焦点小组
社区参与研究
衡平法
卫生公平
干预(咨询)
心理学
医学
老年学
临床心理学
公共卫生
精神科
社会学
护理部
政治学
参与式行动研究
法学
人类学
作者
Karen A. Johnson,Timothy Hunt,Dawn Goddard-Eckrich,Elwin Wu,Stanley Richards,Rick Tibbetts,Jessica Rowe,Quentin R. Maynard,Sharun Goodwin,Joana Okine,Milton L. Wainberg,Nabila El‐Bassel,Louisa Gilbert
标识
DOI:10.1177/10497315221132523
摘要
Objectives: This article describes the process used to adapt the only group-based, computer-assisted, HIV/sexually transmitted infections (STI) prevention intervention designed for drug-using Black women in community corrections using an integrated health equity ADAPT-ITT framework with a peer engagement lens. Methods: Key adaptation partners included cisgender, drug-using Black women in community corrections, and Black, female, community reentry providers slated to deliver the adapted intervention. Focus groups and a study pilot were held. Results: The resulting intervention, Empowering African-American Women on the Road to Health (E-WORTH), features HIV/STI-specific Afrocentric themes of risk and resiliency tailored for and by Black women in the criminal legal system. Evaluation of E-WORTH confirms its cultural resonance. Participants had a 54% lowered odds of testing positive for any STI and reported 38% fewer acts of condomless vaginal or anal intercourse at 12-month follow-up. Conclusions: Findings underscore the need to develop an adaptation model that is explicitly health equity in focus.
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