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Randomized Controlled Trial
. 2014 Jan 29;9(1):e87091.
doi: 10.1371/journal.pone.0087091. eCollection 2014.

NIMH Project Accept (HPTN 043): results from in-depth interviews with a longitudinal cohort of community members

Suzanne Maman  1 , Heidi van Rooyen  2 , Petra Stankard  1 , Alfred Chingono  3 , Tshifhiwa Muravha  4 , Jacob Ntogwisangu  5 , Zipho Phakathi  2 , Namtip Srirak  6 , Stephen F Morin  7 ; NIMH Project Accept (HPTN 043) study team
Collaborators, Affiliations
Randomized Controlled Trial

NIMH Project Accept (HPTN 043): results from in-depth interviews with a longitudinal cohort of community members

Suzanne Maman et al. PLoS One. .

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.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Flow of participants from baseline assessment through 30-month follow-up.
See this image and copyright information in PMC

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