(P169) RAPID QUALITATIVE ASSESSMENT OF CULTURALLY SENSITIVE APPROACHES FOR HIV MOLECULAR EPIDEMIOLOGY

Background:
HIV Molecular Epidemiology (HME) is used to identify and halt HIV networks of rapid transmission. In Georgia, the identification of two networks impacting Black cisgender women underscores the importance of culturally sensitive HME methods. Our study seeks input from community members and Public Health Officials (PHO) to identify necessary skills and training and develop recommendations for effective HME practice tailored to priority populations.

Methods:
In late 2023, we held eight virtual focus groups on culturally sensitive HME methods for Black cisgender women, engaging 16 Public Health Officials nationwide and 23 Black cisgender women from Georgia, recruited via public health networks and community partners. Each session began with a 10-minute HME explanatory video.

Results:
Participant Perspectives.

About 88% of PHOs were familiar with HME, but only 38% had received HME-specific training. Among the community members, 57% reported unfamiliarity with HME.

PHO characteristics, skills, and training.

The ideal PHO for interviewing HIV network members and partners should have preferably have lived-experiences as network members, ensuring patient-centered, empathetic, and non-judgmental interactions.

HME-specific trainings for PHO should include topics such as people-first language, motivational interviewing, and trauma-informed care; a local resource guide and interactive materials were suggested.

Participant-Informed Best Practices.

Use people-first language and prioritize patient preferences, then follow with a gentle introduction to HME and its role.

Adopt a casual, non-judgmental, conversation tone, avoid a ‘government employee demeanor’, provide follow-up, maintain transparency, and adhere to privacy guides.

Be knowledgeable about available local medical and social services for convenient referrals.

Simplify HME language and avoid jargon, like “cluster,” opting for “shared networks.”

Conclusion:
Most participants view HME positively. PHOs face challenges in HME implementation, emphasizing a need for enhanced guidance. Recommendations include using people-first language and adopting a non-judgmental, transparent, and patient-centered approach for effective HME practice.