Adaptation of evidence-based approaches to promote HIV testing and treatment engagement among high-risk Nigerian youth.
Adaptation of evidence-based approaches to promote HIV testing and treatment engagement among high-risk Nigerian youth.
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DOI：
10.1371/journal.pone.0258190
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Taiwo B
中科院分区：
文献类型：
--
作者：
Kuhns LM;Johnson AK;Adetunji A;Kuti KM;Garofalo R;Omigbodun O;Awolude OA;Oladeji BD;Berzins B;Okonkwor O;Amoo OP;Olomola O;Taiwo B
尼日利亚是全球艾滋病毒感染者（PLWH）数量第二多的国家，需要采取循证方法来实现识别、治疗和减少新感染的国家目标。15-24岁的青年，包括男男性行为者（YMSM），受到尼日利亚艾滋病毒流行病的严重影响。本研究的目的是告知适应循证同行导航和移动健康的方法（社交媒体推广，以促进艾滋病毒检测;短信服务短信提醒，以促进艾滋病毒治疗的参与），以当地的情况下，在iCARE尼日利亚，一个多阶段的研究，旨在调查组合干预措施，以促进艾滋病毒检测和护理参与尼日利亚的青年。为了征求专家和社区的观点，来自学术界、社区和政府部门的一个当地顾问小组提供了关于干预措施适应的反馈意见，然后向尼日利亚伊巴丹的一系列利益攸关方重点小组提供了信息。焦点小组数据是在2018年12月的三天内收集的。焦点小组的参与者包括YMSM和16-24岁的艾滋病毒阳性青年，以及当地艾滋病服务组织的艾滋病毒服务提供者。按HIV血清状态、性别和利益相关者类型对各组进行分层。焦点小组会议进行了半结构化的采访指南，录音，逐字转录，并使用内容分析方法进行分析。当地专家建议采取干预措施，具体针对同伴导航员作为志愿者的身份、同伴特征（年龄稍大、成熟度高、艾滋病毒/YMSM状况）以及干预措施特征和资源（导航员与同伴的比例低;按人口和社会特征灵活匹配;社交媒体平台和内容）。与包括27名与会者在内的利益攸关方进行了五次重点小组讨论，以征求对这些和其他潜在调整的反馈意见。青年参与者（n = 21）的平均年龄为20岁（范围= 16-24）; 76%的HIV阳性，76%的男性和48%的MSM。服务提供者（n = 6）既提供艾滋病毒预防服务，也提供护理服务。分层分组的参与者报告了对移动健康和同伴导航策略的积极看法和高度可接受性，并回应了咨询小组对志愿者导航员促进利他主义的建议，导航员-同伴比率较低（1：5）。与会者强调，需要在青年男同性恋者中纳入最低限度的移动的数据使用战略和流行的社交媒体平台（例如，Facebook、Grindr），以广泛获取和推广干预措施。在尼日利亚伊巴丹，利益攸关方支持调整移动保健和同伴导航综合战略，以促进高危青年参与艾滋病毒检测和护理。根据当地情况建议的调整反映了对干预措施的可行性和可持续性的关切，预计将提高可获得性和可接受性。
Nigeria has the second highest number of people living with HIV (PLWH) globally, and evidence-based approaches are needed to achieve national goals to identify, treat, and reduce new infections. Youth between the ages of 15–24, including young men who have sex with men (YMSM), are disproportionately impacted by the Nigerian HIV epidemic. The purpose of this study was to inform adaptation of evidence-based peer navigation and mHealth approaches (social media outreach to promote HIV testing; short messaging service text message reminders to promote HIV treatment engagement) to the local context within iCARE Nigeria, a multi-phase study designed to investigate combination interventions to promote HIV testing and care engagement among youth in Nigeria. To elicit expert and community perspectives, a local group of advisors from academia, community, and governmental sectors provided feedback on intervention adaptation, which then informed a series of focus groups with stakeholders in Ibadan, Nigeria. Focus group data were collected over a period of three days in December of 2018. Participants in focus groups included YMSM and HIV-positive youth in care ages 16–24, and HIV service providers from local AIDS service organizations (ASO). Groups were stratified by HIV serostatus, gender, and stakeholder type. Focus group sessions were conducted using a semi-structured interview guide, audio-recorded, transcribed verbatim, and analyzed using a content analysis approach. Local experts recommended intervention adaptations specific to the status of peer navigators as volunteers, peer characteristics (slightly older age, high maturity level, HIV/YMSM status), and intervention characteristics and resources (low navigator to peer ratio; flexible matching by demographic and social characteristics; social media platforms and content). Five focus group discussions with stakeholders, including 27 participants were conducted to elicit feedback on these and other potential adaptations. Youth participants (n = 21) were mean age 20 years (range = 16–24); 76% HIV-positive, 76% men and 48% MSM. Service providers (n = 6) represented both HIV prevention and care services. Participants across stratified subgroups reported largely positive perceptions and high perceived acceptability of both mHealth and peer navigation strategies, and echoed the recommendations of the advisory group for volunteer-based navigators to promote altruism, with a low navigator-peer ratio (1:5). Participants emphasized the need to incorporate minimal mobile data use strategies and popular social media platforms among YMSM (e.g., Facebook, Grindr) for widespread access and reach of the interventions. In Ibadan, Nigeria, stakeholders support the adaptation of combined mHealth and peer navigation strategies to promote HIV testing and care engagement among high-risk youth. Recommended adaptations for the local context reflect concerns about the feasibility and sustainability of the intervention and are expected to improve accessibility and acceptability.
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影响因子：
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DOI：
10.2174/1874613620130812003
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期刊：
The open AIDS journal
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DOI：
10.1097/qai.0000000000001202
发表时间：
2017-01-01
影响因子：
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