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:0
作者
Kristen Underhill
Kathleen M. Morrow
Christopher Colleran
Sarah K. Calabrese
Don Operario
Peter Salovey
Kenneth H. Mayer
机构
[1] Yale University,Yale Center for Interdisciplinary Research on AIDS
[2] Yale University,Yale Law School
[3] The Miriam Hospital,Centers for Behavioral and Preventive Medicine
[4] Yale University,Yale School of Public Health
[5] Brown University,Program in Public Health
[6] Yale University,Department of Psychology
[7] Fenway Health,The Fenway Institute
来源
AIDS and Behavior | 2016年 / 20卷
关键词
Pre-exposure prophylaxis; HIV prevention; Men who have sex with men; Message framing; Health communication;
D O I
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学科分类号
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.
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页码:1514 / 1526
页数:12
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