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Video-Based Intervention for Improving Maternal Retention and Adherence to HIV Treatment

Patient Perspectives and Experiences

Bibliographic Data

ID15510382
AuthorsSteven Masiano (0000-0002-2163-7313, Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi, corresponding author), Edwin Machine (0000-0001-8564-6000, Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Mtisunge Mphande (Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Christine Markham (0000-0003-0587-894X, Center for Health Promotion and Preventive Research, Department of Health Promotion and Behavioral Sciences, The University of Texas, Houston, TX 77030, USA), Tapiwa Tembo (0000-0002-5649-0817, Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Mike Chitani (Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Angella Mkandawire (Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Alick Mazenga (0000-0001-9544-754X, Baylor College of Medicine Children’s Foundation Malawi, PBAG B397, Lilongwe, Malawi), Saeed Ahmed (0000-0001-9680-4553, Baylor College of Medicine), Maria Kim (0000-0002-3162-7047, Baylor College of Medicine, corresponding author)
Year2021
Volume18
Issue4
Pages1737-1737
Publication date2021-02-10
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18041737
PMID33579047
OpenAlexW3126463719
LanguageEN
Citations received1
References cited52

VITAL Start is a video-based intervention aimed to improve maternal retention in HIV care and adherence to antiretroviral therapy (ART) in Malawi. We explored the experiences of pregnant women living with HIV (PWLHIV) not yet on ART who received VITAL Start before ART initiation to assess the intervention's acceptability, feasibility, fidelity of delivery, and perceived impact. Between February and September 2019, we conducted semi-structured interviews with a convenience sample of 34 PWLHIV within one month of receiving VITAL Start. The participants reported that VITAL Start was acceptable and feasible and had good fidelity of delivery. They also reported that the video had a positive impact on their lives, encouraging them to disclose their HIV status to their sexual partners who, in turn, supported them to adhere to ART. The participants suggested using a similar intervention to provide health-related education/counseling to people with long term conditions. Our findings suggest that video-based interventions may be an acceptable, feasible approach to optimizing ART retention and adherence amongst PWLHIV, and they can be delivered with high fidelity. Further exploration of the utility of low cost, scalable, video-based interventions to address health counseling gaps in sub-Saharan Africa is warranted

Antiretroviral therapy · Family medicine · Fidelity · Human immunodeficiency virus (HIV · Intervention (counseling · Psychological intervention · Viral load · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo
Open DOIOpen Access
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