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Adapting Effective Narrative-Based HIV-Prevention Interventions to Increase Minorities' Engagement in HIV/AIDS Services
Authors:Jannette Berkley-Patton  Kathleen Goggin  Robin Liston  Andrea Bradley-Ewing  Sally Neville
Institution:1. Department of Psychology , University of Missouri–Kansas City , berkleypattonj@umkc.edu;3. Department of Psychology , University of Missouri–Kansas City ,;4. Colorado School of Public Health , University of Colorado , Denver;5. Department of Psychology , University of Missouri-Kansas City ,;6. Kansas City Free Health Clinic , Kansas City, Missouri, USA
Abstract:Disparities related to barriers to caring for HIV-positive and at-risk minorities continue to be a major public health problem. Adaptation of efficacious HIV-prevention interventions for use as health communication innovations is a promising approach for increasing minorities' utilization of HIV health and ancillary services. Role-model stories, a widely-used HIV-prevention strategy, employ culturally tailored narratives to depict experiences of an individual modeling health-risk reduction behaviors. This article describes the careful development of a contextually appropriate role model story focused on increasing minorities' engagement in HIV/AIDS health and related services. Findings from interviews with community members and focus groups with HIV-positive minorities indicated several barriers and facilitators related to engagement in HIV health care and disease management (e.g., patient–provider relationships) and guided the development of role-model story narratives.
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