Online Program

Positive Health Check (PHC): Formative Work Supporting the Development of a Web-Based Video Counseling Intervention for People Attending HIV Primary Care Clinics

Tuesday, November 3, 2015

Camilla Harshbarger, Ph.D., Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Olivia Taylor, MPH, Science in the Public Sphere, RTI International, Research Triangle Park, NC
Jennifer Uhrig, PhD, Social & Behavior Change Research, RTI International, Research Triangle Park, NC
Megan Lewis, PhD, Patient & Family Engagement Research Program, Research Triangle Institute International, Research Triangle Park, NC
Background:Formative inquiries were conducted to develop a web-based video counseling intervention that is appealing and acceptable to people living with HIV (PLWH) in clinical care and their clinicians.  Innovative digital strategies that can be taken to scale are needed to support PLWH in primary care.

Methods:A panel of 14 technical consultants (TCs), 7 HIV-positive patients and 7 HIV primary care providers, gave feedback on PHC development over a 15-month period. TCs answered series of questions in seven individual and two group webinars providing feedback on script content, intervention design, and implementation processes. TC feedback was analyzed with descriptive statistics and qualitative analysis.

Results:  TCs’ feedback resulted in revising draft content of scripts to be more motivational (e.g., protect your partners), and improving the usability of handouts generated from patients’ interactions with PHC (e.g., ratings on the provider handout improved between versions 1 and 2 from 3 to 6 out of 7 providers reporting they would use it with patients). Tailoring of messages included the addition of hepatitis C and STD screening for MSM. Design input included selection of 4 video doctors, layout of the user interface, and creation of the clinic filmset.

Conclusion:  PHC responds to the opinions and needs of HIV patients and providers, and so may be more accepted by them and integrated into clinic settings. In 2015, an implementation evaluation of PHC will be conducted in four primary care HIV clinics.

Learning Areas:

Assessment of individual and community needs for health education
Basic medical science applied in public health
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the development of a tailored online intervention for HIV treatment and prevention Discuss how to tailor behavioral interventions to meet the needs of HIV primary care providers and people living with HIV attending HIV primary care clinics Demonstrate how a technical consultant panel contributes to the development of a behavioral intervention

Keyword(s): HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the associate project director on this project. Additionally, I have worked in developing and evaluating HIV prevention interventions and communication campaigns for over 7 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.