Changes in HIV needs identified by the National AIDS Hotline of Trinidad and Tobago

Reid, Sandra D.; Nielsen, Anders; Reddock, Rhoda

doi:10.1590/s1020-49892010000200002

Cited by 7 publications

(14 citation statements)

References 22 publications

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“…One study’s participants were adults over the age of 15, rather than 18, but the article was included because the focus was on adult health-information needs and included a large ( n = 841) adult sample (Gogna, Pecheny, Ibarlucía, Manzelli, & López, 2009). The final sample thus consisted of 11 articles (Almeida & Vieira, 2009; Alva et al, 2007; Araya et al, 2013; Boryc et al, 2010; Cardona-Arias, 2010; Curioso & Kurth, 2007; Gogna et al, 2009; Jacobson et al, 2012; Llanos Zavalaga et al, 2006; Reid, Nielsen, & Reddock, 2010; Sanchez et al, 2009). …”

Section: Resultsmentioning

confidence: 99%

“…Some focused on specific concerns, such as oral or reproductive health (Gogna et al, 2009; Sanchez et al, 2009), or on treatment information (Almeida & Vieira, 2009), while others focused on general health-information needs (Araya et al, 2013; Jacobson et al, 2012). Other studies considered information needs from a health services improvement perspective (Boryc et al, 2010; Cardona-Arias, 2010; Llanos Zavalaga et al, 2006; Reid et al, 2010). The remaining studies explored whether technology could assist in health-information exchange between providers and patients (Alva et al, 2007; Curioso & Kurth, 2007).…”

Section: Resultsmentioning

confidence: 99%

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Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature

Stonbraker

Larson

2016

AIDS Care

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An assessment of information needs is essential for care planning for patients living with chronic diseases such as human immunodeficiency virus (HIV). The extent to which these assessments have been conducted in Latin America and the Caribbean (LAC) is unknown. The purpose of this study was, therefore, to identify, evaluate, and summarize what research has been conducted to examine patient perceptions of their health-information needs among adults living with HIV in LAC. Using an integrative review methodology, a literature search of six databases was conducted in April and May 2015. Inclusion criteria were peer-reviewed articles published in English or Spanish that assessed the information needs of HIV-positive patients living in LAC. The quality of included articles was assessed and relevant characteristics of each article were extracted, compared, and presented. Searches returned 1885 citations, 11 of which met inclusion criteria. Studies included were conducted in 8 of 33 countries, used multiple research designs, demonstrated varying needs between populations, and found numerous unmet information needs. Information about HIV in general, methods of infection transmission, antiretroviral medications, other sexually transmitted diseases, and effective coping mechanisms were the most commonly mentioned needs. Healthcare providers were the largest and most reliable source of health information for many participants and it was emphasized that in order for health education to be effective, programs should include both individual and group components. Patients indicated that they may have difficulty processing and using information through an incorrect understanding of medications, not changing risk behaviors, and by stating that information can be overwhelming or poorly communicated. Further research on information needs is warranted so that healthcare providers and organizations may provide the information patients need to appropriately manage their health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature

Stonbraker

Larson

2016

AIDS Care

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“…36 There has also been a reduction in HIV-related stigma and increased testing. The same review however draws the disturbing conclusion that current HIV prevention approaches have failed to substantially impact sexual behavior.…”

Section: Reid Et Al 69mentioning

confidence: 99%

Alcohol, Drugs, Sexual Behavior, and HIV in Trinidad and Tobago—The Way Forward

Reid

Malow

Rosenberg

2011

Journal of the International Association of Physicians in AIDS

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The HIV epidemic in Trinidad and Tobago is primarily heterosexual, fueled by a high level of risky sex, gender inequality, and alcohol and drug use; however, the influence of alcohol and drugs has been neglected in the literature. Research shows that current HIV prevention approaches have failed to substantially impact sexual behavior change. This may be so because they do not incorporate a comprehensive understanding of the sociocultural factors underlying sexual behavior. There is an urgent need to understand how socially accepted patterns of alcohol and drug use contribute to sexual behaviors and HIV risk in Trinidad and Tobago. Moreover, specialized, evidence-based interventions are needed for HIV-infected substance abusers. Using an adaptation of the cognitive behavioral stress management (CBSM) protocol, this intervention project aimed to assess effectiveness in reducing relapse and risky behaviors among recovering HIV-infected substance abusers in Trinidad and Tobago.

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“…[7] Information garnered from analysis of call contents can also be used to help select the topics needed to be covered in HIV communication campaigns in SA. [9,11,29] As was noted in this study, achieving a balance between providing information on the one hand and psychosocial counselling on the other in a once-off, short exchange can be difficult: a focus on providing information sometimes came across as being neutral or not empathetic. Also, the provision of comprehensive information needs to be weighed against ensuring that the caller knows what steps are required next.…”

Section: Discussionmentioning

confidence: 88%

“…[10,11] The number of calls and characteristics of callers also fluctuate over time, as needs for information and counselling shift with the epidemic [11] and as new HIV services become available. [10] The role of helplines has shifted again with HIV self-testing, where the bulk of post-test counselling for self-testers may take place on helplines.…”

Section: Researchmentioning

confidence: 99%

Quality of counselling and support provided by the South African National AIDS Helpline: Content analysis of mystery client interviews

et al. 2018

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Background. Telephone helplines can facilitate referral, education and support for patients living with HIV or those concerned about the infection. The anonymity of helplines facilitates discussion of sensitive issues that are difficult to raise face to face. These services could support the expansion of HIV self-testing. However, maintaining quality and standardising messages in rapidly evolving fields such as HIV is challenging. Objectives. To evaluate the quality of the South African (SA) National AIDS Helpline. Methods. Mystery clients posing as members of the public made 200 calls to the service in 2014. They presented several scenarios, including having received HIV-positive results from a doctor's secretary or through self-testing. Following the call, 'clients' completed a semistructured questionnaire on the information received and the caller-counsellor interaction. Results. Calls were answered within a median of 5 seconds (interquartile range 2 -14). Conversations took place in 8 of the 11 SA official languages, though mainly in English. Overall, 75% of callers felt that with the information they received they could locate a nearby clinic for further services. Counsellors expressed appropriate levels of concern about inadequate counselling that callers had received and confidentiality breaches in some scenarios. Eight counsellors incorrectly mentioned the need for a waiting period to confirm a positive result. Consistent with policy, almost all said that being foreign would not affect HIV treatment access. About 90% explained the need for CD4+ testing and antiretroviral therapy, but only 78% discussed HIV prevention. Counsellors were mostly empathetic (83%), though some adopted a neutral tone (10%) or were brusque (6%) or unhelpful (2%). Conclusions. Overall, helpline counsellors were proficient at providing information about local clinics, HIV testing and steps needed for initiating ART. Dissatisfaction with the caller-counsellor interactions, instances of incorrect information and the relatively low attention accorded to HIV prevention are worrying, however. Training for both refreshing and updating knowledge, and supervision and monitoring of calls, could target these areas.

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Changes in HIV needs identified by the National AIDS Hotline of Trinidad and Tobago

Cited by 7 publications

References 22 publications

Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature

Health-information needs of HIV-positive adults in Latin America and the Caribbean: an integrative review of the literature

Alcohol, Drugs, Sexual Behavior, and HIV in Trinidad and Tobago—The Way Forward

Quality of counselling and support provided by the South African National AIDS Helpline: Content analysis of mystery client interviews

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