Click

Harnessing web-based training to reduce secondary transmission among HIV-positive youth

Bibliographic Data

ID19440965
AuthorsChristine Markham (0000-0003-0587-894X, The University of Texas Health Science Center at Houston, corresponding author), Christine Margaret Markham (a Center for Health Promotion and Prevention Research , University of Texas School of Public Health , Houston , USA), Ross Shegog (0000-0003-2750-0817, a Center for Health Promotion and Prevention Research , University of Texas School of Public Health , Houston , USA), Amy Leonard (Texas Children's Hospital), Amy Dolph Leonard (b Allergy and Immunology Department, Baylor College of Medicine , Texas Children's Hospital , Houston , USA), Thanh Cong Bui (0000-0001-5794-5345, The University of Texas Health Science Center at Houston), Mary E Paul (0000-0002-6885-2838, b Allergy and Immunology Department, Baylor College of Medicine , Texas Children's Hospital , Houston , USA)
Year2009
Volume21
Issue5
Pages622-631
Publication date2009-05-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120802385637
PMID19444671
PMCIDPMC2730352
OpenAlexW2053256753
LanguageEN
Citations received13
References cited21

Adolescents and young adults account for over 10 million HIV infections worldwide. Prevention of secondary transmission is a major concern as many HIV-positive youth continue to engage in risky sexual behavior. This study pilot-tested " + CLICK", an innovative, web-based, sexual risk reduction intervention for HIV-positive youth as an adjunct to traditional clinic-based, self-management education. The theory-based application, developed for perinatally and behaviorally infected youth 13-24 years of age, provides tailored activities addressing attitudes, knowledge, skills, and self-efficacy related to sexual risk reduction. HIV-positive youth (N=32) pilot-tested " + CLICK" to assess usability (ease of use, credibility, understandability, acceptability, motivation) and short-term psychosocial outcomes (importance and self-efficacy related to abstinence and condom use) using a single group, pre-/post-test study design in a hospital-based pediatric clinic and community locations. A subsample of participants (n=20) assessed feasibility for clinic use. Participants were 62.5% female, 68.8% Black, and 28.1% Hispanic. Mean age was 17.8 years (SD = 2.55), 43.8% were infected behaviorally, 56.2% perinatally, and 68.8% were sexually experienced. Usability ratings were high: 84.4% rated the application very easy to use; 93.8% perceived content as trustworthy; 87.5% agreed most words were understandable; 87.5% would use the application again. Short-term psychosocial outcomes indicate a significant increase in condom use self-efficacy (p=0.008) and positive trends toward importance (p=0.067) and self-efficacy (p=0.071) for waiting before having sex. Regarding feasibility, participants accessed " + CLICK" during waiting periods (average time, 15 minutes) in their routine clinic visit. Clinic staff rated " + CLICK" highly in providing consistent, confidential, and motivational sexual health education without significant disruption to clinic flow. Results suggest that the application is a feasible tool for use in the clinic and has the potential to affect psychological antecedents to sexual behavior change. Further research on long-term and behavioral effects is indicated prior to broader dissemination into clinical practice

Abstinence · Condom · Family medicine · Psychiatry · Psychosocial · Self-efficacy · Usability · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

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