Table 5.
Determinants of Implementation Behavior Questionnaire (DIBQ)
| Pre-training (T1) |
Post-training (T2) |
Wilcoxon signed-rank test |
||||
|---|---|---|---|---|---|---|
| M | SD | M | SD | z | p value | |
| Knowledge (Cronbach’s α = 0.83) | 5.13 | 1.22 | 6.34 | 0.68 | −9.18 | <0.0001 |
| I know basic information about PrEP. | 5.17 | 1.33 | 6.37 | 0.75 | ||
| I know how to communicate basic information about PrEP with MSM. | 5.09 | 1.38 | 6.31 | 0.78 | ||
| Skills (Cronbach’s α = 0.80) | 4.56 | 1.45 | 6.20 | 0.77 | −9.65 | <0.0001 |
| I have been trained to talk about PrEP with MSM. | 4.42 | 1.91 | 6.22 | 0.98 | ||
| I have the skills to discuss PrEP with MSM. | 4.83 | 1.48 | 6.06 | 0.94 | ||
| I have practiced ways to respond to MSM questions about PrEP. | 4.43 | 1.70 | 6.31 | 0.78 | ||
| Role (Cronbach’s α = 0.90) | 6.11 | 0.82 | 6.28 | 0.79 | −2.87 | 0.004 |
| Providing PrEP-related information to MSM is a part of my work as an HIV prevention worker. | 6.16 | 1.00 | 6.28 | 0.89 | ||
| As an HIV prevention worker, it is my job to initiate discussion about PrEP with MSM. | 5.99 | 1.03 | 6.25 | 0.90 | ||
| It is my responsibility as an HIV prevention worker to educate MSM about PrEP. | 6.17 | 0.86 | 6.30 | 0.88 | ||
| Self-efficacy (Cronbach’s α = 0.79) | 5.62 | 0.98 | 6.21 | 0.74 | −7.58 | <0.0001 |
| I am confident that I can talk accurately about PrEP with MSM. | 5.30 | 1.36 | 6.06 | 0.87 | ||
| I am confident that I can present PrEP as one of many HIV prevention options to MSM. | 5.92 | 1.04 | 6.32 | 0.79 | ||
| I am confident that I can add a clear introduction about PrEP into HIV testing or outreach services I already provide. | 5.63 | 1.23 | 6.24 | 0.82 | ||
| Social-political context (Cronbach’s α = 0.68) | 5.60 | 1.09 | 5.86 | 1.03 | −2.86 | 0.004 |
| Investing in PrEP would be a reasonable use of healthcare resources for the government. | 5.61 | 1.28 | 5.86 | 1.28 | ||
| I think the government should pay for PrEP-related costs. | 5.59 | 1.44 | 5.85 | 1.35 | ||
| Organization (Cronbach’s α = 0.62) | 5.65 | 1.23 | 6.01 | 0.96 | –3.73 | <0.0001 |
| Discussing PrEP with clients is acceptable within my workplace. | 5.62 | 1.50 | 5.97 | 1.28 | ||
| The management of the organization I work in is supportive of providing PrEP education to MSM. | 5.67 | 1.38 | 6.05 | 1.12 | ||
| Positive emotions (Cronbach’s α = 0.77) | 5.72 | 1.04 | 6.22 | 0.75 | −6.21 | <0.0001 |
| When I talk about PrEP with MSM, I feel natural. | 5.96 | 1.07 | 6.29 | 0.79 | ||
| When I talk about PrEP with MSM, I feel confident. | 5.48 | 1.24 | 6.15 | 0.85 | ||
| Negative emotions (Cronbach’s α = 0.83) | 2.53 | 1.34 | 2.50 | 1.50 | −0.55 | 0.582 |
| When I talk about PrEP with MSM, I feel nervous. | 2.60 | 1.49 | 2.77 | 1.82 | ||
| When I talk about PrEP with MSM, I feel awkward. | 2.45 | 1.47 | 2.24 | 1.57 | ||
| Intentions (Cronbach’s α = 0.74) | 5.18 | 0.93 | 5.43 | 0.99 | −3.47 | 0.001 |
| In the next month, I will talk about PrEP with people I know. | 5.79 | 1.23 | 6.08 | 1.06 | ||
| In the next month, I will share information about PrEP on my social media. | 5.27 | 1.41 | 5.63 | 1.34 | ||
| In the next month, I will integrate PrEP education into services I provide at work. | 5.85 | 0.99 | 6.02 | 1.08 | ||
| In the next month, I will organize community events about PrEP. | 4.85 | 1.39 | 5.29 | 1.34 | ||
| In the next month, I will start to take PrEP. | 4.14 | 1.81 | 4.14 | 1.90 | ||
M: mean; SD: standard deviation.
Analyses restricted to participants who had heard of PrEP prior to T1 and completed all three surveys (n=157).
All Likert responses ranged from 1-7, with higher scores indicating greater positive endorsement (1 Strongly disagree, 2 Disagree, 3 Somewhat disagree, 4 Neither agree nor disagree, 5 Somewhat agree, 6 Agree, 7 Strongly agree).