Internet-based video-group delivery of Healthy Relationships--a "prevention with positives" intervention: report on a single group pilot test among women living with HIV.
Internet-based video-group delivery of Healthy Relationships--a "prevention with positives" intervention: report on a single group pilot test among women living with HIV.
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DOI：
10.1080/09540121.2013.793266
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Baldwin J
中科院分区：
文献类型：
--
作者：
Marhefka SL;Iziduh S;Fuhrmann HJ;Lopez B;Glueckauf R;Lynn V;Baldwin J
感染艾滋病毒的妇女面临着与污名、披露艾滋病毒状况和协商更安全的性行为有关的挑战。一些有效的行为干预措施，如健康关系（HR），帮助WLH应对这些挑战，并由美国疾病控制和预防中心（CDC）的有效行为干预传播（DEBI）项目传播。然而，许多生活在城市或农村贫困地区的产妇无法获得人力资源等干预措施，因为实施不可行。视频会议技术有望为WLH提供更有效的行为干预。在系统地适应视频会议格式之后，本试点研究测试了WLH通过视频组（VG）提供人力资源。以视频会议为基础的干预，HR-VG，由两名辅导员主持，包括6次，每次2小时的会议，并使用结构化的活动和视频片段来建立信息披露和安全性行为技能。四名少数族裔WLH在四个不同的社区干预地点接受了HR-VG，在一个私人房间里，配备了视频电话（VP）来参与HR-VG，以及一台台式电脑来完成通过音频计算机辅助自我访谈（ACASI）进行的评估。参与者在HR-VG之前完成了基线评估，并在每次HR-VG之后完成了会话后评估。干预后评估和视频焦点组在最后一次HR-VG会议后完成。主持人在每次HR-VG会议后完成评估，并在HR-VG之后完成开放式问卷调查。HR-VG的完整实现几乎没有遇到任何挑战。参与者和辅导员都报告说，他们对这项技术和整体干预感到“非常舒服”或“完全舒服”。参与者还报告说，小组成员之间的团结程度很高。这些初步研究结果表明，VG为WLH提供HR是可行的，并且受到参与者的高度重视。一项后续随机对照试验正在进行中，以更大样本的WLH来测试HR-VG的可行性和有效性。
Women living with HIV (WLH) face challenges related to stigma, disclosure of HIV status, and negotiating safer sex. Several effective behavioral interventions, such as Healthy Relationships (HR), help WLH address these challenges and are disseminated by the U.S. Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions (DEBI) project. However, many WLH living in poor urban or rural locations cannot access interventions such as HR, because implementation is not feasible. Video-conferencing technology holds promise for expanding access to effective behavioral interventions for WLH. Following a systematic adaptation to the video-conferencing format, this pilot study tested the delivery of HR via video-group (VG) among WLH. The video-conferencing based intervention, HR-VG, consisted of six, two-hour sessions led by two facilitators, and used structured activities and video-clips to build disclosure and safer sex skills. Four minority WLH received HR-VG at four different community-based intervention sites in a private room equipped with a video-phone (VP) for participating in HR-VG and a desktop computer for completing assessments via Audio Computer-Assisted Self Interview (ACASI). Participants completed a baseline assessment prior to HR-VG, and post-session assessment after each HR-VG session. The post-intervention assessment and video-focus group were completed following the last HR-VG session. Facilitators completed an assessment after each HR-VG session and an open-ended questionnaire following HR-VG. HR-VG was implemented in its entirety with minimal challenges. Both participants and facilitators reported feeling either “very comfortable” or “completely comfortable” with the technology and the overall intervention. Participants also reported high levels of unity and togetherness among the group. These preliminary findings suggest VG delivery of HR for WLH is both feasible and highly valued by participants. A follow-up randomized controlled trial is underway to test the feasibility and efficacy of HR-VG with a larger sample of WLH.
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