@article{fdi:010077501,
  title = {{P}articipatory development and pilot testing of the {M}akasi intervention : a community-based outreach intervention to improve sub-{S}aharan and {C}aribbean immigrants' empowerment in sexual health},
  author = {{G}osselin, {A}. and {C}arillon, {S}everine and {C}oulibaly, {K}. and {R}idde, {V}al{\'e}ry and {T}aeron, {C}. and {K}ohou, {V}. and {Z}oumenou, {I}. and {M}biribindi, {R}. and {D}erche, {N}. and {D}esgr{\'e}es du {L}oû, {A}nnabel and {G}ubert, {F}lore and {M}elchior, {M}. and {C}arillon, {S}everine and {C}oulibaly, {K}. and {D}elbe, {A}. and {E}bongue, {J}. and {E}l {K}houry, {F}. and {G}aywahali, {C}. and {L}ert, {F}. and {L}utonadio, {B}. and {P}lenel, {E}. and {M}aspeyrat, {L}. and {M}biribindi, {P}. and {M}iatti, {T}. and {N}gueya, {J}. {P}. and {R}avalihasy, {A}ndrainolo and {T}ess, {F}. and {L}usilu, {J}. {V}. and {M}akasi {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {S}ub-{S}aharan and {C}aribbean immigrants are particularly affected by {HIV} in {E}urope, and recent evidence shows that a large portion of them acquired {HIV} after arrival. {T}here is a need for efficient interventions that can reduce immigrants' exposure to {HIV}. {W}e describe the pilot phase of a community-based empowerment outreach intervention among sub-{S}aharan and {C}aribbean immigrants in the greater {P}aris area aimed at 1) constructing the intervention, 2) assessing its feasibility, and 3) assessing the feasibility of its evaluation based on a stepped-wedge approach. {M}ethods: 1) {T}o develop the intervention, a literature review was conducted on existing interventions and participatory approaches developed, including the constitution of peer groups. 2) {T}o assess the intervention's feasibility, a pilot was conducted between {A}pril 2018 and {D}ecember 2018. {A} daily register was used to collect data on sociodemographic characteristics of all persons who visited the mobile team to assess eligibility and acceptability. 3) {T}o assess the feasibility of performing a stepped-wedge trial to evaluate the intervention, we compared eligibility, enrolment and retention at 3 months in two arms (immediate vs deferred). {C}hi-squared tests were used to compare reach and retention between the two arms. {R}esults: {I}ntervention development. {T}he {M}akasi intervention was designed as an outreach intervention that starts with the persons' capacities and helps them appropriate existing resources and information and obtain knowledge about sexual health, based upon motivational interviewing techniques. {I}ntervention {F}easibility. {B}etween {A}pril 2018 and {D}ecember 2018, a total of 485 persons were identified as eligible. {P}articipation in the intervention was proposed to 79% of eligible persons. {W}hen proposed, the persons enrolled in the intervention with a response rate of 69%. {S}ome were lost to follow-up, and 188 persons were finally included. {E}valuation {F}easibility. {T}he proportions of eligible (45 and 42%) individuals and of enrolled individuals (65 and 74%) were similar and not significantly different in the immediate and deferred arms, respectively. {C}onclusions: {A} community-based outreach intervention aimed at improving sub-{S}aharan and {C}aribbean immigrants' empowerment in sexual health is feasible. {T}he pilot phase was key to identifying challenges, designing a relevant intervention and validating the stepped-wedge protocol for evaluation.},
  keywords = {{M}igrants ; {S}exual health ; {E}mpowerment ; {I}ntervention ; {C}ommunity-based research ; {S}ub-{S}aharan {A}frica ; {F}rance ; {FRANCE} ; {AFRIQUE} {SUBSAHARIENNE} ; {CARAIBE}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {19},
  numero = {1},
  pages = {art. 1646 [10 ]},
  year = {2019},
  DOI = {10.1186/s12889-019-7943-2},
  URL = {https://www.documentation.ird.fr/hor/fdi:010077501},
}