Evidence map›Paper›PMID 37462118›Full record

ArticleGlobal health action2023

Feasibility and acceptability of peer-delivered interventions using mHealth for PrEP services among adolescent girls and young women in DREAMS program in Botswana.

Marie-Claude C Lavoie, Lillian Okui, Natalia Blanco, Kirsten Stoebenau, Jessica F Magidson, Gadzikanani Gokatweng, Kaizer Ikgopoleng, Manhattan E Charurat, Ndwapi Ndwapi

Abstract read
In one paragraph

Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marie-Claude C LavoieDivision of Global Health Sciences, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-3315-6207
Lillian OkuiCenter for International Health, Education, and Biosecurity (Ciheb), Maryland Global Initiative Corporation, University of Maryland Baltimore, Gaborone, Botswana.ORCID 0009-0001-1716-0890
Natalia BlancoInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-3157-1119
Kirsten StoebenauDepartment of Behavioral and Community Health, University of Maryland School of Public Health, College Park, MD, USA.ORCID 0000-0002-6531-1892
Jessica F MagidsonDepartment of Psychology, University of Maryland, College Park, MD, USA.ORCID 0000-0002-3513-3255
Gadzikanani GokatwengBotswana-University of Maryland School of Medicine Health Initiative (Bummhi), Gaborone, Botswana.ORCID 0009-0007-5630-7692
Kaizer IkgopolengCenter for International Health, Education, and Biosecurity (Ciheb), Maryland Global Initiative Corporation, University of Maryland Baltimore, Gaborone, Botswana.ORCID 0009-0002-4383-5983
Manhattan E CharuratDivision of Global Health Sciences, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-1719-2796
Ndwapi NdwapiBotswana-University of Maryland School of Medicine Health Initiative (Bummhi), Gaborone, Botswana.ORCID 0000-0003-2584-734X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent girls and young women accounted for 25% of all new HIV infections despite representing only 10% of the population in Sub Saharan Africa. PEPFAR has launched the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) initiative, a comprehensive HIV prevention program including PrEP services. Among adolescent girls and young women, PrEP adherence is currently sub-optimal. Tailored strategies for adolescent girls and young women to improve access and use of PrEP delivery are urgently needed to maximise its potential. Recommended interventions include peer-delivered interventions using mobile technology. However, data on the feasibility and acceptability of this approach is limited for SSA.

objectivesWe assessed the feasibility and perceived acceptability of providing mHealth peer-delivered interventions to support PrEP services among adolescent girls and young women in Botswana.

methodsThis cross-sectional study included HIV-negative women aged 18-24 years old seeking health services at DREAMS-supported facilities. Participants completed a survey assessing the feasibility and perceived acceptability of the mHealth peer-delivered interventions, which included the Acceptability of Intervention Measure (AIM). Descriptive analyses were performed.

resultsA total of 131 participated in the study. Overall, 89% owned a mobile phone (feasibility). There was no difference in cell phone ownership between participants from rural and urban settings. Among participants, 85% reported interest in participating in a mHealth peer-delivered intervention if it was available to them. Regarding perceived acceptability for mHealthpeer support groups for PrEP, the average score on the AIM was 3.8 out of 5 (SD = 0.8).

conclusionmHealthpeer-delivered interventions appear to be feasible and perceived acceptable among adolescent girls and young women in Botswana. This modality should be incorporated into PEPFAR's programmatic toolkit of implementation strategies to improve PrEP services.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisAdolescentAdultAfrica South of the SaharaBotswanaCross-Sectional StudiesFeasibility StudiesFemaleHumansYoung AdultAnti-HIV Agentsadolescent girlsBotswanaHIV preventionmhealthpeer interventionsPre-exposure prophylaxis

Identifiers

PMID37462118
PMCPMC10355684

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.