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The Stroman Effect: Participants in MEN Count, an HIV/STI Reduction Intervention for Unemployed and Unstably Housed Black Heterosexual Men, Define Its Most Successful Elements
Interventionists often prioritize quantitative evaluation criteria such as design (e.g., randomized controlled trials), delivery fidelity, and outcome effects to assess the success of an intervention. Albeit important, criteria such as these obscure other key metrics of success such as the role of t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376297/ https://www.ncbi.nlm.nih.gov/pubmed/32693659 http://dx.doi.org/10.1177/1557988320943352 |
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author | Bowleg, Lisa Massie, Jenné S. Holt, Sidney L. Boone, Cheriko A. Mbaba, Mary Stroman, Wayne A. Urada, Lianne Raj, Anita |
author_facet | Bowleg, Lisa Massie, Jenné S. Holt, Sidney L. Boone, Cheriko A. Mbaba, Mary Stroman, Wayne A. Urada, Lianne Raj, Anita |
author_sort | Bowleg, Lisa |
collection | PubMed |
description | Interventionists often prioritize quantitative evaluation criteria such as design (e.g., randomized controlled trials), delivery fidelity, and outcome effects to assess the success of an intervention. Albeit important, criteria such as these obscure other key metrics of success such as the role of the interactions between participants and intervention deliverers, or contextual factors that shape an intervention’s activities and outcomes. In line with advocacy to expand evaluation criteria for health interventions, we designed this qualitative study to examine how a subsample of Black men in MEN Count, an HIV/STI risk reduction and healthy relationship intervention with employment and housing stability case management for Black men in Washington, DC, defined the intervention’s success. We also examined the contextual factors that shaped participation in the study’s peer counseling sessions. We conducted structured interviews with 38 Black men, ages 18 to 60 years (M = 31.1, SD = 9.33) who completed at least one of three peer counseling sessions. Analyses highlighted three key themes: (a) the favorable impact of Mr. Stroman, the lead peer counselor, on participants’ willingness to participate in MEN Count and disclose their challenges—we dubbed this the “Stroman Effect”; (b) the importance of Black men intervention deliverers with relatable life experiences; and (c) how contextual factors such as the HIV/AIDS epidemic, needs for housing and employment services and safe spaces to talk about challenges, and absentee fathers shaped participation. We discuss the study’s implications for sustainable programs after funding ends and future multilevel health interventions to promote health equity for poor urban Black men. |
format | Online Article Text |
id | pubmed-7376297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-73762972020-07-31 The Stroman Effect: Participants in MEN Count, an HIV/STI Reduction Intervention for Unemployed and Unstably Housed Black Heterosexual Men, Define Its Most Successful Elements Bowleg, Lisa Massie, Jenné S. Holt, Sidney L. Boone, Cheriko A. Mbaba, Mary Stroman, Wayne A. Urada, Lianne Raj, Anita Am J Mens Health Promoting Men’s Health Equity Interventionists often prioritize quantitative evaluation criteria such as design (e.g., randomized controlled trials), delivery fidelity, and outcome effects to assess the success of an intervention. Albeit important, criteria such as these obscure other key metrics of success such as the role of the interactions between participants and intervention deliverers, or contextual factors that shape an intervention’s activities and outcomes. In line with advocacy to expand evaluation criteria for health interventions, we designed this qualitative study to examine how a subsample of Black men in MEN Count, an HIV/STI risk reduction and healthy relationship intervention with employment and housing stability case management for Black men in Washington, DC, defined the intervention’s success. We also examined the contextual factors that shaped participation in the study’s peer counseling sessions. We conducted structured interviews with 38 Black men, ages 18 to 60 years (M = 31.1, SD = 9.33) who completed at least one of three peer counseling sessions. Analyses highlighted three key themes: (a) the favorable impact of Mr. Stroman, the lead peer counselor, on participants’ willingness to participate in MEN Count and disclose their challenges—we dubbed this the “Stroman Effect”; (b) the importance of Black men intervention deliverers with relatable life experiences; and (c) how contextual factors such as the HIV/AIDS epidemic, needs for housing and employment services and safe spaces to talk about challenges, and absentee fathers shaped participation. We discuss the study’s implications for sustainable programs after funding ends and future multilevel health interventions to promote health equity for poor urban Black men. SAGE Publications 2020-07-21 /pmc/articles/PMC7376297/ /pubmed/32693659 http://dx.doi.org/10.1177/1557988320943352 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Promoting Men’s Health Equity Bowleg, Lisa Massie, Jenné S. Holt, Sidney L. Boone, Cheriko A. Mbaba, Mary Stroman, Wayne A. Urada, Lianne Raj, Anita The Stroman Effect: Participants in MEN Count, an HIV/STI Reduction Intervention for Unemployed and Unstably Housed Black Heterosexual Men, Define Its Most Successful Elements |
title | The Stroman Effect: Participants in MEN Count, an HIV/STI
Reduction Intervention for Unemployed and Unstably Housed Black
Heterosexual Men, Define Its Most Successful Elements |
title_full | The Stroman Effect: Participants in MEN Count, an HIV/STI
Reduction Intervention for Unemployed and Unstably Housed Black
Heterosexual Men, Define Its Most Successful Elements |
title_fullStr | The Stroman Effect: Participants in MEN Count, an HIV/STI
Reduction Intervention for Unemployed and Unstably Housed Black
Heterosexual Men, Define Its Most Successful Elements |
title_full_unstemmed | The Stroman Effect: Participants in MEN Count, an HIV/STI
Reduction Intervention for Unemployed and Unstably Housed Black
Heterosexual Men, Define Its Most Successful Elements |
title_short | The Stroman Effect: Participants in MEN Count, an HIV/STI
Reduction Intervention for Unemployed and Unstably Housed Black
Heterosexual Men, Define Its Most Successful Elements |
title_sort | stroman effect: participants in men count, an hiv/sti
reduction intervention for unemployed and unstably housed black
heterosexual men, define its most successful elements |
topic | Promoting Men’s Health Equity |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376297/ https://www.ncbi.nlm.nih.gov/pubmed/32693659 http://dx.doi.org/10.1177/1557988320943352 |
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