Jaramillo Jahn, Maya Daniel H A, Safren Steven A, Harkness Audrey
Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Department of Psychology, University of Miami, Miami, FL, USA.
AIDS Care. 2025 Jan;37(1):132-140. doi: 10.1080/09540121.2024.2437078. Epub 2024 Dec 5.
The potential of peers to be effective in delivering HIV interventions is linked at least in part to the degree to which they are perceived as credible sources of HIV-related information. This study aimed to operationalize qualities that would make a LMSM peer implementer credible. We conducted a qualitative analysis of semi-structured interviews with 20 LMSM and focus groups with 11 HIV service implementers. The parent study collected formative data to inform the design of a strategy to enhance the reach of HIV prevention and treatment services to LMSM. The present study examined participant views on qualities necessary for peer implementers to establish credibility among LMSM. We identified five themes regarding peer credibility, including (1) Peers must be trained in HIV prevention and care, (2) Peers should be verified and have a special designation indicating their knowledge and trustworthiness, (3) Peers should convey accurate information and not spread misinformation, (4) Peers should be relatable and interpersonally skilled, and (5) Peers should be engaged with the general LGBTQ + community to generate trust and credibility. Findings can inform the development of acceptable peer strategies for LMSM, peer recruitment, training, and peer supervision.
同伴在提供艾滋病病毒干预措施方面发挥有效作用的潜力至少部分与他们被视为艾滋病病毒相关信息可靠来源的程度有关。本研究旨在明确能使男男性行为者同伴实施者具有可信度的特质。我们对20名男男性行为者进行了半结构化访谈，并对11名艾滋病病毒服务实施者进行了焦点小组访谈，进行了定性分析。母研究收集了形成性数据，以指导设计一项战略，扩大向男男性行为者提供艾滋病预防和治疗服务的范围。本研究考察了参与者对同伴实施者在男男性行为者中建立可信度所需特质的看法。我们确定了关于同伴可信度的五个主题，包括：（1）同伴必须接受艾滋病病毒预防和护理方面的培训；（2）同伴应经过核实并拥有表明其知识和可信度的特殊身份；（3）同伴应传达准确信息，不传播错误信息；（4）同伴应具有亲和力且具备人际交往技巧；（5）同伴应与广大 LGBTQ + 社区互动以建立信任和可信度。研究结果可为制定适合男男性行为者的同伴策略、同伴招募、培训和同伴监督提供参考。
