Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study

dc.contributor.authorMcHenry, Megan S.
dc.contributor.authorApondi, E.
dc.contributor.authorMcAteer, C.I.
dc.contributor.authorNyandiko, W.M.
dc.contributor.authorFischer, L.J.
dc.contributor.authorOmbitsa, A.R.
dc.contributor.authorAluoch, J.
dc.contributor.authorScanlon, M.L.
dc.contributor.authorVreeman, R.C.
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2020-02-24T19:36:43Z
dc.date.available2020-02-24T19:36:43Z
dc.date.issued2018-09
dc.description.abstractBACKGROUND: Overwhelmed, under-trained medical staff working in resource-limited settings need efficient resources for HIV disclosure counselling. The objective of this study was to describe providers' experiences using tablet computers for disclosure-related counselling with HIV-infected children and their caregivers in western Kenya, with additional perspectives from adolescents. METHODS: A qualitative study design was implemented at three HIV clinics in western Kenya (Bumala, Busia and Port Victoria) within the Academic Model Providing Access to Healthcare (AMPATH) partnership. Twenty-one healthcare providers involved with paediatric disclosure were recruited and enrolled in the study. Initial interviews focused on understanding current disclosure practices and barriers. Tablets containing disclosure-related resources were distributed. Resources included short narrative videos created in this context to highlight issues relevant to child HIV disclosure. RESULTS: Providers reported tablets improved disclosure, child participation, and medication adherence. All reported that reviewing materials increased their knowledge and comfort with disclosure. The most frequently used materials were the narrative videos and an animated video explaining the importance of medication adherence. Time was a major barrier for using the tablet. Clinician self-education persisted at one-year follow-up. Adolescents expressed enjoyment from viewing the tablet resources and had a better understanding of the importance of medication adherence. CONCLUSIONS: Tablet computers containing resources for disclosure are an acceptable and potentially effective resource to help providers support families with disclosure. Further work is needed to train the clinical providers in using the resources in a developmentally appropriate manner, and to develop new resources on adolescent-specific and HIV-related topics.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationMcHenry, M. S., Apondi, E., McAteer, C. I., Nyandiko, W. M., Fischer, L. J., Ombitsa, A. R., Aluoch, J., Scanlon, M. L., & Vreeman, R. C. (2018). Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study. African journal of AIDS research : AJAR, 17(3), 249–258. https://doi.org/10.2989/16085906.2018.1509101en_US
dc.identifier.urihttps://hdl.handle.net/1805/22136
dc.language.isoen_USen_US
dc.publisherTaylor & Francisen_US
dc.relation.isversionof10.2989/16085906.2018.1509101en_US
dc.relation.journalAfrican Journal of AIDS Researchen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectHIVen_US
dc.subjectCounselling toolsen_US
dc.subjectElectronic resourcesen_US
dc.subjectMental healthen_US
dc.subjectTablet computersen_US
dc.subjectYouthen_US
dc.titleTablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot studyen_US
dc.typeArticleen_US
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