Community health workers’ barriers and facilitators to use a novel mHealth tool for motivational interviewing to improve adherence to care among youth living with HIV in rural Nepal

Bibliographic Data

ID19593790
AuthorsRekha Khatri (0009-0004-1895-8310, The University of Sydney, corresponding author), Pragya Rimal (0000-0003-4442-4609, University of California, Los Angeles, corresponding author), Maria L Ekstrand (0000-0001-7587-2899, University of California, San Francisco, corresponding author), Sabitri Sapkota (0009-0000-2664-9172, corresponding author), Kripa Sigdel (0000-0002-6372-3105, Tribhuvan University, corresponding author), Dikshya Sharma (corresponding author), Jene Shrestha (0000-0001-8367-9992, corresponding author), Srijana Shrestha (0000-0003-0414-2973, Possible Health, corresponding author), Bibhav Acharya (0000-0002-8555-7785, University of California, San Francisco, corresponding author)
EditorsJulia Robinson (0000-0003-0719-3995)
Year2024
Volume4
Issue7
Pagese0002911
Publication date2024-07-11
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002911
PMID38990929
OpenAlexW4400526735
LanguageEN
Citations received2
References cited41

Adherence to treatment regimens is a common challenge in achieving HIV control, especially among youth. Motivational Interviewing (MI) is an evidence-based intervention to facilitate behavior change (such as adherence to treatment) by focusing on the client’s priorities and motivations. Community Health Workers (CHWs), who are well situated to engage clients for care, can use MI but studies have shown that they often lose MI skills. While mHealth tools can support CHWs in delivering evidence-based counseling techniques such as MI, it is important to understand the barriers and facilitators in using such tools. Our parent study includes developing and testing a novel mHealth tool called, Community based mHealth Motivational Interviewing Tool for HIV-positive youth (COMMIT+). In this descriptive qualitative study, we share the results from semi-structured interviews with 12 CHWs who used COMMIT+ to engage youth living with HIV, and 7 of their Community Health Nurse supervisors. Our results demonstrate the barriers and facilitators experienced by CHWs in using a mHealth tool to deliver MI for youth living with HIV in rural Nepal, and highlight that supportive supervision and user-friendly features of the tool can mitigate many of the barriers

Commit · Health care · Interview · Medical education · mHealth · Motivational interviewing · Psychological intervention · Qualitative research · Adolescent Sexual and Reproductive Health · Computer Science · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology

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