{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:47:49Z","timestamp":1788223669584,"version":"build-2803163510"},"reference-count":81,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23MH124569"],"award-info":[{"award-number":["K23MH124569"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32MH019139"],"award-info":[{"award-number":["T32MH019139"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["P30 MH43520 31SX"],"award-info":[{"award-number":["P30 MH43520 31SX"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["P30 MH43520-33S1"],"award-info":[{"award-number":["P30 MH43520-33S1"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["P30MH043520"],"award-info":[{"award-number":["P30MH043520"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K01AA028199"],"award-info":[{"award-number":["K01AA028199"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["PS18-1802"],"award-info":[{"award-number":["PS18-1802"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["1 NU62PS924575-01-00"],"award-info":[{"award-number":["1 NU62PS924575-01-00"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Health Resources and Services Administration HIV\/AIDS Bureau"},{"name":"Health and Human Services of the United States","award":["H89HA00015"],"award-info":[{"award-number":["H89HA00015"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>To end the HIV epidemic, we need to better understand how to address HIV-related stigmas in healthcare settings, specifically the common theoretical bases across interventions so that we can generalize about their potential effectiveness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>We describe theory-based components of stigma interventions by identifying their functions\/types, techniques, and purported mechanisms of change.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This systematic review examined studies published by April 2021. We applied a transtheoretical ontology developed by the Human Behaviour Change Project, consisting of 9 intervention types (ITs), 93 behavior change techniques (BCTs), and 26 mechanisms of action (MOAs). We coded the frequency and calculated the potential effectiveness of each IT, BCT, and MOA. We evaluated study quality with a 10-item adapted tool.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among the nine highest quality studies, indicated by the use of an experimental design, the highest potentially effective IT was \u201cPersuasion\u201d (i.e. using communication to induce emotions and\/or stimulate action; 66.7%, 4\/6 studies). The highest potentially effective BCTs were \u201cBehavioral practice\/rehearsal\u201d (i.e. to increase habit and skill) and \u201cSalience of consequences\u201d (i.e. to make consequences of behavior more memorable; each 100%, 3\/3 studies). The highest potentially effective MOAs were \u201cKnowledge\u201d (i.e. awareness) and \u201cBeliefs about capabilities\u201d (i.e. self-efficacy; each 67%, 2\/3 studies).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>By applying a behavior change ontology across studies, we synthesized theory-based findings on stigma interventions. Interventions typically combined more than one IT, BCT, and MOA. Practitioners and researchers can use our findings to better understand and select theory-based components of interventions, including areas for further evaluation, to expedite ending the HIV epidemic.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/abm\/kaad022","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T13:39:53Z","timestamp":1686836393000},"page":"801-816","source":"Crossref","is-referenced-by-count":9,"title":["A Systematic Review of Intervention Studies That Address HIV-Related Stigmas Among US Healthcare Workers and Health Systems: Applying a Theory-Based Ontology to Link Intervention Types, Techniques, and Mechanisms of Action to Potential Effectiveness"],"prefix":"10.1093","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4544-708X","authenticated-orcid":false,"given":"Bryan A","family":"Kutner","sequence":"first","affiliation":[{"name":"Psychiatry Research Institute at Montefiore Einstein (PRIME), Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine , Bronx, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8877-1285","authenticated-orcid":false,"given":"Michael P","family":"Vaughn","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6529-0550","authenticated-orcid":false,"given":"Rebecca","family":"Giguere","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Rodriguez-Hart","sequence":"additional","affiliation":[{"name":"Division of Disease Control (DIS), New York City Department of Health and Mental Hygiene (DOHMH) , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"McKinnon","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University , New York, NY ,","place":["USA"]},{"name":"Department of Psychiatry, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]},{"name":"Northeast\/Caribbean AIDS Education and Training Center, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farnaz","family":"Kaighobadi","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, Bronx Community College, City University New York , Bronx, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bimbla","family":"Felix","sequence":"additional","affiliation":[{"name":"Adult Comprehensive Services, Jacobi Medical Center , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attisso","family":"Akakpo","sequence":"additional","affiliation":[{"name":"New York State Department of Health, AIDS Institute , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0492-190X","authenticated-orcid":false,"given":"Francine","family":"Cournos","sequence":"additional","affiliation":[{"name":"Northeast\/Caribbean AIDS Education and Training Center, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Mikaelian","sequence":"additional","affiliation":[{"name":"The Mental Health Association of Westchester , Tarrytown, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6771-8138","authenticated-orcid":false,"given":"Justin","family":"Knox","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University , New York, NY ,","place":["USA"]},{"name":"Department of Psychiatry, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]},{"name":"Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4641-6621","authenticated-orcid":false,"given":"Daria","family":"Boccher-Lattimore","sequence":"additional","affiliation":[{"name":"Northeast\/Caribbean AIDS Education and Training Center, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimbirly A","family":"Mack","sequence":"additional","affiliation":[{"name":"Division of Disease Control (DIS), New York City Department of Health and Mental Hygiene (DOHMH) , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9673-904X","authenticated-orcid":false,"given":"Marian","family":"LaForest","sequence":"additional","affiliation":[{"name":"Augustus C. Long Health Sciences Library, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4986-1739","authenticated-orcid":false,"given":"Theodorus G M","family":"Sandfort","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University , New York, NY ,","place":["USA"]},{"name":"Department of Psychiatry, Columbia University Irving Medical Center , New York, NY ,","place":["USA"]},{"name":"Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"STAR (Stigma and Resilience) Coalition Compendium 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