Voluntary Counseling and Testing and Celebrity-Based HIV/AIDS Prevention Education: A Pilot Program Implemented in Cape Town Secondary Schools

Zyl, Michiel A. van; Barney, Robert J.; Pahl, Kathryn

doi:10.1080/15381501.2013.864174

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…This secondary data analysis reviews data collected during seven months of operation of an HIV linkage to care call center where daily follow-up telephone calls in clients' preferred language were made to those recently testing HIV+ during HCT (see Van Zyl, Barney, & Pahl, 2014, for a description of the approach). The sample included all individuals who tested HIV+ during mobile HCT outreach in Limpopo (rural area) and Gauteng (urban area) provinces in South Africa between 1 April 2012 and 31 October 2012 (n = 1096).…”

Section: Methodsmentioning

confidence: 99%

Using a call center to encourage linkage to care following mobile HIV counseling and testing

2015

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Engaging newly diagnosed HIV+ individuals in treatment is a significant global challenge. As South Africa expands HIV counseling and testing (HCT) services, the growing numbers of people diagnosed with HIV will need innovative links to care approaches in order for treatment to be most effective. While definitions vary, we have defined "linkage to care" as connecting an HIV+ individual to medical care, so that CD4 cell test results are obtained and antiretroviral therapy (ART) eligibility assessed. The study is of HIV+ participants (n = 1096), from either Limpopo or Gauteng provinces from a "Links to Care" program. A two-pronged expanded HCT service was used, which included a community outreach approach to address HIV testing and a call center to encourage and track each patient's linkage to care post-HIV diagnosis. The majority of individuals (51%) were linked to care with a mean time to linkage of 31 days (with most individuals linked in less than 14 days). More females (54%) were linked to care than males (47%) and had higher CD4 cell counts than males; females had a mean CD4 cell count of 440, while males took longer to link to care and had a lower mean CD4 cell count of 331. Females of 23 years or younger had the lowest linkage rate of all females. Findings suggest that expanding HCT services to include innovative links to care approaches can improve linkage to care and subsequently impact HIV prevention.

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Section: Methodsmentioning

confidence: 99%

Using a call center to encourage linkage to care following mobile HIV counseling and testing

2015

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“…These services entailed that participants watched an edutainment video as a means to encourage testing uptake (Van Zyl & Barney, 2014). Individuals, who met the criteria at this stage (had not yet been screened for relationship status or IPV eligibility), were invited to participate in the study.…”

Section: Methodsmentioning

confidence: 99%

“…These videos contained health messaging from hip local South African celebrities on HIV risk reduction methods (safe sex, HIV testing, etc). The video was shown to de-stigmatize HIV testing, and results show it was effective in improving HCT uptake among young 26 black participants (with the celebrities also being black) (Van Zyl & Barney, 2014). Further, this approach was also found to increase HIV knowledge and reduce fears associated with testing (Van Zyl, Barney & Pahl, 2014).…”

Section: Component Two Of the Standard Of Care: The Edutainment Approachmentioning

confidence: 99%

“…It is also important to consider that by asking about the helpfulness of services overall, participants may have been considering additionally the helpfulness of HCT services and not merely those of study participation. Van Zyl & Barney (2014) reported only 1.8% of black participants had been dissatisfied with their program, which was used as part of the standard of care for this study.…”

Section: Satisfaction Between Groupsmentioning

confidence: 99%

“…In addition to blending education with entertainment to increase health-messaging appeal, the edutainment approach was guided by a concept within the diffusions of innovations theory, which has been used to construct HIV/AIDS preventative strategies previously. The theory, in general, seeks to explain how innovations are diffused or spread throughout a social system (Rogers, 1997), but the concept of homophily posits, "ideas are most often transferred between individuals who are alike" (Rogers as cited in Van Zyl & Barney, 2014 HCT has been associated with the reduction of sexual risk behaviors (Jewkes et al, 2006) as well the reduction of IPV when routine screenings are conducted (Christofides & Jewkes, 2010). IPV screening, in general, has been found to be a low risk and inexpensive approach with the potential to reduce revictimization when administered by healthcare providers who display a genuine sense of concern and when referrals are made to increase financial and social support (Ahmad et al, 2009).…”

Section: Component Three Of the Standard Of Care: Links To Care Call mentioning

confidence: 99%

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Mitigating intimate partner violence to promote safe linkage to care for South African women who test HIV positive during mobile counseling and testing.

Brown

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DEDICATIONMy respect and appreciation for Dr. Anita Barbee is far reaching and everexpanding. From one dynamo to another, she inspires that academics can be humble, funny, and creative and still get things done with great integrity. She makes even the hardest work look effortless and fun! Her love for my daughter and compassion for me as a mom remind me how strong women can be when they work together. There is not another soul like her, and her encouragement has been priceless. p=.059). The protocol was found to be feasible to implement, having impressive retention, brevity in administration, and high usage of safety strategies with minimal risks resulting from participation. Satisfaction was confirmed through positive participant ratings and safety through both non-significant group differences on the HIRS scale (t(1, 237)= -1.09; p= .278) and the perceived benefits of study participation far outweighing harms.Women receiving the protocol displayed notable self-determination towards selfprotection and suffered significantly less re-assault upon partner notification. The number of participants utilizing certain safety strategies suggests this brief intervention was effective in galvanizing South African women to reclaim power x and act towards the betterment of their health.Findings herald the promise of a protocol that effectively mitigates IPV to improve HIV outcomes. The effectiveness of the HIRS protocol, in facilitating safe partner notification of serostatus, could be a significant contribution to the knowledge base, but more research is needed to confirm these results.

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Video-based patient decision aids: A scoping review

Winston

Grendarova

Rabi

2018

Patient Education and Counseling

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Voluntary Counseling and Testing and Celebrity-Based HIV/AIDS Prevention Education: A Pilot Program Implemented in Cape Town Secondary Schools

Cited by 5 publications

References 20 publications

Using a call center to encourage linkage to care following mobile HIV counseling and testing

Using a call center to encourage linkage to care following mobile HIV counseling and testing

Mitigating intimate partner violence to promote safe linkage to care for South African women who test HIV positive during mobile counseling and testing.

Video-based patient decision aids: A scoping review

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