Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa

Bibliographic Data

ID21748340
AuthorsJill Daniels (0000-0002-0985-5916, Arizona State University, corresponding author), Remco P H Peters (0000-0003-2124-7275, University of Cape Town), Sarah Portle (Arizona State University), Ntokozo Mashabela (Engage Men’s Health, East London, South Africa), Helen Struthers (0000-0001-7468-3148, Anova Health Institute), Oscar Radebe (WitsRHI, Johannesburg, South Africa), Dawie Nel (0009-0009-4010-780X, Engage Men’s Health, East London, South Africa), Andrew Medina-Marino (0000-0002-0095-4141, Desmond Tutu HIV Foundation), Cikizwa Bongo (0000-0001-9444-8188, Foundation for Professional Development), Rob Stephenson (0000-0002-9239-2640, University of Michigan)
Year2023
Volume17
Issue5
Pages15579883231197355-15579883231197355
Publication date2023-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/15579883231197355
PMID37675590
OpenAlexW4386502011
LanguageEN
Citations received4
References cited69

In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships—to be tailored into videoconference format for partnered HIV-positive GBMSM in South Africa. The HR adaptation, called SOAR (Speaking Out & Allying Relationships), applied a human-centered design approach. In-depth interviews were conducted with HIV-positive GBMSM ( N = 15) to refine intervention preferences with results used to establish a beta SOAR. A trained interventionist conducted SOAR functionality ( n = 6) and usability ( n = 7) tests with separate invited groups composed of the original participants interviewed. Field logs, focus group discussions, and a study-specific preference survey were administered. Thematic analysis and descriptive statistics were completed with a convergent analytical approach used to understand usability. Overall experience of GBMSM in SOAR was good (69%) or excellent (31%). More than half of the participants (61%) rated using videoconferencing for SOAR as good, with 38% rating it as fair. All participants stated that SOAR was understandable and satisfactory with willingness to recommend it to other GBMSM. This adaptation approach was effective, and the resultant SOAR intervention has the potential to improve individual coping and HIV communication skills with partners to engage with biomedical prevention and in turn support GBMSM couples

Archaeology · Cape · Geography · Telecommunications · Videoconferencing · Adolescent Sexual and Reproductive Health · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Virology