Table 2.
Participant Quotes for the CFIR Construct “Intervention Characteristics” by Sub-Construct and Topic
| Sub-construct | Topic | Quotation |
|---|---|---|
| Adaptability | Scheduling clinic visits | Because if you’ve got work, you get days off, but sometimes you don’t know when…Like the day that you have off can’t fit in with the schedule that you need for the person [providing] PrEP…It might sometimes just be difficult to get off of work and trying to get [PrEP], too.—Participant in FGD #4 (ages 31 to 39 years) |
| Oh my god, the days just are not long enough anymore. People are juggling so much. And, they put something off for the next day, and then that piles up with the things that were already on that day. There just is not enough time in the day anymore it seems like.—Participant in FGD #2 (ages 31 to 39 years) | ||
| Costs | PrEP and PrEP-related care | [BSGLM need to know more about] the financial side of it. A lot of people think you have to pay so much more money for it just to be on it, and a lot of people think that’s just another cost that they pay for.—Participant in FGD #3 (ages 25 to 30 years) |
| [What makes it hard to see a PrEP provider is] having insurance or not. I think that’s probably one of the big things with the people that don’t have medical insurance. What do they got? I think that’s their question.—Participant in FGD #2 (ages 31 to 39 years) | ||
| [I]f you wanna keep talking about value your health, it’s more than just this [that BSGLM don’t want to tell providers that they’re gay]…why they don’t take good care of themselves. [There are] economic reasons why they don’t seek the treatment.—Participant in FGD #4 (ages 31 to 39 years) | ||
| Excerpt from FGD #2 (ages 31 to 39 years): Participant #1: We are living paycheck to paycheck nowadays. And anything extra that’s coming out of pocket is gonna throw something else off that needs to be paid for. My money gone before I even get it. So, we’re throwing something else in there. And, now I have to make sure that I can pay for [PrEP]. Participant #2: You got an Amen on that…. Participant #1: If there are resources out there that could help so that they don’t have to go and pick up another job, I think that information needs to be out there just in case [BSGLM] need some kind of other assistance…and are researching it. | ||
| Relative advantage | Condom normative beliefs | I feel like [using condoms] is always expected. It should be, at least. But…in the Black gay community, they love the raw, authentic sex. They feel, they love the pleasure and the feel of it versus a condom. So, you would think people would always wanna protect themselves and the other person by using a condom, but it’s not always the first thought. And like I said, in the Black community, using condoms is not the top priority. —Participant in FGD #1 (ages 25 to 30 years) |
| I feel like that’s kinda why I feel like condoms is just something that sounds good on paper to say, “Oh, I’m using a condom,” but that’s not how we feel. —Participant in FGD #1 (ages 25 to 30 years) | ||
| Complexity | Daily commitment | Also, taking a pill every single day. I think that is something that people—me—dread. I think that’s one of the big reasons why I haven’t started PrEP yet, because I can’t commit to it, and they just make you take it every single day. I think that’s an issue. Yeah, I do think that it’s hard to add on routines to your current routines. I just think that would be a challenge with just taking a pill every single day.—Participant in FGD #1 (ages 25 to 30 years) |
| People aren’t willing to take it because it could be an inconvenience. I’m going to now have to worry about taking this every day for the next three to six months. And, it could be like if you don’t take it, it won’t work.—Participant in FGD #2 (ages 31 to 39 years) |
Abbreviations. CFIR: Consolidated Framework for Implementation Research; FGD: Focus group discussion.