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• W2479462913 abstract "HIV-related mHealth interventions have demonstrable efficacy in supporting treatment adherence, although the evidence base for promoting HIV testing is inconclusive. Progress is constrained by a limited understanding of processes used to develop interventions and weak theoretical underpinnings. This paper describes a research project that informed the development of a theory-based mHealth intervention to promote HIV testing amongst city-dwelling African communities in the UK. A community-based participatory social marketing design was adopted. Six focus groups (48 participants in total) were undertaken and analysed using a thematic framework approach, guided by constructs from the Health Belief Model. Key themes were incorporated into a set of text messages, which were pre-tested and refined. The focus groups identified a relatively low perception of HIV risk, especially amongst men, and a range of social and structural barriers to HIV testing. In terms of self-efficacy around HIV testing, respondents highlighted a need for communities and professionals to work together to build a context of trust through co-location in, and co-involvement of, local communities which would in turn enhance confidence in, and support for, HIV testing activities of health professionals. Findings suggested that messages should: avoid an exclusive focus on HIV, be tailored and personalised, come from a trusted source, allay fears and focus on support and health benefits. HIV remains a stigmatized and de-prioritized issue within African migrant communities in the UK, posing barriers to HIV testing initiatives. A community-based participatory social marketing design can be successfully used to develop a culturally appropriate text messaging HIV intervention. Key challenges involved turning community research recommendations into brief text messages of only 160 characters. The intervention needs to be evaluated in a randomized control trial. Future research should explore the application of the processes and methodologies described in this paper within other communities." @default.
• W2479462913 created "2016-08-23" @default.
• W2479462913 creator A5001856495 @default.
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• W2479462913 date "2016-07-28" @default.
• W2479462913 modified "2023-10-16" @default.
• W2479462913 title "Developing a mHealth intervention to promote uptake of HIV testing among African communities in the UK: a qualitative study" @default.
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• W2479462913 doi "https://doi.org/10.1186/s12889-016-3278-4" @default.
• W2479462913 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5015338" @default.
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• W2479462913 hasPublicationYear "2016" @default.
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