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Consensus Building on Strategies That Address Medical Mistrust to Better Engage Priority Populations in HIV Cure
Anastasia Korolkova1, Elizabeth Nguyen2, Ali Ahmed1
1Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego.
Building trust is key for HIV cure research participation. Connecting potential participants with current trial members and active listening emerged as top strategies to overcome medical mistrust.
Area of Science:
- Medical research ethics
- Public health initiatives
- HIV/AIDS research
Background:
- Medical mistrust significantly hinders diversity in HIV cure-related clinical trials.
- Addressing this mistrust is crucial for advancing HIV cure research in the United States.
Purpose of the Study:
- To identify and rank strategies for overcoming medical mistrust to enhance participation in HIV cure research.
- To build consensus among diverse experts on effective engagement methods.
Main Methods:
- A hybrid Delphi consensus-building process was employed with 54 multidisciplinary experts.
- Experts completed three rounds of surveys, ranking qualitative strategies identified in initial qualitative responses.
- Panelists represented various stakeholder groups, including community members, researchers, clinicians, and ethicists.
Main Results:
- The highest-ranked strategy involved connecting eligible participants with current or former HIV cure trial participants to share experiences.
- Active listening to address participant questions and concerns was also a top-ranked strategy for building trust.
- While overall consensus was reached, slight variations in rankings were observed among different expert groups.
Conclusions:
- Prioritizing peer-to-peer interactions and empathetic communication can effectively mitigate medical mistrust.
- These strategies are vital for promoting broader and more equitable participation in novel HIV cure research.
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