Ogunlana Olaoluwaposi, Kalulu Peter, Nwaozuru Ucheoma, Olusanya Olufunto A, Olaoluwa Oluwayemisi T, Ojo Temitope, Gbaja-Biamila Titilola, Arinze Chiyere, Akeem Lateef, Fidelak Lauren, Obi-Jeff Chisom, Ezechi Oliver C, Tucker Joseph D, Iwelunmor Juliet
College of Medicine, University of Ibadan, Ibadan, Nigeria.
Division of Infectious Diseases, John T. Milliken Department of Medicine, School of Medicine, Washington University in St. Louis, St. Louis, MO, United States.
Front Digit Health. 2025 Jul 15;7:1608366. doi: 10.3389/fdgth.2025.1608366. eCollection 2025.
INTRODUCTION: The HIV epidemic disproportionately affects adolescents and young adults (AYA), yet their engagement in HIV programming remains limited. Digital strategies, such as social media campaigns, engage a diverse range of AYA to co-create HIV interventions, but their effectiveness is less known. This study examines the digital strategies employed to engage AYA (ages 14-24) in the participatory design of HIV research and interventions in Nigeria. METHODS: We employed youth participatory action research (PAR), specifically using a crowdsourcing open call strategy to generate innovative ideas from AYA on how community-based organizations can sustain youth-friendly HIV services for at-risk youth. Crowdsourcing involves a group of people solving a problem and then sharing selected solutions with the public. The open call was held between February and March 2024 as part of the Sustaining Innovative Tools to Expand Youth-Friendly HIV Self-Testing (S-ITEST) study. The open call was promoted on social media platforms and through peer youth ambassadors. Submissions were received via various channels, including Google Forms, WhatsApp, and in-person submissions. Social media engagement metrics and open call submission data were collected and analyzed descriptively using R version 4.4.2. RESULTS AND DISCUSSION: Using social media metrics, the first Instagram post reached 310 people (75% of followers) and generated 43 engagements. The second post reached 272 people (79% of followers) with 29 interactions. The first and second Facebook posts reached 153 and 58 people, respectively, with each post receiving five interactions. We received 123 submissions, with 104 submitted online. Youth in all six geopolitical zones submitted ideas (40 males and 64 females). The mean age of participants was 21.9 (SD =5.35), and most (81%) learned about the open call through digital channels, with WhatsApp ( = 20) being the most common channel. Older youth were more likely to hear about the open call digitally (Mean = 22.5; SD = 5.12) compared to younger participants (Mean = 19.8; SD = 5.87). Building digital communities and opportunities could sustain youth involvement in HIV research. Our findings suggest that digital strategies can complement and optimize in-person engagement to effectively leverage AYA's creativity in co-creating HIV interventions in low-resource settings.
引言：艾滋病病毒（HIV）疫情对青少年和青年成年人（AYA）的影响尤为严重，但他们参与HIV防治项目的程度仍然有限。社交媒体宣传活动等数字策略能够吸引不同的AYA群体共同参与HIV干预措施的创建，但其效果尚鲜为人知。本研究探讨了在尼日利亚，为促使AYA（14至24岁）参与HIV研究及干预措施的参与式设计所采用的数字策略。 方法：我们采用了青年参与式行动研究（PAR），具体运用众包公开征集策略，从AYA群体中收集关于社区组织如何为高危青年持续提供青年友好型HIV服务的创新想法。众包是指一群人共同解决一个问题，然后将选定的解决方案向公众分享。公开征集活动于2024年2月至3月期间举行，是“持续创新工具以扩大青年友好型HIV自我检测”（S - ITEST）研究的一部分。公开征集活动通过社交媒体平台以及青年同伴大使进行宣传。提交渠道包括谷歌表单、WhatsApp以及现场提交等多种方式。使用R版本4.4.2对社交媒体参与指标和公开征集提交数据进行描述性收集与分析。 结果与讨论：根据社交媒体指标，第一条Instagram帖子覆盖了310人（占关注者的75%），产生了43次互动。第二条帖子覆盖了272人（占关注者的79%），有29次互动。第一条和第二条Facebook帖子分别覆盖了153人和58人，每条帖子均获得5次互动。我们共收到123份提交内容，其中104份是在线提交。来自所有六个地缘政治区的青年都提交了想法（40名男性和64名女性）。参与者的平均年龄为21.9岁（标准差 = 5.35），大多数（81%）是通过数字渠道了解到公开征集活动的，其中WhatsApp（n = 20）是最常见的渠道。与年轻参与者（平均年龄 = 19.8岁；标准差 = 5.87）相比，年龄较大的青年更有可能通过数字渠道得知公开征集活动（平均年龄 = 22.5岁；标准差 = 5.12）。建立数字社区和提供机会能够使青年持续参与HIV研究。我们的研究结果表明，数字策略可以补充并优化线下参与方式，从而在资源匮乏的环境中有效利用AYA的创造力共同创建HIV干预措施。
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