Integrating CBPR and Implementation Science to Develop a PrEP-Promotion Intervention for Black Transgender Women.
Black/African American transgender (trans) women experience disproportionately high rates of HIV, yet few evidence-based interventions are designed specifically for them. This study outlines the development of the Sisters United intervention through the adaptation of ChiCAS, an evidence-based interv...
| Publicado en: | Health Education & Behavior Vol. 53; no. 2; pp. 139 - 149 |
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| Autores principales: | , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Apr2026
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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=192008199&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192008199 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10901981 1PK jtl: Health Education & Behavior issn: 10901981 maglogo: Y pubinfo: dt: Apr2026 vid: 53 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192008199 187962300 192008199 192008199 10.1177/10901981251358706 192008199 ppf: 139 ppct: 10 formats: tig: atl: Integrating CBPR and Implementation Science to Develop a PrEP-Promotion Intervention for Black Transgender Women. aug: au: Rhodes, Scott D. Mann-Jackson, Lilli Alonzo, Jorge Aguilar-Palma, Sandy K. Neffa Creech, Deborah Keatley, JoAnne G. Smart, Benjamin D. Montoya, Jorge affil: Wake Forest University School of Medicine, Winston-Salem, NC, USA sug: subj: Implementation Science Pre-Exposure Prophylaxis Psychosocial Factors Health Promotion Program Development Black LGBTQ+ Persons Psychosocial Factors Trans Women Psychosocial Factors Community Programs Evaluation HIV Infections Prevention and Control Professional Practice, Evidence-Based Health Services Research Health Care Delivery, Integrated Human Funding Source Female Committees Focus Groups Condoms Utilization Medical Mistrust Prevention and Control Gender Affirming Hormone Therapy Injections Feedback Adaptation, Psychological Digital Health Health Education Health Services Accessibility United States Sociodemographic Factors Misinformation Drug Interactions Insurance, Health Documentation Transportation Housing Instability Healthcare Disparities Stigma Social Determinants of Health Adolescence Adult Middle Age Personnel Staffing and Scheduling Budgets Culture Personnel Retention Supervisors and Supervision Role Models Role Playing Gender Affirming Care Qualitative Studies Conceptual Framework Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Black/African American transgender (trans) women experience disproportionately high rates of HIV, yet few evidence-based interventions are designed specifically for them. This study outlines the development of the Sisters United intervention through the adaptation of ChiCAS, an evidence-based intervention for trans Latinas. Sisters United promotes use of pre-exposure prophylaxis (PrEP), condoms, and medically supervised gender-affirming hormone therapy (GAHT) among Black/African American trans women. Integrating community-based participatory research and implementation science, our systematic process included multiple steps conducted in partnership with a steering committee of Black/African American trans women, other community representatives, scientists, practitioners, and consultants. We held focus groups and obtained iterative feedback about intervention objectives, messaging, and activities, including new activities focused on medical mistrust and the use of injectable PrEP, to guide the adaptation. Key intervention components developed through this process include an implementation manual, facilitator's guides for in-person and virtual delivery, video segments, and an e-learning course to support effective implementation. Like the original ChiCAS intervention, Sisters United is designed to be delivered in two sessions, with a focus on raising awareness about HIV and GAHT, building condom use skills, and overcoming barriers to health care. This intervention fills a critical gap by offering a scalable solution to promote HIV health equity among Black/African American trans women. Moreover, our systematic process can serve as a guide for others developing, refining, or adapting interventions to meet the needs of a new community or population and/or infuse updated information and innovations into an existing intervention. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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