Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention: the DriSti trial.

AIDS Care
Maria L EkstrandKrishnamachari Srinivasan

Abstract

HIV stigma has long been recognized as a significant barrier in the worldwide fight against HIV. Across cultures, stigma has been shown to cause psychological distress and act as a barrier to engagement in care. Health professionals can serve as a crucial source of HIV stigma, with drivers that include fears and transmission misconceptions and pre-existing negative attitudes towards marginalized groups. To increase their impact, stigma reduction interventions need to be scalable and sustainable as well as adaptable to different cultural contexts. The DriSti intervention was designed to meet these needs through an easily adaptable, mostly tablet-administered, interactive intervention delivered to ward staff (n = 1,557) and nursing students (n = 1,625) in 62 Indian institutions, using a cRCT design, with wait-list controls. Six-month outcome analyses, showed significant reductions in misconceptions (p < .001) and worry about acquiring HIV at work (p < .001). Intervention participants also reported significantly greater reductions in endorsement of coercive policies (p < .001) and in the number of situations in which they intended to discriminate against PLWH (p < .001) than control participants. This brief, scaleable intervention...Continue Reading

References

Jul 5, 2008·Social Science & Medicine·Wayne T StewardMaria L Ekstrand
Nov 26, 2009·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·William L HolzemerYvette R Uys
Jan 28, 2012·Journal of the International Association of Providers of AIDS Care·Wayne T StewardMaria L Ekstrand
Apr 30, 2013·North American Journal of Medical Sciences·Basavaprabhu AchappaSoundarya Mahalingam
Jun 19, 2013·Qualitative Health Research·Judy MillCerese Hepburn-Brown
Nov 28, 2013·Journal of the International AIDS Society·Ingrid T KatzAlexander C Tsai
Nov 28, 2013·Journal of the International AIDS Society·Maria L EkstrandElsa Heylen
Aug 24, 2017·The Journal of the Association of Nurses in AIDS Care : JANAC·Mariam DavtyanCynthia Lakon
Nov 2, 2017·Journal of Tropical Pediatrics·Maria L EkstrandAnita Shet
Nov 16, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Emma S KayBulent Turan
Jul 7, 2018·Frontiers in Public Health·Laura NybladeMaria L Ekstrand
Oct 16, 2018·The Lancet. HIV·Maria L EkstrandKrishnamachari Srinivasan
Feb 16, 2019·BMC Medicine·Laura NybladeEdwin Wouters

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Citations

Apr 17, 2020·AIDS Care·Lorraine SherrJose Catalan
Jun 24, 2020·Journal of the International Association of Providers of AIDS Care·Jared PerloBrian T Chan
Feb 5, 2021·The Lancet. HIV·Laura NybladeMelissa A Stockton
Apr 6, 2021·Current HIV/AIDS Reports·Pawandeep KaurLora Sabin
Jun 1, 2021·The International Journal on Drug Policy·Timothy R BroadyCarla Treloar

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