Table 1.
Comparison of Characteristics of Original African Intervention21 and Characteristics of Adapted Alabama FRESH Intervention
Characteristic | 5 African Countries | Alabama |
---|---|---|
Facilitator (s) | 1 nurse and 1 PLWH | 1 social worker and 1 PLWH |
Length and timing of workshop | 2-day project initiation and 1-day project evaluation workshop; 35–49 h total | 1.5 days, 2 weeks apart on the weekend; 12 h total |
Participants | 84 total; 43 nurses and 41 PLWH | 36 total; 17 HCW and 19 PLWH |
Recruitment | All participants in a given workshop were from the same healthcare facility within one of five African countries. | HCW participants were recruited from HIV clinics and health departments; PLWH were recruited from ASOs, HIV clinics, HIV support groups, and social venues |
Participation criteria | HCWs: Nurse at identified clinic | HWs: Staff in healthcare setting with patient contact |
PLWH: Living with HIV, patient at identified clinic | PLWH: Living with HIV, age 19 or older | |
Content | Understanding and defining stigma | Understanding stigma |
Intersecting stigmas and outcomes of stigma | ||
The outcomes of stigma | HIV knowledge update | |
Coping with and changing stigma | ||
Why is stigma hard to change? | Intervening in stigma | |
Group presentations | ||
Identifying stigma interventions and local examples | Large group discussion, feedback on group presentations, next steps | |
Evaluating options for action | Reflections on workshop experience | |
Planning for change | ||
Choosing project options | ||
Planning the project | ||
Vision, aim, and objectives | ||
Task analysis and action plan | ||
Assessments | Qualitative interviews and questionnaires 3 months before the intervention and within 1 month of completion of the intervention | Questionnaires before the first workshop session and immediately following the last workshop session |
ASO, AIDS service organization; FRESH, Finding Respect and Ending Stigma around HIV; HW, healthcare workers; PLWH, people living with HIV.