Amsterdam 2015
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| Abstract #2336 - Generation 2.0 - using the internet in the fight against HIV | ||||
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Session: 37.5: Generation 2.0 - using the internet in the fight against HIV (Symposium) on Thursday @ 14.30-16.00 in C002 Chaired by Tawanda Makusha, Alastair van Heerden Authors: Presenting Author: Mr Sachin De Stone - The University of Oxford, United Kingdom |
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| Additional Authors: | ||||
| Aim: Evidence from high-income countries indicates that the use of ACASI increases rates of reporting for sexual HIV risk behaviours. This is the first study aiming to develop an effective touch screen ACASI interface on tablets to measure HIV prevalence and sexual HIV risk behaviours among a rural, poor, low educated and low literacy South African population. It also compares ACASI to a traditional face-to-face interview. | ||||
| Method / Issue: Five stages of focus groups established culturally acceptable designs and questions. Five stages of piloting for the ACASI established a usable and engaging interface. Questions focused on validated measures of HIV, ARV use, CD4 counts, risky sexual behaviour and violence victimisation. By July 2015, ACASI (N=700) and face-to-face (N=250) questionnaires will have been completed by adolescents (10-17) and their adult primary caregivers. | ||||
| Results / Comments: During piloting, adolescents exclusively reported positive experiences with ACASI stating privacy, comfort and inclination to be honest, as high. Whilst caregivers often initially struggled to operate a touch screen tablet, the majority were able to complete the ACASI section with only minor assistance. Nonetheless, none reported a breach in privacy and acceptability remained high. When asked to explain functionality and demonstrate on practice questions almost all participants were able to do so. Test-re-test and checking questions showed high corroboration. Response options were severely restricted and certain qualitative or detailed questions had to be cut to avoid complication. Reporting rates and internal consistency thus far corroborate with research in the high-income countries. A complete comparison of reporting rates, internal consistency and cost and time effectiveness will be completed in July 2015. ACASI has been found to be more participant-friendly regarding use, privacy and control than traditional face-to-face interviews with all except elderly participants where some assistance is required. | ||||
| Discussion: A touch screen ACASI questionnaire is workable and acceptable in rural Southern Africa with low literacy populations. Such touch screen ACASI technology could be instrumental to the collection of high quality data concerning HIV in areas of high prevalence that has been, until now, unavailable. | ||||
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