Acceptance and Commitment to Empowerment Intervention to Reduce HIV Stigma and Promote Community Resilience: Protocol for an Implementation Study
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View abstract on PubMed
Summary
This summary is machine-generated.This study introduces the Acceptance and Commitment to Empowerment (ACE) intervention to reduce HIV stigma among racialized immigrants in Canada. The program aims to enhance psychological flexibility and collective empowerment, addressing barriers to HIV prevention and care.
Area Of Science
- Public Health
- Social Sciences
- Psychology
Background
- Racialized immigrants face disproportionate HIV rates in Canada, with 69.5% of new cases in 2022 among these populations.
- HIV vulnerability is exacerbated by stigma intersecting with racism, gender oppression, homophobia, and economic marginalization.
- Stigma and discrimination hinder effective HIV prevention, testing, treatment, and care initiatives.
Purpose Of The Study
- To reduce HIV-related stigma in racialized immigrant communities across six Canadian cities.
- To implement and evaluate the Acceptance and Commitment to Empowerment (ACE) online intervention.
- To assess community needs, build capacity, evaluate implementation, and disseminate findings.
Main Methods
- Utilized PRISM and RE-AIM frameworks for adaptation, implementation, and evaluation.
- Phase 1: Surveyed organizations and engaged service providers/community members (n=90) to assess needs.
- Phase 2: Refined ACE intervention and conducted Train-the-Trainer (TTT) program (n=48). Phase 3: Delivered online ACE intervention (n=288) using mixed methods.
Main Results
- Project ACE implementation faced a 2-year delay due to the COVID-19 pandemic and ethics approvals.
- Recruited 8 community leaders for the Project Advisory Committee and secured 19 collaborating organizations.
- Phase 1 data collection completed as of March 2025; data analysis and knowledge translation are ongoing.
Conclusions
- Anticipate generating critical knowledge on the effectiveness of the ACE intervention in reducing HIV stigma.
- Expect to identify facilitators and barriers to implementing ACE among racialized immigrants in real-world settings.
- The study aims to advance research, policy, and practice for HIV stigma reduction in vulnerable populations.
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