Development and formative evaluation of a family-centred adolescent HIV prevention programme in South Africa

Autor: Johanna Nice, Alexandra Spyrelis, Tory M. Taylor, Maretha Visser, Michelle Finestone, Tonya R. Thurman
Rok vydání: 2017
Předmět:
Male
Economic growth
Social Psychology
Adolescent
Strategy and Management
Geography
Planning and Development
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Formative assessment
03 medical and health sciences
South Africa
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Political science
Agency (sociology)
medicine
Family centred
Humans
Family
Interpersonal Relations
030212 general & internal medicine
Business and International Management
Cultural Competency
Health Education
Acquired Immunodeficiency Syndrome
030505 public health
Parenting
Public Health
Environmental and Occupational Health
Emergency plan
Focus Groups
medicine.disease
Self Efficacy
Mental Health
Caregivers
Adolescent Behavior
Female
Sexual Health
0305 other medical science
International development
Program Evaluation
Zdroj: Evaluation and program planning. 68
ISSN: 1873-7870
Popis: Preventing HIV among young people is critical to achieving and sustaining global epidemic control. Evidence from Western settings suggests that family-centred prevention interventions may be associated with greater reductions in risk behaviour than standard adolescent-only models. Despite this, family-centred models for adolescent HIV prevention are nearly non-existent in South Africa - home to more people living with HIV than any other country. This paper describes the development and formative evaluation of one such intervention: an evidence-informed, locally relevant, adolescent prevention intervention engaging caregivers as co-participants. The programme, originally consisting of 19 sessions for caregivers and 14 for adolescents, was piloted with 12 groups of caregiver-adolescent dyads by community-based organizations (CBOs) in KwaZulu-Natal and Gauteng provinces. Literature and expert reviews were employed in the development process, and evaluation methods included analysis of attendance records, session-level fidelity checklists and facilitator feedback forms collected during the programme pilot. Facilitator focus group discussions and an implementer programme workshop were also held. Results highlighted the need to enhance training content related to cognitive behavioural theory and group management techniques, as well as increase the cultural relevance of activities in the curriculum. Participant attendance challenges were also identified, leading to a shortened and simplified session set. Findings overall were used to finalize materials and guidance for a revised 14-week group programme consisting of individual and joint sessions for adolescents and their caregivers, which may be implemented by community-based facilitators in other settings.
Databáze: OpenAIRE
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