A Skills-Based HIV Serostatus Disclosure Intervention for Sexual Minority Men in South Africa: Protocol for Intervention Adaptation and a Pilot Randomized Controlled Trial

Daniels, Joseph; Peters, Remco P. H.; Medina‐Marino, Andrew; Bongo, Cikizwa; Stephenson, Rob

doi:10.2196/36845

Cited by 2 publications

(2 citation statements)

References 62 publications

(96 reference statements)

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“…Our use of HCD to guide our intervention adaptation process was efficient but dependent on the extensive preliminary research that was conducted prior (Daniels et al, 2018; Daniels, Lane, et al, 2017; Daniels, Struthers, et al, 2019). Such research facilitated identification of the intervention, HR, that aligned with GBMSM preferences for HIV treatment support and disclosure to partners.…”

Section: Discussionmentioning

confidence: 99%

“…These trends demonstrate the need to integrate GBMSM couple dynamics into HIV prevention and treatment interventions in South Africa, and there have been increased calls for dyadic interventions (Daniels, Struthers, et al, 2019; Stephenson et al, 2017). Therefore, based on our preliminary research (Daniels et al, 2022), we selected the Healthy Relationships (HR) intervention to adapt for South African GBMSM in relationships.…”

Section: Introductionmentioning

confidence: 99%

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Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa

Daniels,

Peters,

Portle

et al. 2023

Am J Mens Health

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In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships—to be tailored into videoconference format for partnered HIV-positive GBMSM in South Africa. The HR adaptation, called SOAR (Speaking Out & Allying Relationships), applied a human-centered design approach. In-depth interviews were conducted with HIV-positive GBMSM ( N = 15) to refine intervention preferences with results used to establish a beta SOAR. A trained interventionist conducted SOAR functionality ( n = 6) and usability ( n = 7) tests with separate invited groups composed of the original participants interviewed. Field logs, focus group discussions, and a study-specific preference survey were administered. Thematic analysis and descriptive statistics were completed with a convergent analytical approach used to understand usability. Overall experience of GBMSM in SOAR was good (69%) or excellent (31%). More than half of the participants (61%) rated using videoconferencing for SOAR as good, with 38% rating it as fair. All participants stated that SOAR was understandable and satisfactory with willingness to recommend it to other GBMSM. This adaptation approach was effective, and the resultant SOAR intervention has the potential to improve individual coping and HIV communication skills with partners to engage with biomedical prevention and in turn support GBMSM couples.

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Section: Discussionmentioning

confidence: 99%