“Now, I have no fear”
Aqualitative assessment of the interactive transition support for adolescents living with HIV in South Africa virtual vs. in-person (inTSHA VIP) intervention
Bibliographic Data
South Africa has the highest number of adolescents living with HIV (AHIV) globally, many of whom face disengagement and virologic failure when transitioning from pediatric to adult care. Using the Social-ecological Model of Adolescent and Young Adult Readiness to Transition (SMART) and the Technology Acceptance Model (TAM), we evaluated the acceptability, feasibility, and perceived effectiveness of an in-person and virtual adolescent support intervention (InTSHA VIP). We conducted eight focus groups with 41 AHIV aged 15-19 who received the intervention (mean age: 18.5 years, 70.1% female) and 20 in-depth interviews with youth-facing healthcare workers (HCWs) at participating clinics (mean age 43.3 years). Transcripts were coded and thematically analyzed, framed by SMART and TAM. Participants reported improved knowledge, self-efficacy, psychosocial wellness, and relationships with family and HCWs. HCWs perceived InTSHA VIP as highly useful for improving retention in care and viral suppression. Barriers included technology challenges, scheduling conflicts, and transportation access. Future implementation should address structural barriers to access while leveraging the intervention's adaptability to optimize impact and sustainability
Disengagement theory · Focus group · Health care · Human immunodeficiency virus (HIV) · Intervention (counseling) · Psychosocial · Psychosocial support · Adolescent and Pediatric Healthcare · HIV/AIDS Research and Interventions · Mobile Health and mHealth Applications
Systematic review of the Exploration, Preparation, Implementation, Sustainment (Epis) framework
Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology
Consolidated criteria for reporting qualitative research (Coreq)
Getting to under 1% vertical HIV transmission
Power to participants
Acceptability, feasibility and preliminary effectiveness of the mHealth intervention, InTSHA, on retention in care and viral suppression among adolescents with HIV in South Africa
Development of a transition readiness score for adolescents living with perinatally-acquired HIV and transitioning to adult care
Disclosure, Social Support, and Mental Health are Modifiable Factors Affecting Engagement in Care of Perinatally-HIV Infected Adolescents
Using thematic analysis in psychology
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