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Co-creating strategies to promote uptake of HIV self-testing among young adults in Mecklenburg county, North Carolina: a protocol for a pilot implementation study.

作者信息

Nwaozuru Ucheoma, Miller Lindsay, Gunn Laura H, Marin-Cespedes Sebastian, Hanff Margaret, Robinson Patrick, Dulin Michael, Muralidhar Meghana, Jha Prashant, Mirikwe Goodness C, Conserve Donaldson F, Gulden Chelsea, Davis Bernard A, Foley Kristie, Tucker Joseph, Zarwell Meagan

机构信息

Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, United States.

Department of Epidemiology and Community Health, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC, United States.

出版信息

Front Health Serv. 2025 Mar 28;5:1536236. doi: 10.3389/frhs.2025.1536236. eCollection 2025.


DOI:10.3389/frhs.2025.1536236
PMID:40224904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11985853/
Abstract

BACKGROUND: HIV testing is the gateway to entering HIV care and prevention services. However, HIV testing rates remain low among young adults (18-29 years old) in Mecklenburg County, North Carolina (NC), an ending the HIV epidemic (EHE) priority jurisdiction. We aim to utilize community-engaged and participatory approaches to co-create implementation strategies to promote the reach and uptake of HIV self-testing (HIVST) among young adults in the region. This study protocol outlines the phases of the project and the proposed outcomes. METHODS: The Community-engaged Approaches to Expand HIV Self-Testing among Young Adults in Mecklenburg County, North Carolina (CATEST) project will be conducted in three phases, guided by the Consolidated Framework for Implementation Research (CFIR), Community-based Participatory Research (CBPR), and Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) frameworks. The formative phase of the study, guided by CFIR, will focus on understanding the barriers, facilitators, and opportunities for implementing HIVST among young adults in Mecklenburg County, North Carolina. The second phase, guided by CBPR, will utilize participatory approaches such as crowdsourcing open calls and charrettes to co-create implementation strategies for HIVST. Then, the final pilot implementation phase, guided by CFIR and RE-AIM, will use mixed methods to evaluate the success of the co-created HIVST implementation strategies using a pre-post design. Participants in the study will complete a baseline survey and a follow-up survey immediately following intervention completion. In addition, a purposive sample of participants and representatives at the participating community organization will complete qualitative exit interviews within 1 month of intervention completion. DISCUSSION: This study protocol outlines the co-creation of implementation strategies, tests their feasibility, and explores preliminary effectiveness in promoting HIVST uptake among young adults in Mecklenburg County, NC. The study will yield insights on the feasibility of leveraging the capabilities of community and youth innovation to promote young adults-centered implementation strategies to advance the reach and adoption of HIVST among young adults. REGISTRATION: Registered on Open Science Forum-DOI 10.17605/OSF.IO/2BZWV.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16e2/11985853/57123b85f6ac/frhs-05-1536236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16e2/11985853/c58f7e6b7d75/frhs-05-1536236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16e2/11985853/57123b85f6ac/frhs-05-1536236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16e2/11985853/c58f7e6b7d75/frhs-05-1536236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16e2/11985853/57123b85f6ac/frhs-05-1536236-g002.jpg

相似文献

[1]
Co-creating strategies to promote uptake of HIV self-testing among young adults in Mecklenburg county, North Carolina: a protocol for a pilot implementation study.

Front Health Serv. 2025-3-28

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本文引用的文献

[1]
Crowdsourced Partner Services Among Men Who Have Sex With Men Living With HIV: A Pilot Randomized Controlled Trial in China.

Sex Transm Dis. 2024-10-1

[2]
Stakeholder perspectives on interventions to improve HIV pre-exposure prophylaxis uptake and continuation in Lesotho: A participant-ranked preferences study.

PLOS Glob Public Health. 2023-9-27

[3]
Integrative Review of Methods From Youth Risk Behavior Survey Secondary Data Analyses Examining HIV Syndemic Factors Among Adolescent Gay and Bisexual Men.

Nurs Res. 2023

[4]
Evaluating and volunteering for crowdsourced interventions: Cross-sectional data on COVID-19 safety from a University Survey.

PLoS One. 2022

[5]
Strategies for enhancing uptake of HIV self-testing among Nigerian youths: a descriptive analysis of the 4YouthByYouth crowdsourcing contest.

BMJ Innov. 2021-7

[6]
Enhancing HIV Self-Testing Among Nigerian Youth: Feasibility and Preliminary Efficacy of the 4 Youth by Youth Study Using Crowdsourced Youth-Led Strategies.

AIDS Patient Care STDS. 2022-2

[7]
The 4 Youth by Youth (4YBY) pragmatic trial to enhance HIV self-testing uptake and sustainability: Study protocol in Nigeria.

Contemp Clin Trials. 2022-3

[8]
Assessment of a Crowdsourcing Open Call for Approaches to University Community Engagement and Strategic Planning During COVID-19.

JAMA Netw Open. 2021-5-3

[9]
Impact and acceptability of HIV self-testing for trans men and trans women: A mixed-methods subgroup analysis of the SELPHI randomised controlled trial and process evaluation in England and Wales.

EClinicalMedicine. 2021-2-11

[10]
Comparing the effects of HIV self-testing to standard HIV testing for key populations: a systematic review and meta-analysis.

BMC Med. 2020-12-3

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