使用移动医疗技术为博茨瓦纳 DREAMS 项目中的青少年女孩和年轻女性提供 PrEP 服务的同伴提供干预措施的可行性和可接受性。
Feasibility and acceptability of peer-delivered interventions using mHealth for PrEP services among adolescent girls and young women in DREAMS program in Botswana.
机构信息
Division of Global Health Sciences, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
出版信息
Glob Health Action. 2023 Dec 31;16(1):2231256. doi: 10.1080/16549716.2023.2231256.
BACKGROUND
Adolescent girls and young women accounted for 25% of all new HIV infections despite representing only 10% of the population in Sub Saharan Africa. PEPFAR has launched the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) initiative, a comprehensive HIV prevention program including PrEP services. Among adolescent girls and young women, PrEP adherence is currently sub-optimal. Tailored strategies for adolescent girls and young women to improve access and use of PrEP delivery are urgently needed to maximise its potential. Recommended interventions include peer-delivered interventions using mobile technology. However, data on the feasibility and acceptability of this approach is limited for SSA.
OBJECTIVES
We assessed the feasibility and perceived acceptability of providing mHealth peer-delivered interventions to support PrEP services among adolescent girls and young women in Botswana.
METHODS
This cross-sectional study included HIV-negative women aged 18-24 years old seeking health services at DREAMS-supported facilities. Participants completed a survey assessing the feasibility and perceived acceptability of the mHealth peer-delivered interventions, which included the Acceptability of Intervention Measure (AIM). Descriptive analyses were performed.
RESULTS
A total of 131 participated in the study. Overall, 89% owned a mobile phone (feasibility). There was no difference in cell phone ownership between participants from rural and urban settings. Among participants, 85% reported interest in participating in a mHealth peer-delivered intervention if it was available to them. Regarding perceived acceptability for mHealthpeer support groups for PrEP, the average score on the AIM was 3.8 out of 5 (SD = 0.8).
CONCLUSION
mHealthpeer-delivered interventions appear to be feasible and perceived acceptable among adolescent girls and young women in Botswana. This modality should be incorporated into PEPFAR's programmatic toolkit of implementation strategies to improve PrEP services.
背景
尽管在撒哈拉以南非洲，青少年女孩和年轻女性仅占人口的 10%，但她们占所有新增艾滋病毒感染者的 25%。PEPFAR 发起了“果断、坚韧、有力量、无艾滋、受指导和安全”（DREAMS）倡议，这是一个包含 PrEP 服务的综合艾滋病毒预防计划。在青少年女孩和年轻女性中，PrEP 的依从性目前并不理想。迫切需要针对青少年女孩和年轻女性制定量身定制的策略，以改善 PrEP 的获取和使用，从而最大限度地发挥其潜力。建议的干预措施包括利用移动技术开展同龄人提供的干预措施。然而，针对该方法在撒哈拉以南非洲的可行性和可接受性的数据有限。
目的
我们评估了在博茨瓦纳向青少年女孩和年轻女性提供移动医疗同行提供的干预措施以支持 PrEP 服务的可行性和可接受性。
方法
这项横断面研究包括在 DREAMS 支持的机构中寻求卫生服务的年龄在 18-24 岁之间的艾滋病毒阴性女性。参与者完成了一项调查，评估了移动医疗同行提供的干预措施的可行性和可接受性，其中包括干预措施接受度量表（AIM）。进行了描述性分析。
结果
共有 131 人参加了这项研究。总体而言，89%的人拥有一部手机（可行性）。农村和城市地区参与者的手机拥有率没有差异。在参与者中，如果提供移动医疗同行支持小组供他们使用，85%的人表示有兴趣参与其中。关于移动医疗同行支持小组用于 PrEP 的可接受性，AIM 的平均得分为 5 分中的 3.8 分（标准差=0.8）。
结论
移动医疗同行提供的干预措施在博茨瓦纳的青少年女孩和年轻女性中似乎是可行和可接受的。这种模式应纳入 PEPFAR 的实施策略计划工具包中，以改善 PrEP 服务。
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