TY - JOUR
T1 - Building self-advocacy in HIV care
T2 - the use of role-play to examine healthcare access for HIV-positive MSM in rural South Africa
AU - Daniels, Joseph
AU - Struthers, Helen
AU - Soler, Joshua
AU - Ricco, Emilio
AU - Blackmon, Joshaun
AU - Teklehaimanot, Senait
AU - McIntyre, James
AU - Coates, Thomas
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2021/9
Y1 - 2021/9
N2 - There is high HIV prevalence and low rates of viral suppression for men who have sex with men (MSM) in South Africa, with few MSM-centered interventions to address these outcomes along the HIV treatment cascade. Participatory interventions may support community building among HIV-positive MSM through which they can share approaches of self-advocacy that are contextually grounded. We conducted a pilot study to assess the use of role-plays in influencing social isolation while also updating our understanding of MSM healthcare experiences in Mpumalanga, South Africa. The study was conducted with 21 MSM leaders who were HIV-positive. There were three groups of seven participants each who created and performed role-plays based on their healthcare experiences, with a focus group discussion (FGD) conducted afterward. Audio-recordings were transcribed, translated, and analyzed using a constant comparison approach. We found that MSM described role-play as cathartic and a future HIV care educational tool for other MSM, and that they outlined points of self-advocacy during HIV care in clinics. Our study suggests that future research should utilize role-play so to integrate contextual factors influencing HIV treatment, especially in high HIV prevalence settings.
AB - There is high HIV prevalence and low rates of viral suppression for men who have sex with men (MSM) in South Africa, with few MSM-centered interventions to address these outcomes along the HIV treatment cascade. Participatory interventions may support community building among HIV-positive MSM through which they can share approaches of self-advocacy that are contextually grounded. We conducted a pilot study to assess the use of role-plays in influencing social isolation while also updating our understanding of MSM healthcare experiences in Mpumalanga, South Africa. The study was conducted with 21 MSM leaders who were HIV-positive. There were three groups of seven participants each who created and performed role-plays based on their healthcare experiences, with a focus group discussion (FGD) conducted afterward. Audio-recordings were transcribed, translated, and analyzed using a constant comparison approach. We found that MSM described role-play as cathartic and a future HIV care educational tool for other MSM, and that they outlined points of self-advocacy during HIV care in clinics. Our study suggests that future research should utilize role-play so to integrate contextual factors influencing HIV treatment, especially in high HIV prevalence settings.
KW - HIV care
KW - Men who have sex with men (MSM)
KW - South Africa
KW - coming out
KW - role-play
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U2 - 10.1177/1757975920974008
DO - 10.1177/1757975920974008
M3 - Article
C2 - 33300432
AN - SCOPUS:85097370659
SN - 1757-9759
VL - 28
SP - 32
EP - 40
JO - Global Health Promotion
JF - Global Health Promotion
IS - 3
ER -