Intensive Group Learning and On-Site Services to Improve Sexual and Reproductive Health Among Young Adults in Liberia: A Randomized Evaluation of<i>HealthyActions</i>

Firestone, Rebecca; Moorsmith, Reid; James, Simon J.; Urey, Marilyn; R, Greifinger; Lloyd, Danielle; Hartenberger-Toby, Lisa; Gausman, Jewel; Sanoe, Musa

doi:10.9745/ghsp-d-16-00074

Cited by 7 publications

(16 citation statements)

References 16 publications

(18 reference statements)

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“…All of the studies from high-income countries took place in the US (N=14)16,29–41 and will be referred to as US from here forward. The low- and middle-income countries included South Africa (N=6),42–47 Kenya (N=4),48–51 Bangladesh (N=2),52,53 Zambia (N=2),45,54 Liberia (N=1),55 Ethiopia (N=1),56 Malawi (N=1),57 Mozambique (N=1),58 Myanmar (N=1),59 Ghana (N=1),60 Indonesia (N=1),61 Zimbabwe (N=1),62 Uganda (N=1),48 and Haiti (N=1)63 with two studies taking place in more than one country 45,48. The interventions were organized into six categories as defined in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…The interventions were organized into six categories as defined in Table 3. The interventions to increase HIV testing among adolescents and young adults consisted of behavioral/educational interventions (N=4)29,30,55,56, alternate venue/self-testing (N=11),31–34,42–45,50,57,58 youth-friendly services (N=2),59,60 technology/mobile health (N=9),16,35–39,49,51,61 incentives (N=3),53,54,62 and peer/community-based interventions (N=7) 40,41,46–48,52,63. The median sample size was 613 individuals (inter-quartile range=261–2,169).…”

Section: Resultsmentioning

confidence: 99%

“…The median sample size was 613 individuals (inter-quartile range=261–2,169). The types of studies included RCTs (N=13),29,31,36,38,39,42,45,47,49,51,55,60,62 observational studies (N=15),16,32–35,41,44,58,61 and quasi-experimental/pre–post evaluations (N=8) 30,37,40,46,52,54,56,59…”

Section: Resultsmentioning

confidence: 99%

“…Of the remaining ten RCTs, both random sequence generation and allocation concealment were discernible for four studies from their study methods 36,51,55,60. Two studies reported random sequence generation only 31,38.…”

Section: Resultsmentioning

confidence: 99%

“…In low- and middle-income countries, two studies provided educational materials and behavioral interventions55,56 with one RCT 55. In Liberia, 1,052 out-of-school adolescents and young adults aged 15–35 years were randomized to receive standard care versus HealthyActions, a 6-day intensive group learning on sexual and reproductive health 55. At the completion of the study, participants in the control group (42%) were less likely to undergo HIV testing (OR 0.45; 95% CI 0.38–0.53; P <0.001) than the intervention group (88%).…”

Section: Interventionsmentioning

confidence: 99%

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Screening for HIV and linkage to care in adolescents: insights from a systematic review of recent interventions in high- versus low- and middle-income settings

Zanoni¹,

Elliott²,

Neilan

et al. 2018

AHMT

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IntroductionCompared to adults, adolescents and young adults have a higher incidence of HIV infection, yet lower rates of HIV testing. Few evidence-based interventions effectively diagnose new HIV infections among adolescents while successfully providing linkage to care.MethodsWe conducted a systematic review of recent interventions to increase HIV testing among adolescents and young adults using data retrieved from PubMed and Google Scholar, and using abstracts presented at the International AIDS Society conferences and Conference on Retroviruses and Opportunistic Infections published between January 1, 2015, and April 28, 2018.ResultsWe identified 36 interventions (N=14 in high- income countries and N=22 in low- and middle-income countries) that were published in the literature (N=28) or presented at conferences (N=8). Interventions were categorized as behavioral/educational, alternate venue/self-testing, youth-friendly services, technology/mobile health, incentives, or peer-based/community-based interventions. The studies consisted of randomized controlled trials (RCTs), prospective and retrospective observational studies, and quasi-experimental/pre–post evaluations with variable sample sizes. Study designs, populations, and settings varied. All categories showed some degree of acceptability, yet not all interventions were effective in increasing HIV testing. Effectiveness was seen in more than one RCT involving technology/mobile health (2/3 RCTs) and alternative venue/self-testing (3/3 RCTs) interventions, and only in one RCT each for behavioral interventions, community interventions, and incentives. There were no effective RCTs for adolescent-friendly services. Data were limited on the number of new infections identified and on the methods to increase linkage to care after diagnosis.ConclusionFuture studies should include combinations of proven methods for engaging adolescents in HIV testing, while ensuring effective methods of linkage to care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

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Screening for HIV and linkage to care in adolescents: insights from a systematic review of recent interventions in high- versus low- and middle-income settings

Zanoni¹,

Elliott²,

Neilan

et al. 2018

AHMT

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Involving men and boys in family planning: A systematic review of the effective components and characteristics of complex interventions in low‐ and middle‐income countries

Aventin

Robinson

Hanratty

et al. 2023

Campbell Systematic Reviews

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Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low‐ and middle‐income countries (LMICs)

Bose¹,

Hundal²,

Singh

et al. 2023

Campbell Systematic Reviews

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Background Adolescent girls and young women (AGYW), aged 15–24 years, are disproportionately affected by HIV and other sexual and reproductive health (SRH) risks due to varying social, cultural, and economic factors that affect their choices and shape their knowledge, understanding, and practices with regard to their health. Socio‐Behavioral Change Communication (SBCC) interventions targeted at strengthening the capabilities of individuals and their networks have supported the demand and uptake of prevention services and participation in biomedical research. However, despite growing global recognition of the domain, high‐quality evidence on the effectiveness of SBCC remains scattered. This evidence and gap map (EGM) report characterizes the evidence base on SBCC interventions for strengthening HIV Prevention and Research among AGYW in low‐ and middle‐income countries (LMICs), identifying evidence gaps and outlining the scope of future research and program design. Objectives The objectives of the proposed EGM are to: (a) identify and map existing EGMs in the use of diverse SBCC strategies to strengthen the adoption of HIV prevention measures and participation in research among AGYW in LMICs and (b) identify areas where more interventions and evidence are needed to inform the design of future SBCC strategies and programs for AGYW engagement in HIV prevention and research. Methods This EGM is based on a comprehensive search of systematic reviews and impact evaluations corresponding to a range of interventions and outcomes—aimed at engaging AGYW in HIV prevention and research ‐ that were published in LMICs from January 2000 to April 2021. Based on guidance for producing a Campbell Collaboration EGM, the intervention and outcome framework was designed in consultation with a group of experts. These interventions were categorized across four broad intervention themes: mass‐media, community‐based, interpersonal, and Information Communication and Technology (ICT)/Digital Media‐based interventions. They were further sub‐categorized into 15 intervention categories. Included studies looked at 23 unique behavioral and health outcomes such as knowledge attitude and skills, relationship dynamics, household dynamics, health care services, and health outcomes and research engagement. The EGM is presented as a matrix in which the rows are intervention categories/sub‐categories, and the columns are outcome domains/subdomains. Each cell is mapped to an intervention targeted at outcomes. Additional filters like region, country, study design, age group, funding agency, influencers, population group, publication status, study confidence, setting, and year of publication have been added. Selection Criteria To be eligible, studies must have tested the effectiveness of SBCC interventions at engaging AGYW in LMICs in HIV prevention and research. The study sample must have consisted of AGYW between the ages of 15–24, as defined by UNAIDS. Both experimental (random assignment) and quasi‐experimental studies that included a compariso...

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Intensive Group Learning and On-Site Services to Improve Sexual and Reproductive Health Among Young Adults in Liberia: A Randomized Evaluation ofHealthyActions

Abstract: Combining intensive group learning and provision of on-site reproductive health services through an existing alternative basic education program increased use of contraception and HIV testing and counseling among young out-of-school Liberians.

Cited by 7 publications

References 16 publications

Screening for HIV and linkage to care in adolescents: insights from a systematic review of recent interventions in high- versus low- and middle-income settings

Screening for HIV and linkage to care in adolescents: insights from a systematic review of recent interventions in high- versus low- and middle-income settings

Involving men and boys in family planning: A systematic review of the effective components and characteristics of complex interventions in low‐ and middle‐income countries

Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low‐ and middle‐income countries (LMICs)

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