A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana
Abstract We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving ‘respected motherhood’ (‘what matters most’) in Botswana. A pragmatic design allocated participants to the intervention (N =...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | AIDS Research and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12981-022-00454-3 |
| _version_ | 1811334650738507776 |
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| author | Lawrence H. Yang Evan L. Eschliman Haitisha Mehta Supriya Misra Ohemaa B. Poku Patlo Entaile Timothy D. Becker Tadele Melese Merrian J. Brooks Marlene Eisenberg Melissa A. Stockton Karen Choe Danielle Tal Tingyu Li Vivian F. Go Bruce G. Link Shathani Rampa Valerie W. Jackson Gorata D. Manyeagae Tonya Arscott-Mills Melody Goodman Philip R. Opondo Ari R. Ho-Foster Michael B. Blank |
| author_facet | Lawrence H. Yang Evan L. Eschliman Haitisha Mehta Supriya Misra Ohemaa B. Poku Patlo Entaile Timothy D. Becker Tadele Melese Merrian J. Brooks Marlene Eisenberg Melissa A. Stockton Karen Choe Danielle Tal Tingyu Li Vivian F. Go Bruce G. Link Shathani Rampa Valerie W. Jackson Gorata D. Manyeagae Tonya Arscott-Mills Melody Goodman Philip R. Opondo Ari R. Ho-Foster Michael B. Blank |
| author_sort | Lawrence H. Yang |
| collection | DOAJ |
| description | Abstract We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving ‘respected motherhood’ (‘what matters most’) in Botswana. A pragmatic design allocated participants to the intervention (N = 44) group and the treatment-as-usual (N = 15) group. An intent-to-treat, difference-in-difference analysis found the intervention group had significant decreases in HIV stigma (d = − 1.20; 95% CI − 1.99, − 0.39) and depressive symptoms (d = − 1.96; 95% CI − 2.89, − 1.02) from baseline to 4-months postpartum. Some, albeit less pronounced, changes in intersectional stigma were observed, suggesting the importance of structural-level intervention components to reduce intersectional stigma. |
| first_indexed | 2024-04-13T17:12:13Z |
| format | Article |
| id | doaj.art-cb961a705ee14879bd20b4a8f51bd8be |
| institution | Directory Open Access Journal |
| issn | 1742-6405 |
| language | English |
| last_indexed | 2024-04-13T17:12:13Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | AIDS Research and Therapy |
| spelling | doaj.art-cb961a705ee14879bd20b4a8f51bd8be2022-12-22T02:38:15ZengBMCAIDS Research and Therapy1742-64052022-06-0119111110.1186/s12981-022-00454-3A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in BotswanaLawrence H. Yang0Evan L. Eschliman1Haitisha Mehta2Supriya Misra3Ohemaa B. Poku4Patlo Entaile5Timothy D. Becker6Tadele Melese7Merrian J. Brooks8Marlene Eisenberg9Melissa A. Stockton10Karen Choe11Danielle Tal12Tingyu Li13Vivian F. Go14Bruce G. Link15Shathani Rampa16Valerie W. Jackson17Gorata D. Manyeagae18Tonya Arscott-Mills19Melody Goodman20Philip R. Opondo21Ari R. Ho-Foster22Michael B. Blank23Department of Social and Behavioral Sciences, School of Global Public Health, New York UniversityDepartment of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Clinical and Counseling Psychology, Teachers College, Columbia UniversityDepartment of Public Health, San Francisco State UniversityDivision of Gender, Sexuality, and Health, HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric InstituteBotswana-UPenn PartnershipDepartment of Psychiatry, Icahn School of Medicine at Mount SinaiDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of BotswanaBotswana-UPenn PartnershipDepartment of Psychiatry, Perelman School of Medicine, University of PennsylvaniaDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons & New York State Psychiatric InstituteDepartment of Clinical and Counseling Psychology, Teachers College, Columbia UniversityDepartment of Clinical and Counseling Psychology, Teachers College, Columbia UniversityDepartment of Clinical and Counseling Psychology, Teachers College, Columbia UniversityDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel HillSchool of Public Policy, University of California RiversideDepartment of Psychology, University of BotswanaDepartment of Anesthesia, University of California San FranciscoDepartment of Statistics, Faculty of Social Sciences, University of BotswanaDepartment of Pediatrics and Adolescent Health, Faculty of Medicine, University of BotswanaDepartment of Biostatistics, School of Global Public Health, New York UniversityDepartment of Psychiatry, Faculty of Medicine, University of BotswanaCenter for Global Health, Perelman School of Medicine, University of PennsylvaniaDepartment of Psychiatry, Perelman School of Medicine, University of PennsylvaniaAbstract We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving ‘respected motherhood’ (‘what matters most’) in Botswana. A pragmatic design allocated participants to the intervention (N = 44) group and the treatment-as-usual (N = 15) group. An intent-to-treat, difference-in-difference analysis found the intervention group had significant decreases in HIV stigma (d = − 1.20; 95% CI − 1.99, − 0.39) and depressive symptoms (d = − 1.96; 95% CI − 2.89, − 1.02) from baseline to 4-months postpartum. Some, albeit less pronounced, changes in intersectional stigma were observed, suggesting the importance of structural-level intervention components to reduce intersectional stigma.https://doi.org/10.1186/s12981-022-00454-3Intersectional stigmaStigma interventionPregnant women living with HIVCultureBotswana |
| spellingShingle | Lawrence H. Yang Evan L. Eschliman Haitisha Mehta Supriya Misra Ohemaa B. Poku Patlo Entaile Timothy D. Becker Tadele Melese Merrian J. Brooks Marlene Eisenberg Melissa A. Stockton Karen Choe Danielle Tal Tingyu Li Vivian F. Go Bruce G. Link Shathani Rampa Valerie W. Jackson Gorata D. Manyeagae Tonya Arscott-Mills Melody Goodman Philip R. Opondo Ari R. Ho-Foster Michael B. Blank A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana AIDS Research and Therapy Intersectional stigma Stigma intervention Pregnant women living with HIV Culture Botswana |
| title | A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana |
| title_full | A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana |
| title_fullStr | A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana |
| title_full_unstemmed | A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana |
| title_short | A pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana |
| title_sort | pilot pragmatic trial of a what matters most based intervention targeting intersectional stigma related to being pregnant and living with hiv in botswana |
| topic | Intersectional stigma Stigma intervention Pregnant women living with HIV Culture Botswana |
| url | https://doi.org/10.1186/s12981-022-00454-3 |
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