{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:20:15Z","timestamp":1789690815954,"version":"4.0.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R34MH126478"],"award-info":[{"award-number":["R34MH126478"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.pec.2026.109678","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T07:07:43Z","timestamp":1777964863000},"page":"109678","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["An HIV care provider training on addressing intersectional stigma and medical mistrust: A pilot randomized controlled trial"],"prefix":"10.1016","volume":"149","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1075-9374","authenticated-orcid":false,"given":"Lu","family":"Dong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3182-5542","authenticated-orcid":false,"given":"Laura M.","family":"Bogart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Vincent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2150-5177","authenticated-orcid":false,"given":"Toluwani","family":"Adekunle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marylou","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Bai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peyton","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Huilgol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bisola O.","family":"Ojikutu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.pec.2026.109678_bib1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1037\/a0032705","article-title":"Stigma and racial\/ethnic HIV disparities: moving toward resilience","volume":"68","author":"Earnshaw","year":"2013","journal-title":"Am Psychol"},{"key":"10.1016\/j.pec.2026.109678_bib2","doi-asserted-by":"crossref","first-page":"S340","DOI":"10.2105\/AJPH.2021.306634","article-title":"Integrating intersectional and syndemic frameworks for ending the US HIV epidemic","author":"Smith","year":"2022","journal-title":"Am Public Health Assoc"},{"key":"10.1016\/j.pec.2026.109678_bib3","first-page":"Article 8","article-title":"Demarginalizing the intersection of race and sex: a Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics","volume":"1989","author":"Crenshaw","year":"1989","journal-title":"U Chi Leg Forum"},{"key":"10.1016\/j.pec.2026.109678_bib4","series-title":"Workable Sisterhood","author":"Berger","year":"2010"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s12916-018-1246-9","article-title":"Challenges and opportunities in examining and addressing intersectional stigma and health","volume":"17","author":"Turan","year":"2019","journal-title":"BMC Med"},{"issue":"2","key":"10.1016\/j.pec.2026.109678_bib6","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s10865-021-00277-z","article-title":"Perceived discrimination, adherence to antiretroviral therapy, and HIV care engagement among HIV-positive black adults: the mediating role of medical mistrust","volume":"45","author":"Dong","year":"2022","journal-title":"J Behav Med"},{"issue":"5","key":"10.1016\/j.pec.2026.109678_bib7","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1007\/s10865-017-9843-1","article-title":"Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV-positive Latino men","volume":"40","author":"Galvan","year":"2017","journal-title":"J Behav Med"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib8","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1891\/LGBTQ.2019-0003","article-title":"A Pilot Cognitive Behavior Therapy Group Intervention to Address Coping with Discrimination Among HIV-Positive Latino Immigrant Sexual Minority Men","volume":"1","author":"Bogart","year":"2020","journal-title":"Ann LGBTQ Public Popul Health"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib9","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1093\/qje\/qjx029","article-title":"Tuskegee and the health of black men","volume":"133","author":"Alsan","year":"2018","journal-title":"Q J Econ"},{"issue":"5","key":"10.1016\/j.pec.2026.109678_bib10","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1007\/s11606-022-07995-3","article-title":"Barriers in healthcare for Latinx patients with limited English proficiency\u2014a narrative review","volume":"38","author":"Escobedo","year":"2023","journal-title":"J Gen Intern Med"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib11","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1146\/annurev-publhealth-052620-103528","article-title":"Eliminating explicit and implicit biases in health care: evidence and research needs","volume":"43","author":"Vela","year":"2022","journal-title":"Annu Rev Public Health"},{"issue":"12","key":"10.1016\/j.pec.2026.109678_bib12","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.2105\/AJPH.2015.302903","article-title":"Implicit racial\/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review","volume":"105","author":"Hall","year":"2015","journal-title":"Am J Public Health"},{"issue":"2","key":"10.1016\/j.pec.2026.109678_bib13","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/08964289.2019.1619511","article-title":"Towards a more inclusive and dynamic understanding of medical mistrust informed by science","volume":"45","author":"Jaiswal","year":"2019","journal-title":"Behav Med"},{"issue":"2","key":"10.1016\/j.pec.2026.109678_bib14","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1080\/08964289.2019.1630357","article-title":"Whose responsibility is it to dismantle medical mistrust? Future directions for researchers and health care providers","volume":"45","author":"Jaiswal","year":"2019","journal-title":"Behav Med"},{"issue":"4","key":"10.1016\/j.pec.2026.109678_bib15","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1037\/cdp0000205","article-title":"Pilot intervention for discrimination-related coping among HIV-positive Black sexual minority men","volume":"24","author":"Bogart","year":"2018","journal-title":"Cult Divers Ethn Minor Psychol"},{"key":"10.1016\/j.pec.2026.109678_bib16","series-title":"HIV in US communities of color","first-page":"207","article-title":"Medical mistrust, discrimination, and the domestic HIV epidemic","author":"Bogart","year":"2021"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib17","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0211298","article-title":"Reducing HIV-related stigma and discrimination in healthcare settings: A systematic review of quantitative evidence","volume":"14","author":"Feyissa","year":"2019","journal-title":"PLOS ONE"},{"issue":"5","key":"10.1016\/j.pec.2026.109678_bib18","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1177\/1077558706290946","article-title":"Development and validation of a patient-reported measure of physician cultural competency","volume":"63","author":"Thom","year":"2006","journal-title":"Med Care Res Rev"},{"issue":"3","key":"10.1016\/j.pec.2026.109678_bib19","first-page":"CD004134","article-title":"Interventions for improving patients' trust in doctors and groups of doctors","author":"Rolfe","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.pec.2026.109678_bib20","series-title":"Motivational Interviewing: Helping People Change and Grow","author":"Miller","year":"2023"},{"key":"10.1016\/j.pec.2026.109678_bib21","unstructured":"Adekunle, T.E., et al., A Qualitative Study of Black and Latine HIV Care Consumers\u2019 Perceptions of Providers\u2019 Behaviors, Medical Mistrust, and Experiences of Discrimination. Journal of Health Care for the Poor and Underserved, In Press."},{"key":"10.1016\/j.pec.2026.109678_bib22","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement Sci"},{"issue":"3","key":"10.1016\/j.pec.2026.109678_bib23","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1002\/1097-4679(199105)47:3<444::AID-JCLP2270470320>3.0.CO;2-U","article-title":"The Helpful Responses Questionnaire: A procedure for measuring therapeutic empathy","volume":"47","author":"Miller","year":"1991","journal-title":"J Clin Psychol"},{"key":"10.1016\/j.pec.2026.109678_bib24","doi-asserted-by":"crossref","first-page":"363","DOI":"10.2307\/2529786","article-title":"An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.pec.2026.109678_bib25","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.jsat.2016.01.001","article-title":"The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity","volume":"65","author":"Moyers","year":"2016","journal-title":"J Subst Abus Treat"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib26","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s13012-017-0635-3","article-title":"Psychometric assessment of three newly developed implementation outcome measures","volume":"12","author":"Weiner","year":"2017","journal-title":"Implement Sci"},{"issue":"2","key":"10.1016\/j.pec.2026.109678_bib27","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1002\/nur.20247","article-title":"Considerations in determining sample size for pilot studies","volume":"31","author":"Hertzog","year":"2008","journal-title":"Res Nurs & Health"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib28","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1037\/a0014699","article-title":"Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis","volume":"14","author":"Feingold","year":"2009","journal-title":"Psychol Methods"},{"issue":"2","key":"10.1016\/j.pec.2026.109678_bib30","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda","volume":"38","author":"Proctor","year":"2011","journal-title":"Adm Policy Ment Health"},{"issue":"9","key":"10.1016\/j.pec.2026.109678_bib31","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res"},{"issue":"9","key":"10.1016\/j.pec.2026.109678_bib32","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1001\/jama.282.9.867","article-title":"Impact of Formal Continuing Medical EducationDo Conferences, Workshops, Rounds, and Other Traditional Continuing Education Activities Change Physician Behavior or Health Care Outcomes?","volume":"282","author":"Davis","year":"1999","journal-title":"JAMA"},{"issue":"8","key":"10.1016\/j.pec.2026.109678_bib33","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1111\/add.12558","article-title":"Sustaining motivational interviewing: a meta-analysis of training studies","volume":"109","author":"Schwalbe","year":"2014","journal-title":"Addiction"},{"issue":"8","key":"10.1016\/j.pec.2026.109678_bib34","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/MLR.0000000000002158","article-title":"Improving patient experience with provider communication: systematic review of interventions, implementation strategies, and their effectiveness","volume":"63","author":"Jesus","year":"2025","journal-title":"Med Care"},{"issue":"1","key":"10.1016\/j.pec.2026.109678_bib35","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.pec.2010.06.025","article-title":"A systematic review of motivational interviewing training for general health care practitioners","volume":"84","author":"S\u00f6derlund","year":"2011","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109678_bib36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-018-2949-5","article-title":"How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation","volume":"18","author":"Bokhour","year":"2018","journal-title":"BMC Health Serv Res"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126002119?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126002119?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:32:30Z","timestamp":1783056750000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399126002119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":35,"alternative-id":["S0738399126002119"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.109678","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"An HIV care provider training on addressing intersectional stigma and medical mistrust: A pilot randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.109678","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 RAND Corporation. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109678"}}