Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South.
Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South.
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DOI：
10.1177/1524839917754044
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发表时间：
2018-09
影响因子：
1.9
通讯作者：
Payne-Foster P
中科院分区：
文献类型：
--
作者：
Bradley ELP;Sutton MY;Cooks E;Washington-Ball B;Gaul Z;Gaskins S;Payne-Foster P
人体免疫缺陷病毒（艾滋病毒）对黑人/非裔美国人的影响尤为严重，特别是居住在美国南部的人。与艾滋病毒有关的耻辱对成功地使人们参与艾滋病毒教育、预防和护理的战略产生不利影响。根据国家艾滋病毒/艾滋病战略，以减少耻辱感为目标的干预措施是朝着改善艾滋病毒预防和护理结果迈进的额外工具。对南方宗教机构作为减少艾滋病污名努力的合作伙伴的研究不足，一些处于危险中的黑人/非裔美国人社区也参与了南方宗教机构的工作。我们描述了与来自不同教派的农村和南方信仰领袖的合作努力，以开发和试点测试项目“基于信仰的治疗艾滋病毒/艾滋病反耻辱倡议”（faith），这是一项减少艾滋病毒耻辱的干预措施，建立在以前与其他非农村，黑人/非洲裔美国人信仰社区使用的策略之上。8个模块的干预包括教育材料，增加准确的艾滋病知识的神话打破练习，角色扮演，面对耻辱的活动，以及发展和实践关于艾滋病的讲道的机会，其中包括基于圣经的内容和指导。信仰领袖的参与促进了干预措施的成功定制，会众也愿意参与研究过程，以支持提高对艾滋病毒的认识、预防和护理。
Human immunodeficiency virus (HIV) disproportionately affects Blacks/African Americans, particularly those residing in the southern United States. HIV-related stigma adversely affects strategies to successfully engage people in HIV education, prevention, and care. Interventions targeting stigma reduction are vital as additional tools to move toward improved outcomes with HIV prevention and care, consistent with the National HIV/AIDS Strategy. Faith institutions in the South have been understudied as partners in HIV stigma-reduction efforts, and some at-risk, Black/African American communities are involved with southern faith institutions. We describe the collaborative effort with rural, southern faith leaders from various denominations to develop and pilot test Project “Faith-based Anti-stigma Initiative Towards Healing HIV/AIDS” (FAITHH), an HIV stigma-reduction intervention that built upon strategies previously used with other non-rural, Black/African American faith communities. The 8-module intervention included educational materials, myth-busting exercises to increase accurate HIV knowledge, role-playing, activities to confront stigma, and opportunities to develop and practice delivering a sermon about HIV that included scripture-based content and guidance. Engaging faith leaders facilitated the successful tailoring of the intervention, and congregation members were willing participants in the research process in support of increased HIV awareness, prevention, and care.