PrEP (Pre-exposure Prophylaxis) Stigma and Women Ethnodrama Pilot Phase

Duke University144 enrolled

Overview

The investigators will pilot test an ethnodrama intervention designed to transform community member beliefs about and foster support of young cisgender women (YCW) using Pre-exposure Prophylaxis (PrEP).

In Aim 3, the investigators will pilot test the ethnodrama intervention (i.e., six plays on reducing PrEP stigma toward young women) that were pre-tested in Aim 2. The pilot evaluation will focus on evaluating logistical feasibility and describing participants' perceptions of the intervention's influence on PrEP-related stigma toward young women.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

144

Conditions

HIV

Interventions

Ethnodrama InterventionBEHAVIORAL

The intervention is six drama performances that are designed to transform community member beliefs about and foster support of young women's PrEP use, reduce PrEP-related enacted stigma toward young women, and reduce PrEP-related anticipated and internalized stigma among young women.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion: * Young women who are currently using or have previously used PrEP * Community members (adult women and men) who will be identified from the audience during the first play in a round * Adult audience members (female and male) who heard about the play from the public announcements and chose to attend and watch the play Exclusion: * N/A

Locations (1)

Impact Research and Development

Kisumu, Kisumu County, Kenya

Outcomes

Primary Outcomes

Feasibility of the drama intervention as measured by the number of plays performed as intended

Time frame: Up to 1 month post-intervention

Feasibility of the drama intervention as measured by the number of study procedures implemented easily

Time frame: Up to 1 month post-intervention

Feasibility of the drama intervention as measured by the estimated number of audience members

Time frame: Up to 1 month post-intervention

Secondary Outcomes

Potential effectiveness of the intervention's storylines on transforming audience members' PrEP-related perceptions as measured by a brief interviewer-administered survey using the Narrative Transportation Scale (NTS)

The 12-item scale is divided into two sub-scales: engagement and personal connection. Sample items include: "I wanted to learn what happened to the women after the story ended"; "The stories in the dramas are relevant to my everyday life"; and "The stories in the drama are realistic and believable." The total score ranges from 12 to 84, where a higher score indicates greater narrative transportation.

Time frame: Immediately post-intervention

PrEP (Pre-exposure Prophylaxis) stigma

The investigators will administer the survey at three distinct time points to assess descriptive changes in stigma-related perceptions among young women. The first administration will occur prior to the implementation of any play performances to establish baseline measures (e.g., up to several weeks prior to the first play). The second administration will take place immediately after participants have attended all six plays (e.g., up to two weeks after the last play), capturing immediate post-intervention responses. The third and final administration will occur up to three months following the last performance to assess sustained impact over time.

Time frame: Baseline, immediately post-intervention, and up to 3 months post-intervention

Data from ClinicalTrials.gov

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