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Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study

Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study
Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study
Uptake of HIV testing remains low among men in South Africa. As part of a trial, we assessed the acceptability of a theoretically derived and adapted tablet-based-application (EPIC-HIV1) in rural South Africa. We conducted 20 in-depth interviews with men aged ≥18 years and offered a tablet-based survey to all men aged ≥15 years who received EPIC-HIV1 (Sep-Dec 2018). We conducted a descriptive analysis of the survey and used Self-Determination Theory (SDT) to guide our thematic analysis. A total of 232/307 (75%) completed the survey, 55% of whom were aged 15-24 years. 96%[ CI: 92.8-98.2%; n=223] found EPIC-HIV1 acceptable and 77% [95% CI: 71.8-82.6%; n=179] found it user-friendly. 222 [96%] reported that EPIC-HIV1 motivated them to test; 83% (192/232) tested for HIV, of which 33% (64/192) were first time testers. Those who did not consent (n=40) were more likely to have had an HIV-positive test result. Participants reported that the app boosted their confidence to test. However, they were unsure that the app would help them overcome barriers to test in local clinics. Given reach and usability, an adapted SDT male-tailored app was found to be acceptable and could encourage positive health-seeking behavioural change among men.
Mhealth, South Africa, home-based testing, men and HIV, process evaluation
Adeagbo, Oluwafemi
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Kim, Hae-Young
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Tanser, Frank
a7112c48-809b-4f7c-8662-eaef445891f4
Xulu, Sibongiseni
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Dlamini, Nondumiso
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Gumede, Velaphi
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Mathenjwa, Thulile
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Bärnighausen, Till
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Mcgrath, Nuala
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Blandford, Ann
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Seeley, Janet
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Shahmanesh, Maryam
d88581c9-0ef2-4506-b8d3-d72682936a09
Adeagbo, Oluwafemi
1668adf1-8c3a-42cb-af20-da553840bc86
Kim, Hae-Young
43ef990e-9e89-4fa0-a7be-edc8158459f0
Tanser, Frank
a7112c48-809b-4f7c-8662-eaef445891f4
Xulu, Sibongiseni
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Dlamini, Nondumiso
7cc7f0ca-7562-473e-84a3-d4c9116caec8
Gumede, Velaphi
0b3db331-1ec0-4895-a81f-a50e92e8156b
Mathenjwa, Thulile
7bf06f13-9b48-4b13-b3fc-97782f5e67d7
Bärnighausen, Till
337d5ec4-e26e-40de-aa26-42e5c5c9b61e
Mcgrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Blandford, Ann
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Seeley, Janet
f3106c01-ac91-4ffc-945a-6db3558fd8eb
Shahmanesh, Maryam
d88581c9-0ef2-4506-b8d3-d72682936a09

Adeagbo, Oluwafemi, Kim, Hae-Young, Tanser, Frank, Xulu, Sibongiseni, Dlamini, Nondumiso, Gumede, Velaphi, Mathenjwa, Thulile, Bärnighausen, Till, Mcgrath, Nuala, Blandford, Ann, Seeley, Janet and Shahmanesh, Maryam (2020) Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study. AIDS Care - Psychology, Health & Medicine - Vulnerable Children and Youth Studies. (doi:10.1080/09540121.2020.1742867).

Record type: Article

Abstract

Uptake of HIV testing remains low among men in South Africa. As part of a trial, we assessed the acceptability of a theoretically derived and adapted tablet-based-application (EPIC-HIV1) in rural South Africa. We conducted 20 in-depth interviews with men aged ≥18 years and offered a tablet-based survey to all men aged ≥15 years who received EPIC-HIV1 (Sep-Dec 2018). We conducted a descriptive analysis of the survey and used Self-Determination Theory (SDT) to guide our thematic analysis. A total of 232/307 (75%) completed the survey, 55% of whom were aged 15-24 years. 96%[ CI: 92.8-98.2%; n=223] found EPIC-HIV1 acceptable and 77% [95% CI: 71.8-82.6%; n=179] found it user-friendly. 222 [96%] reported that EPIC-HIV1 motivated them to test; 83% (192/232) tested for HIV, of which 33% (64/192) were first time testers. Those who did not consent (n=40) were more likely to have had an HIV-positive test result. Participants reported that the app boosted their confidence to test. However, they were unsure that the app would help them overcome barriers to test in local clinics. Given reach and usability, an adapted SDT male-tailored app was found to be acceptable and could encourage positive health-seeking behavioural change among men.

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More information

Accepted/In Press date: 3 March 2020
e-pub ahead of print date: 15 March 2020
Published date: 17 March 2020
Keywords: Mhealth, South Africa, home-based testing, men and HIV, process evaluation

Identifiers

Local EPrints ID: 438765
URI: http://eprints.soton.ac.uk/id/eprint/438765
PURE UUID: a82738b5-7b33-4432-a03b-3f8b14136a4b
ORCID for Nuala Mcgrath: ORCID iD orcid.org/0000-0002-1039-0159

Catalogue record

Date deposited: 24 Mar 2020 17:30
Last modified: 18 Jun 2021 04:01

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Contributors

Author: Oluwafemi Adeagbo
Author: Hae-Young Kim
Author: Frank Tanser
Author: Sibongiseni Xulu
Author: Nondumiso Dlamini
Author: Velaphi Gumede
Author: Thulile Mathenjwa
Author: Till Bärnighausen
Author: Nuala Mcgrath ORCID iD
Author: Ann Blandford
Author: Janet Seeley
Author: Maryam Shahmanesh

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