Successful Implementation Strategies in iCARE Nigeria-A Pilot Intervention with Text Message Reminders and Peer Navigation for Youth Living with HIV.
Successful Implementation Strategies in iCARE Nigeria-A Pilot Intervention with Text Message Reminders and Peer Navigation for Youth Living with HIV.
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DOI：
10.3390/tropicalmed8110498
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发表时间：
2023-11-16
影响因子：
2.9
通讯作者：
Taiwo BO
中科院分区：
文献类型：
--
作者：
Ahonkhai AA;Kuti KM;Hirschhorn LR;Kuhns LM;Garofalo R;Johnson AK;Adetunji A;Berzins B;Okonkwor O;Awolude O;Omigbodun O;Taiwo BO
为了解决艾滋病毒感染者 (AYA-HIV) 青少年和年轻人的不良后果，iCARE 尼日利亚成功试点了双向短信抗逆转录病毒治疗 (ART) 提醒和同伴导航。研究参与者在 48 周时的 ART 依从性和病毒抑制方面有了显着改善。了解这种干预的事实。我们使用解释性的混合方法来评估实施结果（可行性、可接受性和采用性），并确定用于或适应以促进干预成功的实施策略。定量数据包括参与者调查、项目记录和后端移动医疗数据，并使用描述性统计进行总结。定性数据是从关键信息提供者和与项目工作人员进行的焦点小组讨论中收集的，并使用定向内容分析进行总结。尼日利亚 iCARE 是可行的，这一点通过易于招募、患者和同伴导航员 (PN) 的高保留率以及初始短信提醒的成功部署 (99.9%) 来证明。大多数参与者 (95%) 和 PN (90%) 认为短信提醒并不麻烦或具有侵扰性。促进干预成功的实施策略包括：（1）选择、培训、监督和匹配 PN 与患者； (2) 根据患者需求定制PN与患者之间的沟通频率（每日至每周）和方式； (3) 常规筛查依从性挑战； (4) 将电话通话津贴从每月改为每周，以应对迅速耗尽的情况； (5) 进行电信需求评估，以识别和解决实施障碍（移动设备问题、电力可用性）。 iCARE 尼日利亚是可行且可接受的，利益相关者采用率较高。这里确定的实施策略可以针对在类似环境中扩大干预规模进行定制，以促进 AYA-HIV 患者的 ART 依从性。
To address poor outcomes among adolescents and young adults living with HIV (AYA-HIV), iCARE Nigeria successfully piloted two-way text message antiretroviral therapy (ART) reminders together with peer navigation. Study participants had significant improvement in ART adherence and viral suppression at 48 weeks. Understanding facto of this intervention. We used explanatory, mixed methods to assess implementation outcomes (feasibility, acceptability, and adoption) and identify implementation strategies used or adapted to promote intervention success. Quantitative data included participant surveys, program records, and back-end mHealth data, and were summarized using descriptive statistics. Qualitative data were collected from key informants and focus group discussions with program staff and summarized using directed content analysis. iCARE Nigeria was feasible as evidenced by ease of recruitment, high retention of patients and peer navigators (PN), and successful deployment of initial text message reminders (99.9%). Most participants (95%) and PN (90%) found text message reminders were not bothersome or intrusive. Implementation strategies employed to facilitate intervention success included: (1) selecting, training, supervising, and matching of PN to patients; (2) tailoring frequency (daily to weekly) and mode of communication between PN and patients according to patient need; (3) routine screening for adherence challenges; (4) changing phone airtime stipends from monthly to weekly in response to rapid depletion; and (5) conducting telecommunication needs assessments, to identify and troubleshoot implementation barriers (issues with mobile devices, power availability). iCARE Nigeria was feasible and acceptable with high adoption by stakeholders. The implementation strategies identified here can be tailored for intervention scale-up in similar environments to promote ART adherence for AYA-HIV.
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影响因子：
12.7
作者：
Linnemayr, Sebastian;Huang, Haijing;Mukasa, Barbara
通讯作者：
Mukasa, Barbara
影响因子：
4.6
作者：
Mulawa MI;LeGrand S;Hightow-Weidman LB
通讯作者：
Hightow-Weidman LB
DOI：
10.1097/qai.0000000000002694
发表时间：
2021-08-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Taiwo BO;Kuti KM;Kuhns LM;Omigbodun O;Awolude O;Adetunji A;Berzins B;Janulis P;Johnson AK;Okonkwor O;Oladeji BD;Muldoon A;Adewumi OM;Amoo P;Atunde H;Kapogiannis B;Garofalo R
通讯作者：
Garofalo R
DOI：
10.1097/qai.0000000000001670
发表时间：
2018-07-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Ahonkhai AA;Banigbe B;Adeola J;Bassett IV;Idigbe I;Okonkwo P;Freedberg KA;Regan S;Losina E
通讯作者：
Losina E
影响因子：
7.4
作者：
Dowshen N;Kuhns LM;Johnson A;Holoyda BJ;Garofalo R
通讯作者：
Garofalo R