Oral HIV Self-Implemented Testing: Performance Fidelity Among African American MSM.
Oral-Self Implemented HIV Testing (Oral-SIT) offers a low-cost way to extend the reach of HIV testing systems. It is unclear, however, if high risk populations are able to perform the test with high fidelity. Using a simulation-based research design, we administered desensitized Oral-SIT kits to Afr...
| Publicado en: | AIDS & Behavior Vol. 24; no. 2; pp. 395 - 404 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141453313&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141453313 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2020 vid: 24 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141453313 141453313 141453313 10.1007/s10461-019-02711-5 141453313 ppf: 395 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Oral HIV Self-Implemented Testing: Performance Fidelity Among African American MSM. aug: au: Catania, Joseph A. Dolcini, M. Margaret Harper, Gary Fortenberry, Dennis Singh, Ryan R. Jamil, Omar Young, Amy W. Pollack, Lance Orellana, E. Roberto affil: School of Social and Behavioral Health Sciences, Hallie E Ford Center for Healthy Children and Families, College of Public Health and Human Sciences, Oregon State University, 401 Waldo Hall, 97331, Corvallis, OR, USA sug: subj: HIV Infections Diagnosis Self-Diagnosis Methods Task Performance and Analysis African Americans Psychosocial Factors Men Who Have Sex With Men Psychosocial Factors Human Simulations Study Design Adolescence Young Adult HIV Seronegativity Social Behavior Stigma Health Knowledge Skill Acquisition Educational Status Adolescent: 13-18 years ab: Oral-Self Implemented HIV Testing (Oral-SIT) offers a low-cost way to extend the reach of HIV testing systems. It is unclear, however, if high risk populations are able to perform the test with high fidelity. Using a simulation-based research design, we administered desensitized Oral-SIT kits to African American MSM (AAMSM; 17–24 years, N = 178). Participants were HIV negative or never tested, and had never self-administered an Oral-SIT kit. We assessed performance fidelity, and hypothesized antecedents. High levels of social stigma were associated with lower levels of training knowledge (Range = No Errors: 51.9%, 4 Errors: 0.6%) and performance fidelity (Range = No Errors: 39.9%, 3 Errors: 1.7%). Training knowledge and prior testing history were positively associated with performance fidelity. The present work extends research on HIV-related social stigma and suggests that social stigma inhibits knowledge acquisition and task performance. The Oral-SIT training materials were understood by individuals with a wide-range of educational backgrounds. Interventions are needed, however, to further improve Oral-SIT performance fidelity. Resumen: La Prueba Oral de VIH Auto-Implementada (Oral-PAI) ofrece una forma de bajo costo para extender el alcance de los sistemas de prueba de VIH. Sin embargo, no está claro si las poblaciones de alto riesgo pueden realizarse esta prueba con alta fidelidad. Usando un diseño de investigación basado en simulación, administramos kits desensibilizados de Oral-PAI a HSH Afro-Americanos (HSHAA; 17–24 años, N = 178). Los participantes eran VIH-negativo o nunca se habían hecho la prueba, y nunca se habían auto-administrado un kit de Oral-PAI. Evaluamos la fidelidad al desempeño de la tarea y los antecedentes hipotetizados. Los altos niveles de estigma social se asociaron con niveles más bajos de conocimiento de la capacitación (Rango = Sin errores: 51.9%, 4 Errores: 0.6%) y fidelidad en el desempeño de la actividad (Rango = Sin errores: 39.9%, 3 Errores: 1.7%). El conocimiento de la capacitación y el historial de pruebas previas se asociaron positivamente con la fidelidad al desempeño. El presente trabajo amplía la investigación sobre el estigma social relacionado con el VIH y sugiere que el estigma social inhibe la adquisición de conocimiento y el desempeño de tareas. Los materiales de capacitación de la Oral-PAI fueron entendidos por personas con una amplia gama de antecedentes educativos. Sin embargo, se necesitan intervenciones para mejorar aún más la fidelidad del desempeño de la Oral-PAI. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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