Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw
{"title":"在乌干达人道主义环境中对难民青年开展的 \"Todurujo na Kadurok（增强青年能力）HIV 病毒自我检测和寓教于乐漫画随机对照试验 \"的结果。","authors":"Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw","doi":"10.1177/23259582241307057","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Humanitarian settings are underserved by HIV self-testing (HIV-ST).</p><p><strong>Methods: </strong>We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions.</p><p><strong>Results: </strong>Retention was 98% (<i>n =</i> 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87-24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58-10.87), with no significant differences in Arm 1.</p><p><strong>Conclusion: </strong>HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241307057"},"PeriodicalIF":2.2000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653462/pdf/","citationCount":"0","resultStr":"{\"title\":\"Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda.\",\"authors\":\"Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw\",\"doi\":\"10.1177/23259582241307057\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Humanitarian settings are underserved by HIV self-testing (HIV-ST).</p><p><strong>Methods: </strong>We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions.</p><p><strong>Results: </strong>Retention was 98% (<i>n =</i> 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87-24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58-10.87), with no significant differences in Arm 1.</p><p><strong>Conclusion: </strong>HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.</p>\",\"PeriodicalId\":17328,\"journal\":{\"name\":\"Journal of the International Association of Providers of AIDS Care\",\"volume\":\"23 \",\"pages\":\"23259582241307057\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653462/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the International Association of Providers of AIDS Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/23259582241307057\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the International Association of Providers of AIDS Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23259582241307057","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda.
Introduction: Humanitarian settings are underserved by HIV self-testing (HIV-ST).
Methods: We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions.
Results: Retention was 98% (n = 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87-24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58-10.87), with no significant differences in Arm 1.
Conclusion: HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.
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