From Tanzania to Washington, DC: Application of the Consolidated Framework for Implementation Research and ADAPT-ITT Model to Guide the Development of a Community-Based PrEP Intervention for Black Adults.
While HIV incidence in Washington, DC has declined overall, significant racial disparities persist. Pre-exposure prophylaxis (PrEP) remains underutilized among Black adults due to multiple barriers including medical mistrust, stigma, and structural barriers to access. Using the Consolidated Framewor...
| Published in: | AIDS & Behavior Vol. 30; no. 2; pp. 611 - 625 |
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| Main Authors: | , , , , , , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Feb2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191809418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191809418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2026 vid: 30 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191809418 188637261 191809418 191809418 10.1007/s10461-025-04902-9 191809418 ppf: 611 ppct: 14 formats: tig: atl: From Tanzania to Washington, DC: Application of the Consolidated Framework for Implementation Research and ADAPT-ITT Model to Guide the Development of a Community-Based PrEP Intervention for Black Adults. aug: au: Tun, Waimar Gomez-Berrospi, Jennifer Janson, Samuel Hickson, Demarc Morris, Christian Pulerwitz, Julie Kopeka, Mamaswatsi Yao, Jesse Mixson, Rikiyah McHale, Amanda Macey, Rachel Buchanan, Christian Rinola, Bukola Koranteng-Yorke, Naana Kerrigan, Deanna Bamodu, Oluwaseun Adebayo Conserve, Donaldson F. affil: https://ror.org/03zjj0p70 Population Council, Washington, DC, USA sug: subj: Conceptual Framework Community Health Services Pre-Exposure Prophylaxis African Americans Psychosocial Factors Implementation Science HIV Infections Prevention and Control Human Qualitative Studies Ajzen's Theory of Planned Behavior Interviews Thematic Analysis Content Analysis Descriptive Statistics Data Analysis Software District of Columbia Purposive Sample Snowball Sample Tanzania Medical Mistrust Stigma Health Services Accessibility Telehealth Privacy and Confidentiality Funding Source Male Female Adult Adult: 19-44 years Male Female ab: While HIV incidence in Washington, DC has declined overall, significant racial disparities persist. Pre-exposure prophylaxis (PrEP) remains underutilized among Black adults due to multiple barriers including medical mistrust, stigma, and structural barriers to access. Using the Consolidated Framework for Implementation Research (CFIR) and ADAPT-ITT model, we conducted in-depth interviews with opinion leaders (n = 28) including community-based organization leaders, health department representatives, healthcare providers, and current/potential PrEP users to guide the adaptation of a community-based HIV treatment intervention from Tanzania to create a community-based PrEP intervention for Black adults in Washington, DC to address the aforementioned barriers. Data analysis employed thematic content analysis with CFIR construct mapping to identify implementation barriers and facilitators. Key implementation facilitators included: mobile service delivery in high-need areas (Wards 7–8), comprehensive health service integration, culturally matched staffing, flexible evening/weekend hours, and multi-channel outreach via social media and community venues. Major barriers included privacy concerns in mobile settings, social determinants of health challenges, and multilayered stigma. Drawing on these findings, we developed the adapted cbPrEP intervention with the six components featuring: (1) mobile service delivery platform, (2) comprehensive service integration, (3) community-centered staffing model, (4) privacy and confidentiality protocols, (5) multi-channel outreach strategy, and (6) wraparound support services including insurance navigation. This study demonstrates the value of using implementation science frameworks to adapt evidence-based interventions while centering community voices. The resulting cbPrEP intervention model shows promise for increasing PrEP access among Black adults in Washington, DC through culturally responsive, community-based service delivery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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