Community expert insights on anticipated implementation challenges for an evidence-based adherence intervention for Black clients.
Black people in the US are highly affected by HIV and other health disparities. Rise, a culturally congruent Motivational Interviewing-based adherence intervention for Black adults with HIV, is included in the CDC's Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention (NC...
| Publicado en: | Discover Public Health Vol. 22; no. 1; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
9/14/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187973418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187973418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 30050774 NM7Z jtl: Discover Public Health issn: 30050774 maglogo: N pubinfo: dt: 9/14/2025 vid: 22 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187973418 187973418 187973418 10.1186/s12982-025-00960-5 187973418 ppf: 1 ppct: 12 formats: tig: atl: Community expert insights on anticipated implementation challenges for an evidence-based adherence intervention for Black clients. aug: au: Bogart, Laura M. Lawrence, Sean J. Beck, Amaya Mutchler, Matt G. Ball, Amy Thomas, Damone Carlisle, Nicholas A. Lee, David P. Nichols, Landon L. Smith, Trevis Wagner, Glenn J. Goggin, Kathy MacCarthy, Sarah affil: https://ror.org/00f2z7n96 RAND, P.O. Box 2138, 1776 Main Street, 90403-2138, Santa Monica, CA, USA sug: subj: Program Implementation Psychosocial Factors Medical Practice, Evidence-Based Medication Compliance African Americans Psychosocial Factors Motivational Interviewing Anti-Retroviral Agents Therapeutic Use HIV Infections Drug Therapy Communities Psychosocial Factors Implementation Science Counseling Human HIV-Positive Persons California Alabama Health Services Accessibility Stigma Health Policy Community Resources Public Health Infrastructure Rural Areas Understaffing Trust Culture Social Determinants of Health Motivation Health Status Disparities Resource-Limited Settings Action Research Organizational Structure Diffusion of Innovation Qualitative Studies Audiorecording Focus Groups Adult Middle Age Male Female Content Analysis Environment Financing, Government Social Work Service Transportation Internet Sexual and Gender Minorities Psychosocial Factors Personnel Turnover Consumer Participation Counselors Psychosocial Factors Burnout, Professional Prevention and Control Funding Source HIV Infections Prevention and Control Descriptive Statistics Data Analysis Software Interrater Reliability kappa Statistic Thematic Analysis Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Black people in the US are highly affected by HIV and other health disparities. Rise, a culturally congruent Motivational Interviewing-based adherence intervention for Black adults with HIV, is included in the CDC's Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention (NCT03331978, clinicaltrials.gov, 10-30-2017). Rise was developed and tested in a community-based organization in Los Angeles County, California. We aimed to understand how interventions such as Rise could be modified to be status-neutral (for people with and without HIV) for national dissemination in community-based settings. We conducted focus groups with 40 community experts in two US Ending the HIV Epidemic Initiative jurisdictions (Los Angeles County; Birmingham and Montgomery, Alabama) and an online discussion with 14 community experts in Los Angeles County. Consistent with the Health Equity Implementation Framework, participants identified multiple levels of barriers to national community-based implementation related to the: External Environment (HIV stigma, restrictive policies, access to resources, and poor public infrastructure, especially in communities in the rural US South); Inner Setting (low community-based organization trustworthiness and understaffing); and Rise Program (need for cultural tailoring at the community and organizational level, inadequate resources to address social determinants of health, and insufficient incentives). To effectively reduce health disparities, evidence-based interventions designed in higher-resource communities may need substantial tailoring for lower-resource and rural communities prior to implementation. Key words: Black/African American; community-based participatory research; health disparities; implementation science; Motivational Interviewing. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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