Social network strategies in HIV medicine

The article contains a review of domestic and foreign literature on the use of social networking technologies — analysis of social networks and network interventions — in HIV medicine as promising, cost-effective and sustainable measures to improve HIV prevention and treatment outcomes in the framework of UNAIDS 90–90–90 program. The article described practical experience of using social network analysis to explain differences in the prevalence of HIV infection, including evaluation the behavioral risk levels among persons injecting drugs and the frequency of use of barrier contraceptives. The review reflects examples of the use of the most popular network interventions such as peer education and the Popular Opinion Leader for HIV prevention and for engaging people living with HIV into the medical monitoring and care. In addition, the experience of using innovative social network technologies in St. Petersburg in Russia is described.

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Improving communication about HIV prevention among people living with HIV and their at-risk social network members in Dar es Salaam, Tanzania

Cogent Medicine ◽

10.1080/2331205x.2019.1600230 ◽

2019 ◽

Vol 6 (1) ◽

pp. 1600230 ◽

Cited By ~ 1

Author(s):

Hellen Siril ◽

Anna Kaale ◽

Anna Minja ◽

Japheth Kilewo ◽

Ferdinand Mugusi ◽

...

Keyword(s):

At Risk ◽

Social Network ◽

Hiv Prevention ◽

Dar Es Salaam ◽

People Living With Hiv ◽

Living With Hiv

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The Utilisation of Payment Models Across the HIV Continuum of Care: Systematic Review of Evidence

AIDS and Behavior ◽

10.1007/s10461-021-03329-2 ◽

2021 ◽

Author(s):

Tiago Rua ◽

Daniela Brandão ◽

Vanessa Nicolau ◽

Ana Escoval

Keyword(s):

Positive Impact ◽

Cost Effective ◽

Relative Magnitude ◽

Hiv Care ◽

People Living With Hiv ◽

Hiv Continuum Of Care ◽

Clinical Conditions ◽

Study Designs ◽

Living With Hiv ◽

Payment Models

AbstractThe increasing chronicity and multimorbidities associated with people living with HIV have posed important challenges to health systems across the world. In this context, payment models hold the potential to improve care across a spectrum of clinical conditions. This study aims to systematically review the evidence of HIV performance-based payments models. Literature searches were conducted in March 2020 using multiple databases and manual searches of relevant papers. Papers were limited to any study design that considers the real-world utilisation of performance-based payment models applied to the HIV domain. A total of 23 full-text papers were included. Due to the heterogeneity of study designs, the multiple types of interventions and its implementation across distinct areas of HIV care, direct comparisons between studies were deemed unsuitable. Most evidence focused on healthcare users (83%), seeking to directly affect patients' behaviour based on principles of behavioural economics. Despite the variability between interventions, the implementation of performance-based payment models led to either a neutral or positive impact throughout the HIV care continuum. Moreover, this improvement was likely to be cost-effective or, at least, did not compromise the healthcare system’s financial sustainability. However, more research is needed to assess the durability of incentives and its appropriate relative magnitude.

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The Mae on Project: Using Acupuncture for Symptom Relief and Improved Quality of Life for People Living with Hiv and Aids in Rural Thailand

Acupuncture in Medicine ◽

10.1136/aim.2008.000299 ◽

2010 ◽

Vol 28 (1) ◽

pp. 37-41 ◽

Cited By ~ 2

Author(s):

Laura Louie ◽

Nopporn Pathanapornpandh ◽

Unchalee Pultajuk ◽

Robert Kaplan ◽

Ian Hodgson ◽

...

Keyword(s):

Symptom Relief ◽

Cost Effective ◽

Integrated Approach ◽

Hiv And Aids ◽

People Living With Hiv ◽

Preliminary Evaluation ◽

Related Symptom ◽

History Of ◽

Living With Hiv

Acupuncture in combination with antiretroviral therapies is a potentially useful treatment for HIV-related symptom relief in resource-poor settings. Traditional Chinese medicine has a long history of being used to enhance immune function. In the setting of HIV, Chinese traditional medicine allows for symptom treatment without adding extra medications to a complex drug regime. This paper provides details of a project at Mae On Hospital in rural northern Thailand where allopathic/conventional treatments are used in tandem with acupuncture. A preliminary evaluation of the project suggests that an integrated approach to symptom relief is viewed positively by respondents receiving acupuncture, though further studies are required to confirm the association between acupuncture and symptom relief. The project also demonstrates the feasibility of developing a cost-effective acupuncture programme using local healthcare staff.

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Stigma, gay men and biomedical prevention: the challenges and opportunities of a rapidly changing HIV prevention landscape

Sexual Health ◽

10.1071/sh16052 ◽

2017 ◽

Vol 14 (1) ◽

pp. 111 ◽

Cited By ~ 15

Author(s):

Graham Brown ◽

William Leonard ◽

Anthony Lyons ◽

Jennifer Power ◽

Dirk Sander ◽

...

Keyword(s):

Hiv Prevention ◽

Gay Men ◽

Sexual Minorities ◽

Research Policy ◽

Scale Up ◽

People Living With Hiv ◽

Structural Level ◽

Biomedical Technologies ◽

Living With Hiv ◽

The Impact

Improvements in biomedical technologies, combined with changing social attitudes to sexual minorities, provide new opportunities for HIV prevention among gay and other men who have sex with men (GMSM). The potential of these new biomedical technologies (biotechnologies) to reduce HIV transmission and the impact of HIV among GMSM will depend, in part, on the degree to which they challenge prejudicial attitudes, practices and stigma directed against gay men and people living with HIV (PLHIV). At the structural level, stigma regarding gay men and HIV can influence the scale-up of new biotechnologies and negatively affect GMSM’s access to and use of these technologies. At the personal level, stigma can affect individual gay men’s sense of value and confidence as they negotiate serodiscordant relationships or access services. This paper argues that maximising the benefits of new biomedical technologies depends on reducing stigma directed at sexual minorities and people living with HIV and promoting positive social changes towards and within GMSM communities. HIV research, policy and programs will need to invest in: (1) responding to structural and institutional stigma; (2) health promotion and health services that recognise and work to address the impact of stigma on GMSM’s incorporation of new HIV prevention biotechnologies; (3) enhanced mobilisation and participation of GMSM and PLHIV in new approaches to HIV prevention; and (4) expanded approaches to research and evaluation in stigma reduction and its relationship with HIV prevention. The HIV response must become bolder in resourcing, designing and evaluating programs that interact with and influence stigma at multiple levels, including structural-level stigma.

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Getting the right message: a content analysis and application of the health literacy INDEX tool to online HIV resources in Australia

Health Education Research ◽

10.1093/her/cyaa042 ◽

2020 ◽

Author(s):

Corie Gray ◽

Gemma Crawford ◽

Roanna Lobo ◽

Bruce Maycock

Keyword(s):

Content Analysis ◽

Health Literacy ◽

Hiv Prevention ◽

Immune Deficiency Syndrome ◽

Deficiency Syndrome ◽

Average Score ◽

People Living With Hiv ◽

Literacy Assessment ◽

Hiv Knowledge ◽

Missed Opportunities

Abstract Health literacy is considered by some as a determinant of health. Research suggests that different levels of health literacy may be associated with human immunodeficiency virus (HIV) knowledge and behaviour, including willingness to test. This study assessed the health literacy demands of existing Australia HIV prevention resources available online using a health literacy assessment and content analysis. Two reviewers assessed 66 resources using the Health Literacy INDEX. Sixty-one (92%) scored below 50%, with an average score of 35.5%. A coding frame was developed to conduct a content analysis of the resources excluding videos, multiple webpages and booklets (n = 52). We coded for six categories of knowledge: HIV knowledge (100% of resources), transmission (96%), acquired immune deficiency syndrome (AIDS) knowledge (88%), testing (87%), consequence of infection (85%) and prevention (77%). We found that resources required a reading grade above grade 8, and very few resources considered audience appropriateness. There were missed opportunities to encourage HIV prevention or testing. Some resources used incorrect language to refer towards people living with HIV, and transmission and prevention messages were often inconsistent. Guidelines for developing HIV prevention resources are warranted to improve health literacy, accessibility and appropriateness of resources and ensure consistent messages and framing of HIV risk.

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Chirping for Large-Scale Maritime Archaeological Survey: A Strategy Developed from a Practical Experience-Based Approach

Journal of Archaeology ◽

10.1155/2014/147390 ◽

2014 ◽

Vol 2014 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Ole Grøn ◽

Lars Ole Boldreel

Keyword(s):

Large Scale ◽

Cost Effective ◽

Practical Experience ◽

Archaeological Sites ◽

Archaeological Survey ◽

Sea Floor ◽

Mapping Strategy ◽

Line Spacing ◽

Definition Of ◽

Subbottom Profiling

Archaeological wrecks exposed on the sea floor are mapped using side-scan and multibeam techniques, whereas the detection of submerged archaeological sites, such as Stone Age settlements, and wrecks, partially or wholly embedded in sea-floor sediments, requires the application of high-resolution subbottom profilers. This paper presents a strategy for cost-effective, large-scale mapping of previously undetected sediment-embedded sites and wrecks based on subbottom profiling with chirp systems. The mapping strategy described includes (a) definition of line spacing depending on the target; (b) interactive surveying, for example, immediate detailed investigation of potential archaeological anomalies on detection with a denser pattern of subbottom survey lines; (c) onboard interpretation during data acquisition; (d) recognition of nongeological anomalies. Consequently, this strategy differs from those employed in several detailed studies of known wreck sites and from the way in which geologists map the sea floor and the geological column beneath it. The strategy has been developed on the basis of extensive practical experience gained during the use of an off-the-shelf 2D chirp system and, given the present state of this technology, it appears well suited to large-scale maritime archaeological mapping.

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Text-Messaging, Online Peer Support Group, and Coaching Strategies to Optimize the HIV Prevention Continuum for Youth: Protocol for a Randomized Controlled Trial

JMIR Research Protocols ◽

10.2196/11165 ◽

2019 ◽

Vol 8 (8) ◽

pp. e11165 ◽

Cited By ~ 6

Author(s):

Dallas Swendeman ◽

Elizabeth Mayfield Arnold ◽

Danielle Harris ◽

Jasmine Fournier ◽

W Scott Comulada ◽

...

Keyword(s):

High Risk ◽

Hiv Prevention ◽

Peer Support ◽

Text Messaging ◽

Behavioral Interventions ◽

Homeless Youth ◽

Cost Effective ◽

Evidence Based ◽

Transgender Youth ◽

Sti Testing

Background America’s increasing HIV epidemic among youth suggests the need to identify novel strategies to leverage services and settings where youth at high risk (YAHR) for HIV can be engaged in prevention. Scalable, efficacious, and cost-effective strategies are needed, which support youth during developmental transitions when risks arise. Evidence-based behavioral interventions (EBIs) have typically relied on time-limited, scripted, and manualized protocols that were often delivered with low fidelity and lacked evidence for effectiveness. Objective This study aims to examine efficacy, implementation, and cost-effectiveness of easily mountable and adaptable, technology-based behavioral interventions in the context of an enhanced standard of care and study assessments that implement the guidelines of Centers for Disease Control and Prevention (CDC) for routine, repeat HIV, and sexually transmitted infection (STI) testing for high-risk youth. Methods Youth aged between 12 and 24 years (n=1500) are being recruited from community-based organizations and clinics serving gay, bisexual, and transgender youth, homeless youth, and postincarcerated youth, with eligibility algorithms weighting African American and Latino youth to reflect disparities in HIV incidence. At baseline and 4-month intervals over 24 months (12 months for lower-risk youth), interviewers monitor uptake of HIV prevention continuum steps (linkage to health care, use of pre- or postexposure prophylaxis, condoms, and prevention services) and secondary outcomes of substance use, mental health, and housing security. Assessments include rapid diagnostic tests for HIV, STIs, drugs, and alcohol. The study is powered to detect modest intervention effects among gay or bisexual male and transgender youth with 70% retention. Results The project was funded in September 2016 and enrollment began in May 2017. Enrollment will be completed between June and August 2019. Data analysis is currently underway, and the first results are expected to be submitted for publication in 2019. Conclusions This hybrid implementation-effectiveness study examines alternative models for implementing the CDC guidelines for routine HIV/STI testing for YAHR of acquiring HIV and for delivering evidence-based behavioral intervention content in modular elements instead of scripted manuals and available over 24 months of follow-up, while also monitoring implementation, costs, and effectiveness. The greatest impacts are expected for coaching, whereas online group peer support is expected to have lower impact but may be more cost-effective. Trial Registration ClinicalTrials.gov NCT03134833; https://clinicaltrials.gov/ct2/show/NCT03134833 (Archived by WebCite at http://www.webcitation.org/76el0Viw9) International Registered Report Identifier (IRRID) DERR1-10.2196/11165

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EVALUASI PENERIMAAN JEJARING SOSIAL GOOGLE+ PADA SISWA SEKOLAH MENENGAH ATAS DI WILAYAH JAKARTA SELATAN

Jurnal Sistem Informasi ◽

10.21609/jsi.v10i2.389 ◽

2015 ◽

Vol 10 (2) ◽

pp. 78

Author(s):

Abdul Mufti ◽

Fitriana Destiawati ◽

Tri Yani Akhirina

Keyword(s):

High School ◽

High School Students ◽

Social Network ◽

Social Networking ◽

Structural Equation ◽

Equation Model ◽

School Students ◽

Use Of Technology ◽

Analysis Technique ◽

Networking Technologies

Based on the research in the first year high school students in Jakarta Google+ social networking technologies application is ready and accept the Google+ social networking technology but not to the use of a continuous basis. Therefore there is need for the development of the research is to use the model Unified Theory Of Acceptance And Use Of Technology (UTAUT). This study was conducted to evaluate the acceptance of the Google+ social network that has been done in the first phase of the study. Based on the results of the first phase of the research is still considered less acceptable social networking Google + as a learning medium high school students. The present study is expected to implement Google+ as a social network that can be used to accomplish more tasks. The method used for processing the data is to use the analysis technique of Structural Equation Model (SEM). The results of this study is the use of Google technology among high school students is strongly influenced by the condition of the supporting facilities for both girls and boys. If the environmental conditions and good supporting facilities, the interest of high school students to use technology Google+ will be even greater

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Integrando Facebook en el Modelo de Educación Deportiva: Una experiencia práctica (Integrating Facebook in Sport Education: A practical experience)

Retos ◽

10.47197/retos.v41i0.82876 ◽

2021 ◽

Vol 41 ◽

pp. 718-727

Author(s):

Javier Bernabé Martín ◽

Francisco Javier Fernández-Río

Keyword(s):

Social Network ◽

Practical Experience ◽

Educational Process ◽

Sport Education ◽

Educational Model ◽

Redes Sociales ◽

The Social ◽

Complementary Resource ◽

La Red ◽

Collaborative Activities

El aumento del uso educativo de las redes sociales se debe a que ofrecen recursos que facilitan tanto el seguimiento de la actividad académica como los aspectos sociales inherentes al proceso educativo; sin embargo, estas plataformas no son empleadas habitualmente como un recurso para la educación. Facebook ofrece diversos canales de comunicación y ha mostrado su potencialidad para vehicular las actividades colaborativas entre estudiantes. En esta experiencia se empleó Facebook como entorno para desarrollar las características del modelo de educación deportiva (temporada, afiliación, competición formal, registro sistemático, ambiente festivo y celebración final) en el área de Educación Física, empleando los recursos propios de la red social. Cada una de las características del modelo pedagógico se desarrolló a través de las herramientas de la red social en un grupo creado como recurso complementario a la acción educativa de aula. Los progenitores del alumnado participante se inscribieron y pudieron participar a distancia en la actividad, que se extendió fuera del centro educativo gracias al empleo de Facebook. Los resultados muestran un mayor seguimiento, implicación parental y la construcción de una comunidad de práctica. El modelo educativo utilizado pudo desarrollarse de forma más completa, logrando que el alumnado se mantuviera pendiente de la actividad fuera del centro educativo. Abstract. The increased educational use of social networks is due to the fact that they offer resources that facilitate both the monitoring of academic activity and the social aspects inherent in the educational process; however, these platforms are not usually used as a resource for education. Facebook offers various channels of communication and has shown its potential for channeling collaborative activities between students. In this experience, Facebook was used as an environment to develop the characteristics of the sports education model (season, affiliation, formal competition, systematic registration, festive atmosphere and final celebration) in the area of Physical Education, using the resources of the social network. Each of the characteristics of the educational model was developed through the tools of the social network in a group created as a complementary resource to the educational action in the classroom. The parents of the participating students registered and were able to participate in the activity from a distance, which was extended outside the school thanks to the use of Facebook. The results showed increased monitoring, parental involvement, and the building of a community of practice. The educational model used was fully developed, helping the students “keep an eye” on the activity outside the school.

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