Kukaa Salama (Staying Safe): a pre-post trial of an interactive informational mobile health intervention for increasing COVID-19 prevention practices with urban refugee youth in Uganda.

Autor: Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario M5S 1V4, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario M5S 1B2, Canada.; Centre for Gender & Sexual Health Equity, Vancouver, BC V6Z 2K5, Canada., Okumu M; School of Social Work, University of Illinois Urbana-Champaign, Urbana, Illinois 61820, United States.; School of Social Sciences, Uganda Christian University, Mukono, Uganda., Berry I; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada., Kortenaar JL; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada., Hakiza R; Young African Refugees for Integral Development (YARID), Kampala, Uganda., Musoke DK; International Research Consortium (IRC), Kampala, Uganda., Katisi B; Young African Refugees for Integral Development (YARID), Kampala, Uganda., Nakitende A; International Research Consortium (IRC), Kampala, Uganda., Kyambadde P; National AIDS and STI Control Programme, Ministry of Health, Kampala, Uganda.; Most at Risk Population Initiative, Mulago Hospital, Kampala, Uganda., Lester R; Department of Medicine, University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada., Perez-Brumer AG; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada., Admassu Z; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario M5S 1V4, Canada., Mbuagbaw L; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario L8S 4L8, Canada.; Department of Anesthesia, McMaster University, Hamilton, ON L8N 3Z5, Canada.; Department of Pediatrics, McMaster University, Hamilton, ON L8S 4K1, Canada.; Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, ON L8G 5E4, Canada.; Centre for Development of Best Practices in Health (CDBPH), Yaoundé Central Hospital, Yaoundé, Cameroon.; Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape Town, South Africa.
Jazyk: angličtina
Zdroj: International health [Int Health] 2024 Jan 02; Vol. 16 (1), pp. 107-116.
DOI: 10.1093/inthealth/ihad051
Abstrakt: Background: Tailored coronavirus disease 2019 (COVID-19) prevention strategies are needed for urban refugee youth in resource-constrained contexts. We developed an 8-wk interactive informational mobile health intervention focused on COVID-19 prevention practices informed by the Risk, Attitude, Norms, Ability, Self-regulation-or RANAS-approach.
Methods: We conducted a pre-post trial with a community-recruited sample of refugee youth aged 16-24 y in Kampala, Uganda. Data were collected before (T1) and immediately following (T2) the intervention, and at the 16-wk follow up (T3), to examine changes in primary (COVID-19 prevention self-efficacy) and secondary outcomes (COVID-19 risk awareness, attitudes, norms and self-regulation practices; depression; sexual and reproductive health [SRH] access; food/water security; COVID-19 vaccine acceptability).
Results: Participants (n=346; mean age: 21.2 [SD 2.6] y; cisgender women: 50.3%; cisgender men: 48.0%; transgender persons: 1.7%) were largely retained (T2: n=316, 91.3%; T3: n=302, 87.3%). In adjusted analyses, COVID-19 prevention self-efficacy, risk awareness, attitudes and vaccine acceptance increased significantly from T1 to T2, but were not sustained at T3. Between T1 and T3, COVID-19 norms and self-regulation significantly increased, while community violence, water insecurity and community SRH access decreased.
Conclusions: Digital approaches for behaviour change hold promise with urban refugee youth but may need booster messaging and complementary programming for sustained effects.
(© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
Databáze: MEDLINE
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