Dorothy E Dow
Biographic Data
| ID | 6728315 |
|---|---|
| NAME | Dorothy E Dow |
| GIVEN NAMES | Dorothy E |
| FAMILY NAME | Dow |
| SIGNATURE | DOW D E |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0002-9056-1025 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 18 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
“Since I got the education, I feel like a kind of warrior”
Adolescents and young adults with HIV (AYAWH) face challenges with medication adherence and are at risk of mental health (MH) difficulties. Sauti ya Vijana (SYV, The Voice of Youth) is a co-created, peer-led, group-based MH intervention designed to address these needs. This study aimed to: (1) evaluate how participation in SYV impacted AYAWH’s lives in Tanzania and (2) explore AYAWH perspectives and preferences of the intervention. The SYV trial …
Cost of Sauti ya Vijana (SYV), a mental health intervention for young people living with HIV in Tanzania
Sauti ya Vijana (SYV) is a ten-session, group-based mental health and life skills intervention targeting young people living with HIV (YPLWH) in Tanzania. By addressing mental health distress and promoting self-efficacy and resilience to HIV-related stigma and disclosure, SYV aims to improve adherence to antiretroviral therapy (ART) and virologic suppression. A pilot randomized controlled trial (RCT) of SYV was conducted in Moshi, Tanzania, from …
A scoping review on peer-led interventions to improve youth mental health in low- and middle-income countries
Youth living in low- and middle-income countries (LMICs) have an increased vulnerability to mental illnesses, with many lacking access to adequate treatment. There has been a growing body of interventions using task sharing with trained peer leaders to address this mental health gap. This scoping review examines the characteristics, effectiveness, components of peer delivery and challenges of peer-led mental health interventions for youth aged 10…
Through the looking glass
More young people are living in the world than ever before, 90% of whom reside in low and middle income countries (LMICs). To address their needs, it is critical to have sustainable youth engagement when determining policy and to advance effective implementation of youth-focused interventions. Youth Community Advisory Boards (CABs) are a sustainable mechanism to achieve this goal. This paper describes engagement with youth CAB members across four…
Addressing the Know-Do Gap in Adolescent HIV
Implementation science (IS) uses systematic methods to close gaps between research and practice by identifying and addressing barriers to implementation of evidence-based interventions (EBIs). To reach UNAIDS HIV targets, IS can support programs to reach vulnerable populations and achieve sustainability. We studied the application of IS methods in 36 study protocols that were part of the Adolescent HIV Prevention and Treatment Implementation Scie…
Impact of Covid-19 on Adolescent HIV Prevention and Treatment Research in the Ahisa Network
Members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) network conduct research aiming to close gaps between what is known to be impactful across the HIV prevention and treatment cascade, and services delivered to optimize outcomes for adolescents/young adults (AYA) in high HIV-prevalence settings. The COVID-19 pandemic introduced new challenges which threaten to exacerbate care and access disparities. We r…
Sauti ya Vijana (SYV; The Voice of Youth)
Sauti ya Vijana is a mental health and life skills intervention delivered by young adult group leaders for the improvement of HIV outcomes in young people living with HIV in Tanzania. This pilot randomized controlled trial estimated exploratory intervention effectiveness compared to standard of care. YPLWH (N = 105) were randomized to receive intervention or SOC. The mean age of participants was 18.1 years and 53% were female. Mean scores on ment…
Using the Implementation Research Logic Model as a Lens to View Experiences of Implementing HIV Prevention and Care Interventions with Adolescent Sexual Minority Men—A Global Perspective
Adolescents and sexual minority men (SMM) are high priority groups in the United Nations' 2021 - 2016 goals for HIV prevention and viral load suppression. Interventions aimed at optimizing HIV prevention, testing and viral load suppression for adolescents must also attend to the intersectional realities influencing key sub-populations of SMM. Consequently, there is not a robust evidence-base to guide researchers and program partners on optimal ap…
Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs
Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated…
Impact of Covid-19 on Adolescent HIV Prevention and Treatment Services in the Ahisa Network
We investigated perceived impacts of COVID-19 on the delivery of adolescent HIV treatment and prevention services in sub-Saharan Africa (SSA) by administering a survey to members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) from February to April 2021. We organized COVID-19 impacts, as perceived by AHISA teams, under three themes: service interruptions, service adjustments, and perceived individual-level …
I am not alone with tears”
It is estimated that 4 million youth aged 15-24 years live with HIV globally, 85% of whom live in sub-Saharan Africa. For youth living with perinatally acquired HIV (YPHIV), stigma is frequently linked with negative health outcomes. YPHIV face distinct HIV stigma experiences across the lifespan, particularly because of the centrality of the family context in their HIV experience and the reality that they have lived with HIV since birth. Neverthel…
Feasibility and acceptability of a peer youth led curriculum to improve HIV knowledge in Northern Tanzania
This study demonstrated that a PYL curriculum to improve HIV knowledge integrated into routine adolescent HIV clinic in Tanzania was feasible, acceptable, and improved knowledge while also benefiting peer leaders, thus providing evidence to continue to support efforts to scale and sustain PYL interventions for YLWH
Sexual Risk Behaviors and Menstrual and Intravaginal Practices Among Adolescent Girls and Young Women in Tanzania
Objectives Objectives were to describe menstrual and intravaginal practices and sexual risk behaviors among adolescent girls and young women (AGYW) in Tanzania.Methods A cross-sectional survey was conducted in secondary schools in Tanzania. Data on menstrual practices (e.g., product use), intravaginal practices (e.g., douching), and sexual risk were analyzed using chi-square and loglinear analyses.Results Menstrual risk practices were common. Sex…
A group-based mental health intervention for young people living with HIV in Tanzania
ClinicalTrials.gov Identifier: NCT02888288 . Registered August 9, 2016. Retrospectively registered as first participant enrolled June 16, 2016
Caregiver role in HIV medication adherence among HIV-infected orphans in Tanzania
Youth living with HIV in sub-Saharan Africa face numerous challenges in adhering to HIV treatment. The AIDS epidemic has left many of these youth orphaned due to AIDS-related death of one or both parents. It is imperative to understand the family context of youth living with HIV in order to develop responsive interventions to improve adherence to antiretroviral therapy. We conducted qualitative in-depth interviews with 17 HIV-infected AIDS orphan…
Building resilience
Despite a growing population of youth living with HIV, few interventions have been developed to address their unique mental health needs and to promote resilience. Based on our prior needs assessment, a mental health intervention, Sauti ya Vijana ( The Voice of Youth), was developed to address identified mental health needs and promote resilience. The intervention emphasized resilience strategies for identifying and coping with stressful events, …
Evaluating mental health difficulties and associated outcomes among HIV-positive adolescents in Tanzania
AIDS-related mortality among HIV-positive adolescents has risen by 50% despite the scale up of antiretroviral therapy (ART). ART maladherence likely plays a role in the increase of AIDS-related deaths among adolescents and has shown to be associated with psychosocial and mental health difficulties. Addressing the specific mental health needs of HIV-positive adolescents is critical to ending the HIV epidemic. This cross-sectional study prospective…
Low rates of child testing for HIV persist in a high-risk area of East Africa
Children in low- and middle-income countries (LMIC) are the least touched by recent successes in the diagnosis and treatment of HIV/AIDS globally. Early treatment is essential for a child's longer and higher quality of life; however, by 2011, only a small proportion of HIV-seropositive children in LMIC countries were receiving treatment, in part because of persisting low rates of diagnosis. This study of the prevalence and characteristics of chil…
No prominent works on this page.
Low rates of child testing for HIV persist in a high-risk area of East Africa
Children in low- and middle-income countries (LMIC) are the least touched by recent successes in the diagnosis and treatment of HIV/AIDS globally. Early treatment is essential for a child's longer and higher quality of life; however, by 2011, only a small proportion of HIV-seropositive children in LMIC countries were receiving treatment, in part because of persisting low rates of diagnosis. This study of the prevalence and characteristics of chil…
Evaluating mental health difficulties and associated outcomes among HIV-positive adolescents in Tanzania
AIDS-related mortality among HIV-positive adolescents has risen by 50% despite the scale up of antiretroviral therapy (ART). ART maladherence likely plays a role in the increase of AIDS-related deaths among adolescents and has shown to be associated with psychosocial and mental health difficulties. Addressing the specific mental health needs of HIV-positive adolescents is critical to ending the HIV epidemic. This cross-sectional study prospective…
Caregiver role in HIV medication adherence among HIV-infected orphans in Tanzania
Youth living with HIV in sub-Saharan Africa face numerous challenges in adhering to HIV treatment. The AIDS epidemic has left many of these youth orphaned due to AIDS-related death of one or both parents. It is imperative to understand the family context of youth living with HIV in order to develop responsive interventions to improve adherence to antiretroviral therapy. We conducted qualitative in-depth interviews with 17 HIV-infected AIDS orphan…
Building resilience
Despite a growing population of youth living with HIV, few interventions have been developed to address their unique mental health needs and to promote resilience. Based on our prior needs assessment, a mental health intervention, Sauti ya Vijana ( The Voice of Youth), was developed to address identified mental health needs and promote resilience. The intervention emphasized resilience strategies for identifying and coping with stressful events, …
Sexual Risk Behaviors and Menstrual and Intravaginal Practices Among Adolescent Girls and Young Women in Tanzania
Objectives Objectives were to describe menstrual and intravaginal practices and sexual risk behaviors among adolescent girls and young women (AGYW) in Tanzania.Methods A cross-sectional survey was conducted in secondary schools in Tanzania. Data on menstrual practices (e.g., product use), intravaginal practices (e.g., douching), and sexual risk were analyzed using chi-square and loglinear analyses.Results Menstrual risk practices were common. Sex…
A group-based mental health intervention for young people living with HIV in Tanzania
ClinicalTrials.gov Identifier: NCT02888288 . Registered August 9, 2016. Retrospectively registered as first participant enrolled June 16, 2016
Feasibility and acceptability of a peer youth led curriculum to improve HIV knowledge in Northern Tanzania
This study demonstrated that a PYL curriculum to improve HIV knowledge integrated into routine adolescent HIV clinic in Tanzania was feasible, acceptable, and improved knowledge while also benefiting peer leaders, thus providing evidence to continue to support efforts to scale and sustain PYL interventions for YLWH
Impact of Covid-19 on Adolescent HIV Prevention and Treatment Research in the Ahisa Network
Members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) network conduct research aiming to close gaps between what is known to be impactful across the HIV prevention and treatment cascade, and services delivered to optimize outcomes for adolescents/young adults (AYA) in high HIV-prevalence settings. The COVID-19 pandemic introduced new challenges which threaten to exacerbate care and access disparities. We r…
Sauti ya Vijana (SYV; The Voice of Youth)
Sauti ya Vijana is a mental health and life skills intervention delivered by young adult group leaders for the improvement of HIV outcomes in young people living with HIV in Tanzania. This pilot randomized controlled trial estimated exploratory intervention effectiveness compared to standard of care. YPLWH (N = 105) were randomized to receive intervention or SOC. The mean age of participants was 18.1 years and 53% were female. Mean scores on ment…
Using the Implementation Research Logic Model as a Lens to View Experiences of Implementing HIV Prevention and Care Interventions with Adolescent Sexual Minority Men—A Global Perspective
Adolescents and sexual minority men (SMM) are high priority groups in the United Nations' 2021 - 2016 goals for HIV prevention and viral load suppression. Interventions aimed at optimizing HIV prevention, testing and viral load suppression for adolescents must also attend to the intersectional realities influencing key sub-populations of SMM. Consequently, there is not a robust evidence-base to guide researchers and program partners on optimal ap…
Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs
Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated…
Impact of Covid-19 on Adolescent HIV Prevention and Treatment Services in the Ahisa Network
We investigated perceived impacts of COVID-19 on the delivery of adolescent HIV treatment and prevention services in sub-Saharan Africa (SSA) by administering a survey to members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) from February to April 2021. We organized COVID-19 impacts, as perceived by AHISA teams, under three themes: service interruptions, service adjustments, and perceived individual-level …
I am not alone with tears”
It is estimated that 4 million youth aged 15-24 years live with HIV globally, 85% of whom live in sub-Saharan Africa. For youth living with perinatally acquired HIV (YPHIV), stigma is frequently linked with negative health outcomes. YPHIV face distinct HIV stigma experiences across the lifespan, particularly because of the centrality of the family context in their HIV experience and the reality that they have lived with HIV since birth. Neverthel…
Addressing the Know-Do Gap in Adolescent HIV
Implementation science (IS) uses systematic methods to close gaps between research and practice by identifying and addressing barriers to implementation of evidence-based interventions (EBIs). To reach UNAIDS HIV targets, IS can support programs to reach vulnerable populations and achieve sustainability. We studied the application of IS methods in 36 study protocols that were part of the Adolescent HIV Prevention and Treatment Implementation Scie…
Through the looking glass
More young people are living in the world than ever before, 90% of whom reside in low and middle income countries (LMICs). To address their needs, it is critical to have sustainable youth engagement when determining policy and to advance effective implementation of youth-focused interventions. Youth Community Advisory Boards (CABs) are a sustainable mechanism to achieve this goal. This paper describes engagement with youth CAB members across four…
Cost of Sauti ya Vijana (SYV), a mental health intervention for young people living with HIV in Tanzania
Sauti ya Vijana (SYV) is a ten-session, group-based mental health and life skills intervention targeting young people living with HIV (YPLWH) in Tanzania. By addressing mental health distress and promoting self-efficacy and resilience to HIV-related stigma and disclosure, SYV aims to improve adherence to antiretroviral therapy (ART) and virologic suppression. A pilot randomized controlled trial (RCT) of SYV was conducted in Moshi, Tanzania, from …
A scoping review on peer-led interventions to improve youth mental health in low- and middle-income countries
Youth living in low- and middle-income countries (LMICs) have an increased vulnerability to mental illnesses, with many lacking access to adequate treatment. There has been a growing body of interventions using task sharing with trained peer leaders to address this mental health gap. This scoping review examines the characteristics, effectiveness, components of peer delivery and challenges of peer-led mental health interventions for youth aged 10…
“Since I got the education, I feel like a kind of warrior”
Adolescents and young adults with HIV (AYAWH) face challenges with medication adherence and are at risk of mental health (MH) difficulties. Sauti ya Vijana (SYV, The Voice of Youth) is a co-created, peer-led, group-based MH intervention designed to address these needs. This study aimed to: (1) evaluate how participation in SYV impacted AYAWH’s lives in Tanzania and (2) explore AYAWH perspectives and preferences of the intervention. The SYV trial …
Medicine (15 works) · HIV/AIDS Research and Interventions (14 works) · Adolescent Sexual and Reproductive Health (12 works) · Psychology (11 works) · Mental health (10 works) · Psychiatry (10 works) · Tanzania (10 works) · Psychological intervention (9 works) · Family medicine (8 works) · Nursing (8 works)