Stages and Processes of Change Utilized by Female Sex Workers Participating in an XXXX -Reduction Intervention in Mombasa, Kenya.

@entity1 @entity285 @entity645 @entity3628
BACKGROUND: According to @entity3628 ( @entity3628 ) behavior change occurs through a series of steps when an individual becomes aware of a behavior, prepares to change, and executes those changes using certain processes. This model has not yet been used to describe @entity285 -reduction behavior change processes in resource-limited settings. OBJECTIVE: This qualitative analysis aimed to describe and characterize the stages and processes of change employed by female sex workers in Mombasa, Kenya during the course of their participation in a 6-month @entity285 reduction intervention. METHODS: In 2011-2012, clinical interviews were conducted with 45 female sex workers. One interview was conducted each month during the intervention period, resulting in a total of six transcripts per @entity1 . During each interview, the counselor noted the @entity1 's stage of change and recent @entity285 use. The clinical notes were analyzed via qualitative coding techniques and organized into matrices to classify @entity285 reduction strategies discussed by @entity1 . RESULTS: @entity1 discussed using the stage-specific processes of change described by the @entity3628 to reduce their @entity285 use and maintain the behavior change. @entity1 who were @entity645 -positive at the start of the intervention seemed to progress to the action/maintenance stage more quickly than @entity645 -negative @entity1 . Conclusions/Importance: Results suggest that the @entity3628 constructs may be relevant in understanding the @entity285 reduction behavior change process of an at-risk population in a resource-limited setting. Future quantitative research should seek to validate the @entity3628 's application internationally. @entity285 interventions should consider tailoring content to @entity1 ' stages of change and @entity645 -status for increased effectiveness.
