Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa.
Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa.
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DOI：
10.1177/15579883231197355
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发表时间：
2023-09
影响因子：
2.3
通讯作者：
Stephenson, Rob
中科院分区：
文献类型：
--
作者：
Daniels, Joseph;Peters, Remco P. H.;Portle, Sarah;Mashabela, Ntokozo;Struthers, Helen;Radebe, Oscar;Nel, Dawie;Medina-Marino, Andrew;Bongo, Cikizwa;Stephenson, Rob
关键词：
在南非，同性恋、双性恋和男男性行为者（GBMSM）的艾滋病毒感染率高达49.5%，但只有25.7%的人接受治疗，导致伴侣之间存在传播风险，需要采取双重干预措施针对男性关系中的男性。通过我们的初步研究，我们确定了以证据为基础的干预健康的关系（HR）-艾滋病毒风险评估和状态披露的关系，将量身定制到视频会议的形式，在南非的合作伙伴艾滋病毒阳性GBMSM。人力资源的适应，称为SOAR（说出来和结盟关系），应用了以人为本的设计方法。对HIV阳性GBMSM（N = 15）进行了深入访谈，以改进干预偏好，结果用于建立β SOAR。一名经过培训的干预人员与由接受采访的原始参与者组成的单独邀请组进行了SOAR功能（n = 6）和可用性（n = 7）测试。管理现场日志、焦点小组讨论和研究特定偏好调查。主题分析和描述性统计是用一种用于了解可用性的收敛分析方法完成的。GBMSM在SOAR中的总体经验为良好（69%）或极好（31%）。超过一半的参与者（61%）认为使用视频会议进行SOAR是好的，38%的人认为它是公平的。所有参与者都表示，SOAR是可以理解的，令人满意的，愿意推荐给其他GBMSM。这种适应方法是有效的，由此产生的SOAR干预措施有可能提高个人应对和艾滋病毒与合作伙伴的沟通技能，参与生物医学预防，反过来支持GBMSM夫妇。
In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships—to be tailored into videoconference format for partnered HIV-positive GBMSM in South Africa. The HR adaptation, called SOAR (Speaking Out & Allying Relationships), applied a human-centered design approach. In-depth interviews were conducted with HIV-positive GBMSM (N = 15) to refine intervention preferences with results used to establish a beta SOAR. A trained interventionist conducted SOAR functionality (n = 6) and usability (n = 7) tests with separate invited groups composed of the original participants interviewed. Field logs, focus group discussions, and a study-specific preference survey were administered. Thematic analysis and descriptive statistics were completed with a convergent analytical approach used to understand usability. Overall experience of GBMSM in SOAR was good (69%) or excellent (31%). More than half of the participants (61%) rated using videoconferencing for SOAR as good, with 38% rating it as fair. All participants stated that SOAR was understandable and satisfactory with willingness to recommend it to other GBMSM. This adaptation approach was effective, and the resultant SOAR intervention has the potential to improve individual coping and HIV communication skills with partners to engage with biomedical prevention and in turn support GBMSM couples.
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