Adaptation of evidence-based approaches to promote HIV testing and treatment engagement among high-risk Nigerian youth

Background Nigeria has the second highest number of people living with HIV (PLWH) globally, and evidence-based approaches are needed to achieve national goals to identify, treat, and reduce new infections. Youth between the ages of 15–24, including young men who have sex with men (YMSM), are disproportionately impacted by the Nigerian HIV epidemic. The purpose of this study was to inform adaptation of evidence-based peer navigation and mHealth approaches (social media outreach to promote HIV testing; short messaging service text message reminders to promote HIV treatment engagement) to the local context within iCARE Nigeria, a multi-phase study designed to investigate combination interventions to promote HIV testing and care engagement among youth in Nigeria. Methods To elicit expert and community perspectives, a local group of advisors from academia, community, and governmental sectors provided feedback on intervention adaptation, which then informed a series of focus groups with stakeholders in Ibadan, Nigeria. Focus group data were collected over a period of three days in December of 2018. Participants in focus groups included YMSM and HIV-positive youth in care ages 16–24, and HIV service providers from local AIDS service organizations (ASO). Groups were stratified by HIV serostatus, gender, and stakeholder type. Focus group sessions were conducted using a semi-structured interview guide, audio-recorded, transcribed verbatim, and analyzed using a content analysis approach. Results Local experts recommended intervention adaptations specific to the status of peer navigators as volunteers, peer characteristics (slightly older age, high maturity level, HIV/YMSM status), and intervention characteristics and resources (low navigator to peer ratio; flexible matching by demographic and social characteristics; social media platforms and content). Five focus group discussions with stakeholders, including 27 participants were conducted to elicit feedback on these and other potential adaptations. Youth participants (n = 21) were mean age 20 years (range = 16–24); 76% HIV-positive, 76% men and 48% MSM. Service providers (n = 6) represented both HIV prevention and care services. Participants across stratified subgroups reported largely positive perceptions and high perceived acceptability of both mHealth and peer navigation strategies, and echoed the recommendations of the advisory group for volunteer-based navigators to promote altruism, with a low navigator-peer ratio (1:5). Participants emphasized the need to incorporate minimal mobile data use strategies and popular social media platforms among YMSM (e.g., Facebook, Grindr) for widespread access and reach of the interventions. Conclusions In Ibadan, Nigeria, stakeholders support the adaptation of combined mHealth and peer navigation strategies to promote HIV testing and care engagement among high-risk youth. Recommended adaptations for the local context reflect concerns about the feasibility and sustainability of the intervention and are expected to improve accessibility and acceptability.

Vision-Based Approaches of the Small Satellites Relative Navigation

This paper means to comprehend vision-based relative navigation strategies which are utilized forsmall/micro satellites. Advancements dependent on this technique are utilized separately or joined with oneanother to deal with relative position issues. The benefits and detriments of vision-based relative navigationmodels change as indicated by space of utilization and stage type. Various strategies and approaches exist andneed distinctive assessment and advanced algorithms for variation, control, and sensor combination. Each ofthe models centering inside expects those ideal disposition conditions. This paper just spotlights on relativeroute and distance point of view. Additionally, the point of this article is to comprehend the connectionbetween's general navigation control frameworks and the adequacy of calculation, which are utilized inassessing the states during gathering or development flight/development.

A Virtual Reality Investigation Of Spontaneous Navigation Strategies And Spatial Memory Performance In Schizophrenia

There is strong evidence that schizophrenia (SCZ) patients perform poorly on spatial memory tasks. We investigated whether these deficits were associated with subdivisions of spatial memory (locale/cognitive map and taxon/response) or whether these deficits represented a general cognitive decline. This study investigated the types of spontaneous navigation strategies used by individuals living with SCZ to solve the 4 on 8 task. It was predicted that SCZ participants who spontaneously chose a spatial strategy would have the longest latencies and make the most errors. Four of five measures of latency and errors produced a medium magnitude effect size (

A Virtual Reality Investigation Of Spontaneous Navigation Strategies And Spatial Memory Performance In Schizophrenia

There is strong evidence that schizophrenia (SCZ) patients perform poorly on spatial memory tasks. We investigated whether these deficits were associated with subdivisions of spatial memory (locale/cognitive map and taxon/response) or whether these deficits represented a general cognitive decline. This study investigated the types of spontaneous navigation strategies used by individuals living with SCZ to solve the 4 on 8 task. It was predicted that SCZ participants who spontaneously chose a spatial strategy would have the longest latencies and make the most errors. Four of five measures of latency and errors produced a medium magnitude effect size (

Age-Related Changes in Spatial Navigation Are Evident by Midlife and Differ by Sex

Accumulating evidence suggests that distinct aspects of successful navigation—path integration, spatial-knowledge acquisition, and navigation strategies—change with advanced age. Yet few studies have established whether navigation deficits emerge early in the aging process (prior to age 65) or whether early age-related deficits vary by sex. Here, we probed healthy young adults (ages 18–28) and midlife adults (ages 43–61) on three essential aspects of navigation. We found, first, that path-integration ability shows negligible effects of sex or age. Second, robust sex differences in spatial-knowledge acquisition are observed not only in young adulthood but also, although with diminished effect, at midlife. Third, by midlife, men and women show decreased ability to acquire spatial knowledge and increased reliance on taking habitual paths. Together, our findings indicate that age-related changes in navigation ability and strategy are evident as early as midlife and that path-integration ability is spared, to some extent, in the transition from youth to middle age.