Impact of an educational digital storytelling intervention on HIV
risk perception among Nigerian adolescents

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Abstract

Objective

The study objective was to investigate the impact of an educational digital storytelling intervention (EDSI) on human immunodeficiency virus (HIV) risk perception and knowledge among Nigerian adolescents.

Methods

Using a randomized controlled trial design procedure, we recruited 98 Nigerian adolescents who were college students. Data were collected using the Perceived Risk of HIV Scale and the HIV Knowledge Questionnaire and were analysed using repeated measures analysis of variance.

Results

The results showed that the EDSI was effective in increasing HIV risk perception and knowledge among adolescents in the treatment group compared with those in the no-treatment control group.

Conclusion

The EDSI is a useful tool to help adolescents to increase their HIV risk perception and knowledge. Further research and policy changes are needed to support the full implementation of the EDSI in different sectors of Nigerian society and in other parts of the world.

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Most cited references 15

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Development and psychometric evaluation of the brief HIV Knowledge Questionnaire.

Michael Carey, Kerstin E. E. Schroder (2002)

This research evaluated the psychometric properties of a brief self-report measure of HIV-related knowledge, the 18-item HIV Knowledge Questionnaire (HIV-KQ-18). Low-income men and women (N = 1,019) responded to 27 items that represented the domain of interest. Item analyses indicated that 18 items, with item-total correlations ranging from .24 to .57, be retained. Additional analyses demonstrated the HIV-KQ-18's internal consistency across samples (alphas = .75-.89), test-retest stability across several intervals (rs = .76- .94), and strong associations with a much longer, previously validated measure (rs = .93-.97). Data from three clinical trials indicated that the HIV-KQ-18 detected knowledge gains in treated participants when compared to untreated controls. We conclude that the HIV-KQ-18 is internally consistent, stable, sensitive to the change resulting from intervention, and suitable for use with low-literacy populations.

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Development of the Perceived Risk of HIV Scale

Lucy Napper, Dennis G. Fisher, Grace L. Reynolds (2011)

Past studies have used various methods to assess perceived risk of HIV infection; however, few have included multiple items covering different dimensions of risk perception or have examined the characteristics of individual items. This study describes the use of Item Response Theory (IRT) to develop a short measure of perceived risk of HIV infection scale (PRHS). An item pool was administered by trained interviewers to 771 participants. Participants also completed the risk behavior assessment (RBA) which includes items measuring risky sexual behaviors, and 652 participants completed HIV testing. The final measure consisted of 8 items, including items assessing likelihood estimates, intuitive judgments and salience of risk. Higher scores on the PRHS were positively associated with a greater number of sex partners, episodes of unprotected sex and having sex while high. Participants who tested positive for HIV reported higher perceived risk. The PRHS demonstrated good reliability and concurrent criterion-related validity. Compared to single item measures of risk perception, the PRHS is more robust by examining multiple dimensions of perceived risk. Possible uses of the measure and directions for future research are discussed.

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Cost-effectiveness of community-based strategies to strengthen the continuum of HIV care in rural South Africa: a health economic modelling analysis

Jennifer Smith, Monisha Sharma, Carol Levin … (2015)

Summary Background Home HIV counselling and testing (HTC) achieves high coverage of testing and linkage to care compared with existing facility-based approaches, particularly among asymptomatic individuals. In a modelling analysis we aimed to assess the effect on population-level health and cost-effectiveness of a community-based package of home HTC in KwaZulu-Natal, South Africa. Methods We parameterised an individual-based model with data from home HTC and linkage field studies that achieved high coverage (91%) and linkage to antiretroviral therapy (80%) in rural KwaZulu-Natal, South Africa. Costs were derived from a linked microcosting study. The model simulated 10 000 individuals over 10 years and incremental cost-effectiveness ratios were calculated for the intervention relative to the existing status quo of facility-based testing, with costs discounted at 3% annually. Findings The model predicted implementation of home HTC in addition to current practice to decrease HIV-associated morbidity by 10–22% and HIV infections by 9–48% with increasing CD4 cell count thresholds for antiretroviral therapy initiation. Incremental programme costs were US$2·7 million to $4·4 million higher in the intervention scenarios than at baseline, and costs increased with higher CD4 cell count thresholds for antiretroviral therapy initiation; antiretroviral therapy accounted for 48–87% of total costs. Incremental cost-effectiveness ratios per disability-adjusted life-year averted were $1340 at an antiretroviral therapy threshold of CD4 count lower than 200 cells per μL, $1090 at lower than 350 cells per μL, $1150 at lower than 500 cells per μL, and $1360 at universal access to antiretroviral therapy. Interpretation Community-based HTC with enhanced linkage to care can result in increased HIV testing coverage and treatment uptake, decreasing the population burden of HIV-associated morbidity and mortality. The incremental cost-effectiveness ratios are less than 20% of South Africa's gross domestic product per person, and are therefore classed as very cost effective. Home HTC can be a viable means to achieve UNAIDS' ambitious new targets for HIV treatment coverage. Funding National Institutes of Health, Bill & Melinda Gates Foundation, Wellcome Trust.

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Author and article information

Journal

Journal ID (nlm-ta): J Int Med Res

Journal ID (iso-abbrev): J. Int. Med. Res

Journal ID (publisher-id): IMR

Journal ID (hwp): spimr

Title: The Journal of International Medical Research

Publisher: SAGE Publications (Sage UK: London, England )

ISSN (Print): 0300-0605

ISSN (Electronic): 1473-2300

Publication date (Electronic): 18 June 2019

Publication date Collection: January 2020

Volume: 48

Issue: 1

Electronic Location Identifier: 0300060519854635

Affiliations

[1 ]Department of Arts Education, University of Nigeria, Nsukka, Nigeria

[2 ]Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria

[3 ]Department of Science Education, University of Nigeria, Nsukka, Nigeria

[4 ]Department of Adult Education and Extra Moral Studies, University of Nigeria, Nsukka, Nigeria

[5 ]Department of Educational Foundations (Childhood Education), University of Nigeria, Nsukka, Nigeria

Author notes

[*]Mkpoikanke Sunday Otu, Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria. Email: mkpoikanke.otu@ 123456unn.edu.ng

Author information

Mkpoikanke Sunday Otu https://orcid.org/0000-0002-7251-2561

Article

Publisher ID: 10.1177_0300060519854635

DOI: 10.1177/0300060519854635

PMC ID: 7140211

PubMed ID: 31208259

SO-VID: 03ee2049-02a8-4286-a2af-5e77c8869f0d

License:

Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

History

Date received : 12 April 2019

Date accepted : 13 May 2019

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Keywords: educational digital storytelling intervention,hiv,risk perception,knowledge,nigeria,college students,adolescents

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Keywords: educational digital storytelling intervention, hiv, risk perception, knowledge, nigeria, college students, adolescents

Impact of an educational digital storytelling intervention on HIV risk perception among Nigerian adolescents

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Abstract

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International Journal of Medicine and Medical Research

Most cited references 15

Development and psychometric evaluation of the brief HIV Knowledge Questionnaire.

Development of the Perceived Risk of HIV Scale

Cost-effectiveness of community-based strategies to strengthen the continuum of HIV care in rural South Africa: a health economic modelling analysis

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