Title | Overcoming cultural barriers to implementing oral HIV self-testing with high fidelity among Tanzanian youth. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | Catania, JA, Huun, C, Dolcini, MM, Urban, AJoel, Fleury, N, Ndyetabula, C, Singh, R, Young, AW, Conserve, DF, Lace, J, Msigwa, JSamweli |
Journal | Transl Behav Med |
Date Published | 11/2019 |
ISSN | 1613-9860 |
Abstract | Tanzanian youth have high levels of HIV risk and poor access to HIV-testing. Oral self-implemented testing (Oral-SIT) provides an alternative that reduces barriers to HIV-testing. We examined adaptations to Oral-SIT training components in a randomized experiment to evaluate a "train-the-trainer" strategy for improving comprehension of graphic training materials. Participants (N = 257, age = 14-19 years) were randomly assigned to one of two self-training conditions: graphic instruction book (GIB) or Video-GIB. Outcomes included behavioral performance fidelity, self-reported comprehension, and intentions to seek treatment. Video-GIB participants, relative to GIB-only participants, had higher performance fidelity scores, made fewer performance errors, had better instruction comprehension, and were more likely to intend to seek treatment. Oral-SIT timing errors were significantly more common among GIB-only participants. Graphic training materials in conjunction with a "train-the-trainer" video has significant potential for increasing Oral-SIT's reach by overcoming technological and literacy barriers. |
DOI | 10.1093/tbm/ibz157 |
Alternate Journal | Transl Behav Med |
PubMed ID | 31785201 |