviral therapy in young African American men who have sex with men, we conducted this prospective pilot study using a 3-month pre–post design. Outcome measures included adherence, acceptability, feasibility, pre versus post health literacy, and pre versus post self-efficacy. There were 43 participants. Pill count adherence > 80% improved from 62% at baseline to 88% at follow-up (p = .05). The acceptability of the app was high. Feasibility issues identified included loss of usage data from unplanned participant app deletion. Health literacy improved whereas self-efficacy was high at baseline and follow-up. This pilot study of My Personal Health Guide demonstrated acceptability and preliminary efficacy in improving adherence in this important population.

Keep It Up: Development of a Community-Based Health Screening and HIV Prevention Strategy for Reaching Young African American Men

2009 ◽  
Vol 21 (4) ◽  
pp. 299-313 ◽  
Author(s):  
Lydia O'Donnell ◽  
Beverly Bonaparte ◽  
Heather Joseph ◽  
Gail Agronick ◽  
Deborah McLean Leow ◽  
...  
Keyword(s):  
African American ◽  
Hiv Prevention ◽  
African American Men ◽  
Health Screening ◽  
Prevention Strategy ◽  
Community Based

scholarly journals Lessons Learned From Use of Social Network Strategy in HIV Testing Programs Targeting African American Men Who Have Sex With Men

2013 ◽  
Vol 103 (10) ◽  
pp. 1851-1856 ◽  
Author(s):  
Donna H. McCree ◽  
Gregorio Millett ◽  
Chanza Baytop ◽  
Scott Royal ◽  
Jonathan Ellen ◽  
...  
Keyword(s):  
African American ◽  
Social Network ◽  
Hiv Testing ◽  
African American Men ◽  
Lessons Learned ◽  
Sex With Men

scholarly journals Acceptability and Feasibility of the CHARISMA Counseling Intervention to Support Women’s Use of Pre-Exposure Prophylaxis

2020 ◽  
Author(s):  
Ellen Wilson ◽  
L. Danielle Wagner ◽  
Thesla Palanee-Phillips ◽  
Sarah T. Roberts ◽  
Elizabeth E. Tolley ◽  
...  
Keyword(s):  
Pilot Study ◽  
Hiv Prevention ◽  
Positive Impact ◽  
Male Partner ◽  
Study Participant ◽  
Lessons Learned ◽  
Vaginal Microbicides ◽  
Clinic Staff ◽  
Counseling Intervention ◽  
Exposure Prophylaxis

Abstract Background: Women may need or seek male partner approval to {Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}safely and consistently use oral antiretroviral pre-exposure prophylaxis (PrEP) or vaginal microbicides. We developed CHARISMA, a counseling intervention to support women’s relationships and their ability to consistently use HIV prevention products.Methods: In a pilot study with 95 female participants in Johannesburg, South Africa, lay counselors assessed participants’ relationship(s) with their male partner(s) and barriers or facilitators to HIV prevention method use, and then provided tailored, interactive counseling. We conducted study participant surveys and clinic staff interviews to evaluate CHARISMA’s feasibility and acceptability.Results: The CHARISMA pilot study indicates that a two-session relationship counseling intervention with 6-month follow-up to support women’s ability to safely and effectively use vaginal microbicides was generally acceptable and feasible. Most participants thought CHARISMA was relevant, helpful, and about the right length, and that it had a positive impact on their relationships with their partners and their product use. Staff stated that it was generally feasible to implement. Based on these promising preliminary findings, the project team is currently conducting a randomized controlled trial in which participants are receive either the standard of care for IPV screening and referral (control arm) or the CHARISMA intervention.Conclusions: Clinic staff felt strongly that the length and intensity of CHARISMA were necessary for participants to begin to trust the counselors enough to be open and honest about problems in their relationships, and to begin to overcome the normalization of intimate partner violence. The length and intensity of CHARISMA may not be feasible in some settings, but a shorter version of the intervention may not offer as much support as women and staff need. One possible approach to reduce the burden on clinic staff would be to self-administer the intervention through a computer rather than requiring a counselor. Lessons learned from the pilot study may be relevant to others developing interventions supporting women’s use of oral PrEP or vaginal microbicides.

Marital Quality in Interracial Relationships

2007 ◽  
Vol 28 (12) ◽  
pp. 1538-1552 ◽  
Author(s):  
Nicole D. Forry ◽  
Leigh A. Leslie ◽  
Bethany L. Letiecq
Keyword(s):  
African American ◽  
Marital Quality ◽  
African American Men ◽  
Sex Role ◽  
Interracial Relationships ◽  
Future Research ◽  
Interracial Couples ◽  
Atlantic Region ◽  
Interracial Marriages ◽  
Perceived Unfairness

African American/White interracial couples are a rapidly growing segment of the population. However, little is known about factors related to marital quality for these couples. The authors examine the relationships between sex role ideology, perception of relationship unfairness, and marital quality among a sample of 76 married African American/White interracial couples from the mid-Atlantic region. The results indicate that interracial couples are similar to same-race couples in some ways. In particular, women, regardless of race, report their marriages to be more unfair to them than do men. Unique experiences in interracial marriages based on one's race or race/gender combination are also identified. African Americans experience more ambivalence about their relationship than their White partners. Furthermore, sex role ideology has a moderating effect on perceived unfairness and marital quality for African American men. Similarities and differences among interracial and same-race marriages are discussed, with recommendations for future research.

scholarly journals An Exploratory Study of the Impact of Gender on Health Behavior Among African American and Latino Men With Type 2 Diabetes

2016 ◽  
Vol 11 (2) ◽  
pp. 344-356 ◽  
Author(s):  
Jaclynn Hawkins ◽  
Daphne C. Watkins ◽  
Edith Kieffer ◽  
Michael Spencer ◽  
Gretchen Piatt ◽  
...  
Keyword(s):  
African American ◽  
Health Behavior ◽  
Health Behaviors ◽  
African American Men ◽  
Self Management ◽  
Future Research ◽  
Latino Men ◽  
Management Interventions ◽  
Values And Beliefs ◽  
The Impact

This study explores gender values and beliefs among Latino and African American men with diabetes and examines how these values and beliefs may influence their health behaviors. Participants were recruited from individuals who participated in one of three Racial and Ethnic Approaches to Community Health Detroit Partnership diabetes self-management interventions. One focus group was conducted with African American men ( n = 10) and two focus groups were conducted with Latino men ( n = 12) over a 3-month period. Sessions lasted 90 minutes, were audiotaped, and analyzed using thematic content analysis techniques. Two themes emerged that characterize gender identity and its relationship to health behavior in men: (a) men’s beliefs about being men (i.e., key aspects of being a man including having respect for themselves, authority figures, and peers; fulfilling the role as breadwinner; being responsible for serving as the leader of the family; and maintaining a sense of chivalry) and (b) influence of gender values and beliefs on health behavior (i.e., the need to maintain a strong image to the outside world, and the need to maintain control of themselves served as barriers to seeking out and engaging in diabetes self-management behaviors). Results suggest that gender values and beliefs may have implications for how health behaviors among men with diabetes. Future research should study the direct impact masculine identity has on health behaviors among men with diabetes.

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