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Community-Based Care in the ANRS-IPERGAY Trial: The Challenges of Combination Prevention.
- Source :
- AIDS Education & Prevention; Jun2019, Vol. 31 Issue 3, p259-272, 14p
- Publication Year :
- 2019
-
Abstract
- ANRS-IPERGAY was a community-based randomized trial investigating the efficacy of sexual activity-based HIV pre-exposure prophylaxis (PrEP) in a population of males and transgender females who had sex with men and were at high risk of HIV infection. We qualitatively analyzed the support provided to participants by community-based health workers (CBHW) throughout the trial's double-blind and open-label extension phases. In particular, we showed that the relationship between participants and CBHW strongly influenced self-managed pill intake. The delicate construction of this relationship, balanced between trust and dependence, played an important role in PrEP adherence. CBHW had to deal with various issues surrounding participants' feelings of empowerment regarding their role in the trial, as well as related tensions between various logics and rationalities. They were essential to participants' continued involvement. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
HIV infection risk factors
COMMUNITY health workers
COMMUNITY health services
DEPENDENCY (Psychology)
MEDICAL personnel
PREVENTIVE medicine
PHYSICIAN-patient relations
SELF-efficacy
SELF-management (Psychology)
TRUST
QUALITATIVE research
PSYCHOSOCIAL factors
SOCIAL support
RANDOMIZED controlled trials
BLIND experiment
MEN who have sex with men
PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 08999546
- Volume :
- 31
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- AIDS Education & Prevention
- Publication Type :
- Academic Journal
- Accession number :
- 136734821
- Full Text :
- https://doi.org/10.1521/aeap.2019.31.3.259