NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members

Suzanne Maman; Heidi Van Rooyen; Petra Stankard; Alfred Chingono; Tshifhiwa Muravha; Jacob Ntogwisangu; Zipho Phakathi; Namtip Srirak; Stephen F. Morin; Laurie Abler; Christopher Bamanyisa; Chris Beyrer; Adam W. Carrico; David Celentano; Suwat Chariyalertsak; Lillianne Chovenye; Thomas J. Coates; Kathryn Curran; Deborah Donnell; Susan Eshleman; Agnès Fiamma; Katherine Fritz; Janet Frohlich; Becky Genberg; Glenda Gray; Amy Gregowski; Harry Hausler; Zdenek Hlavka; Daniel Hlubinka; Nora Margaret Hogan; Le Tanya Johnson-Lewis; Philip Joseph Tendayi Jubenkanda; Salim Abdool Karim; Surinda Kawichai; Sebastian Kevany; Gertrude Khumalo-Sakutukwa; G. P. Kilonzo; Michal Kulich; Oliver Laeyendecker; Tim Lane; Florence P. Lema; Benjamin Link; Tserayi Machinda; Jessie Mbwambo; Nuala McGrath; James McIntyre; Sakhile Mhlongo; Joanne Mickalian; Precious Modiba; Simon Morfit; Khalifa M. Mrumbi; Marta I. Mulawa; Oliver Murima; Thulani Ngubani; Audrey Pettifor; Estelle Piwowar-Manning; Linda Richter; Gavin Robertson; Andrew M. Sadowski; Memory Sendah; Basant Singh; Michael Sweat; Greg Szekeres; Andrew Timbe; Surasing Visrutaratna; Godfrey Woelk; Carla E. Zelaya

doi:10.1371/journal.pone.0087091

NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members

Suzanne Maman, Heidi Van Rooyen, Petra Stankard, Alfred Chingono, Tshifhiwa Muravha, Jacob Ntogwisangu, Zipho Phakathi, Namtip Srirak, Stephen F. Morin, Laurie Abler, Christopher Bamanyisa, Chris Beyrer, Adam W. Carrico, David Celentano, Suwat Chariyalertsak, Lillianne Chovenye, Thomas J. Coates, Kathryn Curran, Deborah Donnell, Susan EshlemanAgnès Fiamma, Katherine Fritz, Janet Frohlich, Becky Genberg, Glenda Gray, Amy Gregowski, Harry Hausler, Zdenek Hlavka, Daniel Hlubinka, Nora Margaret Hogan, Le Tanya Johnson-Lewis, Philip Joseph Tendayi Jubenkanda, Salim Abdool Karim, Surinda Kawichai, Sebastian Kevany, Gertrude Khumalo-Sakutukwa, G. P. Kilonzo, Michal Kulich, Oliver Laeyendecker, Tim Lane, Florence P. Lema, Benjamin Link, Tserayi Machinda, Jessie Mbwambo, Nuala McGrath, James McIntyre, Sakhile Mhlongo, Joanne Mickalian, Precious Modiba, Simon Morfit, Khalifa M. Mrumbi, Marta I. Mulawa, Oliver Murima, Thulani Ngubani, Audrey Pettifor, Estelle Piwowar-Manning, Linda Richter, Gavin Robertson, Andrew M. Sadowski, Memory Sendah, Basant Singh, Michael Sweat, Greg Szekeres, Andrew Timbe, Surasing Visrutaratna, Godfrey Woelk, Carla E. Zelaya

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Introduction: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma. Methods: A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time. Results: Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities. Discussion: The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.

Original language	English (US)
Article number	e87091
Journal	PloS one
Volume	9
Issue number	1
DOIs	https://doi.org/10.1371/journal.pone.0087091
State	Published - Jan 29 2014

ASJC Scopus subject areas

General

Access to Document

10.1371/journal.pone.0087091

Cite this

Maman, S., Van Rooyen, H., Stankard, P., Chingono, A., Muravha, T., Ntogwisangu, J., Phakathi, Z., Srirak, N., Morin, S. F., Abler, L., Bamanyisa, C., Beyrer, C., Carrico, A. W., Celentano, D., Chariyalertsak, S., Chovenye, L., Coates, T. J., Curran, K., Donnell, D., ... Zelaya, C. E. (2014). NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members. PloS one, 9(1), Article e87091. https://doi.org/10.1371/journal.pone.0087091

Maman, S, Van Rooyen, H, Stankard, P, Chingono, A, Muravha, T, Ntogwisangu, J, Phakathi, Z, Srirak, N, Morin, SF, Abler, L, Bamanyisa, C, Beyrer, C, Carrico, AW, Celentano, D, Chariyalertsak, S, Chovenye, L, Coates, TJ, Curran, K, Donnell, D, Eshleman, S, Fiamma, A, Fritz, K, Frohlich, J, Genberg, B, Gray, G, Gregowski, A, Hausler, H, Hlavka, Z, Hlubinka, D, Hogan, NM, Johnson-Lewis, LT, Jubenkanda, PJT, Karim, SA, Kawichai, S, Kevany, S, Khumalo-Sakutukwa, G, Kilonzo, GP, Kulich, M, Laeyendecker, O, Lane, T, Lema, FP, Link, B, Machinda, T, Mbwambo, J, McGrath, N, McIntyre, J, Mhlongo, S, Mickalian, J, Modiba, P, Morfit, S, Mrumbi, KM, Mulawa, MI, Murima, O, Ngubani, T, Pettifor, A, Piwowar-Manning, E, Richter, L, Robertson, G, Sadowski, AM, Sendah, M, Singh, B, Sweat, M, Szekeres, G, Timbe, A, Visrutaratna, S, Woelk, G & Zelaya, CE 2014, 'NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members', PloS one, vol. 9, no. 1, e87091. https://doi.org/10.1371/journal.pone.0087091

@article{a1577a415830420e921039ebc06af4e0,

title = "NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members",

abstract = "Introduction: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma. Methods: A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time. Results: Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities. Discussion: The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.",

author = "Suzanne Maman and {Van Rooyen}, Heidi and Petra Stankard and Alfred Chingono and Tshifhiwa Muravha and Jacob Ntogwisangu and Zipho Phakathi and Namtip Srirak and Morin, {Stephen F.} and Laurie Abler and Christopher Bamanyisa and Chris Beyrer and Carrico, {Adam W.} and David Celentano and Suwat Chariyalertsak and Lillianne Chovenye and Coates, {Thomas J.} and Kathryn Curran and Deborah Donnell and Susan Eshleman and Agn{\`e}s Fiamma and Katherine Fritz and Janet Frohlich and Becky Genberg and Glenda Gray and Amy Gregowski and Harry Hausler and Zdenek Hlavka and Daniel Hlubinka and Hogan, {Nora Margaret} and Johnson-Lewis, {Le Tanya} and Jubenkanda, {Philip Joseph Tendayi} and Karim, {Salim Abdool} and Surinda Kawichai and Sebastian Kevany and Gertrude Khumalo-Sakutukwa and Kilonzo, {G. P.} and Michal Kulich and Oliver Laeyendecker and Tim Lane and Lema, {Florence P.} and Benjamin Link and Tserayi Machinda and Jessie Mbwambo and Nuala McGrath and James McIntyre and Sakhile Mhlongo and Joanne Mickalian and Precious Modiba and Simon Morfit and Mrumbi, {Khalifa M.} and Mulawa, {Marta I.} and Oliver Murima and Thulani Ngubani and Audrey Pettifor and Estelle Piwowar-Manning and Linda Richter and Gavin Robertson and Sadowski, {Andrew M.} and Memory Sendah and Basant Singh and Michael Sweat and Greg Szekeres and Andrew Timbe and Surasing Visrutaratna and Godfrey Woelk and Zelaya, {Carla E.}",

year = "2014",

month = jan,

day = "29",

doi = "10.1371/journal.pone.0087091",

language = "English (US)",

volume = "9",

journal = "PloS one",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "1",

}

TY - JOUR

T1 - NIMH project accept (HPTN 043)

T2 - Results from in-depth interviews with a longitudinal cohort of community members

AU - Maman, Suzanne

AU - Van Rooyen, Heidi

AU - Stankard, Petra

AU - Chingono, Alfred

AU - Muravha, Tshifhiwa

AU - Ntogwisangu, Jacob

AU - Phakathi, Zipho

AU - Srirak, Namtip

AU - Morin, Stephen F.

AU - Abler, Laurie

AU - Bamanyisa, Christopher

AU - Beyrer, Chris

AU - Carrico, Adam W.

AU - Celentano, David

AU - Chariyalertsak, Suwat

AU - Chovenye, Lillianne

AU - Coates, Thomas J.

AU - Curran, Kathryn

AU - Donnell, Deborah

AU - Eshleman, Susan

AU - Fiamma, Agnès

AU - Fritz, Katherine

AU - Frohlich, Janet

AU - Genberg, Becky

AU - Gray, Glenda

AU - Gregowski, Amy

AU - Hausler, Harry

AU - Hlavka, Zdenek

AU - Hlubinka, Daniel

AU - Hogan, Nora Margaret

AU - Johnson-Lewis, Le Tanya

AU - Jubenkanda, Philip Joseph Tendayi

AU - Karim, Salim Abdool

AU - Kawichai, Surinda

AU - Kevany, Sebastian

AU - Khumalo-Sakutukwa, Gertrude

AU - Kilonzo, G. P.

AU - Kulich, Michal

AU - Laeyendecker, Oliver

AU - Lane, Tim

AU - Lema, Florence P.

AU - Link, Benjamin

AU - Machinda, Tserayi

AU - Mbwambo, Jessie

AU - McGrath, Nuala

AU - McIntyre, James

AU - Mhlongo, Sakhile

AU - Mickalian, Joanne

AU - Modiba, Precious

AU - Morfit, Simon

AU - Mrumbi, Khalifa M.

AU - Mulawa, Marta I.

AU - Murima, Oliver

AU - Ngubani, Thulani

AU - Pettifor, Audrey

AU - Piwowar-Manning, Estelle

AU - Richter, Linda

AU - Robertson, Gavin

AU - Sadowski, Andrew M.

AU - Sendah, Memory

AU - Singh, Basant

AU - Sweat, Michael

AU - Szekeres, Greg

AU - Timbe, Andrew

AU - Visrutaratna, Surasing

AU - Woelk, Godfrey

AU - Zelaya, Carla E.

PY - 2014/1/29

Y1 - 2014/1/29

N2 - Introduction: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma. Methods: A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time. Results: Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities. Discussion: The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.

AB - Introduction: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evaluation design included a longitudinal study with community members to assess attitudinal and behavioral changes in study outcomes including HIV testing norms, HIV-related discussions, and HIV-related stigma. Methods: A cohort of 657 individuals across all sites was selected to participate in a qualitative study that involved 4 interviews during the study period. Baseline and 30-month data were summarized according to each outcome, and a qualitative assessment of changes was made at the community level over time. Results: Members from intervention communities described fewer barriers and greater motivation for testing than those from comparison communities. HIV-related discussions in intervention communities were more grounded in personal testing experiences. A change in HIV-related stigma over time was most pronounced in Tanzania and Zimbabwe. Participants in the intervention communities from these two sites attributed community-level changes in attitudes to project specific activities. Discussion: The Project Accept intervention was associated with more favorable social norms regarding HIV testing, more personal content in HIV discussions in all study sites, and qualitative changes in HIV-related stigma in two of five sites.

UR - http://www.scopus.com/inward/record.url?scp=84900322110&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84900322110&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0087091

DO - 10.1371/journal.pone.0087091

M3 - Article

C2 - 24489841

AN - SCOPUS:84900322110

SN - 1932-6203

VL - 9

JO - PloS one

JF - PloS one

IS - 1

M1 - e87091

ER -

NIMH project accept (HPTN 043): Results from in-depth interviews with a longitudinal cohort of community members

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this