Explaining the Efficacy of Pre-exposure Prophylaxis (PrEP) for HIV Prevention: A Qualitative Study of Message Framing and Messaging Preferences Among US Men Who have Sex with Men

被引：44
作者：
Underhill, Kristen [1 ,2 ]
Morrow, Kathleen M. [3 ]
Colleran, Christopher [3 ]
Calabrese, Sarah K. [1 ,4 ]
Operario, Don [5 ]
Salovey, Peter [6 ]
Mayer, Kenneth H. [7 ]
机构：
[1] Yale Univ, Yale Ctr Interdisciplinary Res AIDS, 135 Coll St,Suite 200, New Haven, CT 06510 USA
[2] Yale Univ, Yale Law Sch, POB 208215, New Haven, CT 06520 USA
[3] Miriam Hosp, Ctr Behav Med, Providence, RI 02906 USA
[4] Yale Univ, Yale Sch Publ Hlth, New Haven, CT USA
[5] Brown Univ, Program Publ Hlth, Providence, RI 02912 USA
[6] Yale Univ, Dept Psychol, New Haven, CT USA
[7] Fenway Hlth, Fenway Inst, Boston, MA USA
来源：
AIDS AND BEHAVIOR | 2016年 / 20卷 / 07期
关键词：
Pre-exposure prophylaxis; HIV prevention; Men who have sex with men; Message framing; Health communication; SEXUALLY-TRANSMITTED HIV; HIGH-RISK MEN; ANTIRETROVIRAL PROPHYLAXIS; TRANSGENDER WOMEN; INTERIM GUIDANCE; OPTIMISTIC BIAS; CONDOM-USE; YOUNG MEN; ACCEPTABILITY; INFECTION;
D O I：
10.1007/s10461-015-1088-9
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
We investigated message comprehension and message framing preferences for communicating about PrEP efficacy with US MSM. We conducted eight focus groups (n = 38) and n = 56 individual interviews with MSM in Providence, RI. Facilitators probed comprehension, credibility, and acceptability of efficacy messages, including percentages, non-numerical paraphrases, efficacy ranges versus point estimates, and success-versus failure-framed messages. Our findings indicated a range of comprehension and operational understandings of efficacy messages. Participants tended to prefer percentage-based and success-framed messages, although preferences varied for communicating about efficacy using a single percentage versus a range. Participants reported uncertainty about how to interpret numerical estimates, and many questioned whether trial results would predict personal effectiveness. These results suggest that providers and researchers implementing PrEP may face challenges in communicating with users about efficacy. Efforts to educate MSM about PrEP should incorporate percentage-based information, and message framing decisions may influence message credibility and overall PrEP acceptability.
引用
收藏
页码：1514 / 1526
页数：13
相关论文
共 61 条
  • [11] [Anonymous], 2012, ANN INTERN MED, DOI DOI 10.1059/0003-4819-156-8-201204170-00001
  • [12] [Anonymous], 2012, Nvivo 9
  • [13] [Anonymous], 2011, CDC FACT SHEET HIV A
  • [14] [Anonymous], 2013, 8 INT C HIV TREATM P
  • [15] Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
    Baeten, J. M.
    Donnell, D.
    Ndase, P.
    Mugo, N. R.
    Campbell, J. D.
    Wangisi, J.
    Tappero, J. W.
    Bukusi, E. A.
    Cohen, C. R.
    Katabira, E.
    Ronald, A.
    Tumwesigye, E.
    Were, E.
    Fife, K. H.
    Kiarie, J.
    Farquhar, C.
    John-Stewart, G.
    Kakia, A.
    Odoyo, J.
    Mucunguzi, A.
    Nakku-Joloba, E.
    Twesigye, R.
    Ngure, K.
    Apaka, C.
    Tamooh, H.
    Gabona, F.
    Mujugira, A.
    Panteleeff, D.
    Thomas, K. K.
    Kidoguchi, L.
    Krows, M.
    Revall, J.
    Morrison, S.
    Haugen, H.
    Emmanuel-Ogier, M.
    Ondrejcek, L.
    Coombs, R. W.
    Frenkel, L.
    Hendrix, C.
    Bumpus, N. N.
    Bangsberg, D.
    Haberer, J. E.
    Stevens, W. S.
    Lingappa, J. R.
    Celum, C.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (05) : 399 - 410
  • [16] Awareness and Use of HIV Pre-Exposure Prophylaxis Among Attendees of a Seattle Gay Pride Event and Sexually Transmitted Disease Clinic
    Barash, Elizabeth Anne
    Golden, Matthew
    [J]. AIDS PATIENT CARE AND STDS, 2010, 24 (11) : 689 - 691
  • [17] Checklists for improving rigour in qualitative research: a case of the tail wagging the dog?
    Barbour, RS
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7294): : 1115 - 1117
  • [18] PrEP Awareness and Perceived Barriers Among Single Young Men who have Sex with Men
    Bauermeister, Jose A.
    Meanley, Steven
    Pingel, Emily
    Soler, Jorge H.
    Harper, Gary W.
    [J]. CURRENT HIV RESEARCH, 2014, 11 (07) : 520 - 527
  • [19] Qualitative data analysis for health services research: Developing taxonomy, themes, and theory
    Bradley, Elizabeth H.
    Curry, Leslie A.
    Devers, Kelly J.
    [J]. HEALTH SERVICES RESEARCH, 2007, 42 (04) : 1758 - 1772
  • [20] Centers for Disease Control and Prevention (CDC), 2021, Prexposure Prophylaxis for the Prevention of HIV Infection in the United States2021 Update, a Clinical Practice Guide
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