Abstract
Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.
Resumen
Nuevas estrategias son necesarias para ampliar el acceso a intervenciones conductistas efectivas para la prevención del VIH. Entregando intervenciónes basados en grupos a personas que viven con el VIH a través por tecnología de video-conferencia es un enfoque innovador que puede dirigir esta necesidad, pero no ha sido explorado. Veintisiete mujeres que viven con el VIH (WLH) que acaban de completar las “Relaciones Sanas”, un programa basado en grupos de conductista para WLH, tomaron parte en un grupo de foco para compartir sus pensamientos acerca de la posibilidad de tomar parte en “Relaciones Sanas” a través de un grupo de video-conferencia. En general, WLH apoyó la idea de la entrega del programa basado en grupos a través de video-conferencia. Tuvieron numerosas preguntas acerca de la logística, expresaron su preocupación por la seguridad y confidencialidad, y indicaron una preferencia para conseguir acceso al video-conferencia a través de teléfonos de video especiales en vez de computadoras. Las conclusiones justifican investigación adicional en la viabilidad, en la aceptabilidad y en la eficacia de la entrega de video-conferencia basado en grupos sobre las intervenciones de prevención del VIH y sugieren consideraciones importantes para los investigadores y facultativos que pueden emplear video-conferencia para la entrega de intervención.


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Acknowledgments
This work was supported by an Early Career Investigator Award from the College of Public Health at the University of South Florida. During manuscript preparation, Dr. Marhefka (PI) and other authors were supported by a grant from the National Institute of Mental Health (R34 MH092207). We are grateful to our community partner, the Tampa Hillsborough Action Plan, and especially Dr. Lynn Knox and Mr. Guttenburg Pierre, for supporting our efforts. Finally, we would like to thank the women living with HIV who participated in the study.
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Marhefka, S.L., Fuhrmann, H.J., Gilliam, P. et al. Interest in, Concerns About, and Preferences for Potential Video-Group Delivery of an Effective Behavioral Intervention Among Women Living With HIV. AIDS Behav 16, 1961–1969 (2012). https://doi.org/10.1007/s10461-011-0040-x
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DOI: https://doi.org/10.1007/s10461-011-0040-x