The purpose of this study is to explore drivers and mitigators of anal sex stigma in healthcare, and then to develop and pilot an intervention for health workers that mitigates the deterrent effects of this stigma on the engagement of gay and bisexual men in HIV-related services.
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Acceptability, appropriateness, and feasibility of the website component as assessed by the AFAS
Timeframe: Post-intervention, 1 week after completion of all implementation strategies
Acceptability, appropriateness, and feasibility of the in-person skills development workshop as assessed by the AFAS
Timeframe: Post-intervention, 1 week after completion of the in-person workshop
Acceptability of the in-person skills development workshop as assessed by the AARP
Timeframe: Post-intervention, 1 week after completion of the in-person workshop
Determinants of implementation of the in-person skills development workshop as assessed by the DIBQ
Timeframe: Post-intervention 1 week after completion of the in-person workshop
Acceptability, appropriateness, and feasibility of the coaching calls as assessed by the AFAS
Timeframe: Post-intervention, 1 week after completion of all implementation strategies
Acceptability, appropriateness, and feasibility of the quality improvement meetings as assessed by the AFAS
Timeframe: Post-intervention, 1 week after completion of all implementation strategies
Acceptability, appropriateness, and feasibility of the set of implementation strategies as assessed by qualitative interviews
Timeframe: Post-workshop (1 week after delivery of the in-person workshop) and post-intervention ( 1 week after completion of all implementation strategies
Changes to determinants of implementation behavior as assessed by the DIBQ
Timeframe: (1) Baseline, pre-intervention, (2) Post-intervention 1 week after completion of the in-person workshop, (3) Post-intervention 1 week after completion of all implementation strategies
Changes to knowledge about anal health and sexuality as assessed by the iASK
Timeframe: (1) Baseline, pre-intervention, (2) Post-intervention 1 week after completion of the in-person workshop, (3) Post-intervention 1 week after completion of all implementation strategies
Changes to self-efficacy offering social support as assessed by the MOS-SSS Informational and Emotional Social Support Subscale
Timeframe: (1) Baseline, pre-intervention, (2) Post-intervention 1 week after completion of the in-person workshop, (3) Post-intervention 1 week after completion of all implementation strategies
Changes to comfort discussing anal health and sexuality as assessed by 10 study-specific items
Timeframe: (1) Baseline, pre-intervention, (2) Post-intervention 1 week after completion of the in-person workshop, (3) Post-intervention 1 week after completion of all implementation strategies
Changes to the quality of care as assessed by 10 study-specific items
Timeframe: (1) Baseline, pre-intervention, (2) Post-intervention 1 week after completion of all implementation strategies
Changes to the engagement in HIV-related services as measured by electronic health record (EHR) in two HIV service delivery sites
Timeframe: (1) the 3-month period pre-intervention, (2) the 3-month period during intervention, and then (3) the 3-month post-intervention, up to 9 months total.
Impact of implementation strategies on the quality of care and engagement of clients as assessed by qualitative interviews
Timeframe: Post-intervention 1 month after completion of all implementation strategies