Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand

Lolekha, Rangsima; Boon-yasidhi, Vitharon; Leowsrisook, Pimsiri; Naiwatanakul, Thananda; Durier, Yuitiang; Nuchanard, Wipada; Tarugsa, Jariya; Punpanich, Warunee; Pattanasin, Sarika; Chokephaibulkit, Kulkanya

doi:10.1080/09540121.2014.986046

Cited by 24 publications

(21 citation statements)

References 14 publications

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“…The baseline ACASI results of our study cohort have been reported elsewhere (Lolekha et al, 2015). We found that being at the orphanage, more than 15 years of age, and having low attitude scores were associated with low knowledge scores.…”

Section: Discussionmentioning

confidence: 89%

“…Participants also completed a self-administered Pictorial Thai Self-Esteem Scale (PTSS; Phattharayuttawat, Ngamthipwatthana, & Pitiyawaranun, 2011) before attending the intervention sessions. The content of the baseline survey and the results have been reported elsewhere (Lolekha et al, 2015). The PTSS was developed and evaluated with 1,039 secondary school students in Thailand.…”

Section: Methodsmentioning

confidence: 99%

“…Practice scores were calculated from the percentage of desirable practices chosen. The content of the questions has been published elsewhere (Lolekha et al, 2015). …”

Section: Methodsmentioning

confidence: 99%

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Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

Chokephaibulkit¹,

Tarugsa²,

Lolekha³

et al. 2015

Journal of the Association of Nurses in AIDS Care

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We developed an intervention program for HIV-infected Thai adolescents with two group sessions and two individual sessions, focusing on four strategies: health knowledge, coping skills, sexual risk reduction, and life goals. An audio computer-assisted self-interview (ACASI) was administered to assess knowledge, attitudes, and practices (KAP) regarding antiretroviral therapy management, reproductive health, and HIV-associated risk behavior. The program was implemented in two HIV clinics; 165 (84%) adolescents (intervention group) participated in the program; 32 (16%) completed the ACASI without participating in the group or individual sessions (nonintervention group). The median age was 14 years, and 56% were female. Baseline KAP scores of the intervention and nonintervention groups were similar. Two months after the intervention, knowledge and attitude scores increased (p <.01) in the intervention group, and the increase was sustained at 6 months. KAP scores did not change from baseline in the nonintervention group at 6 or 12 months after enrollment.

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Section: Discussionmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

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Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

Chokephaibulkit¹,

Tarugsa²,

Lolekha³

et al. 2015

Journal of the Association of Nurses in AIDS Care

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“…HIV‐infected youth participating in the HT2 programme for 18 months showed significant improvements in knowledge of ARV management, the meaning of CD4 count and VL, and their understanding of HIV services, all factors important [1,14] for a successful transition to adult HIV care services [1,4,15]. We found that youth had low overall knowledge scores at baseline despite long‐term care in HIV paediatric clinics at tertiary care hospitals [12] and recognize the importance of implementing activities to provide youth knowledge required for self‐care and a successful transition to adult HIV services [1,16,17]. The programme received high satisfaction scores from perinatally HIV‐infected youth, the participation rate in the individual sessions was high, and the model was feasible to implement and conduct during routine clinic visits.…”

Section: Resultsmentioning

confidence: 99%

The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand

Lolekha

Boon-yasidhi

Na-Nakorn

et al. 2017

Journal of the International AIDS Society

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Introduction: We developed an 18‐month Happy Teen 2 (HT2) programme comprised of a one‐day workshop, two half‐day sessions, and three individual sessions to prepare HIV‐infected youth for the transition from paediatric to adult HIV care services. We describe the programme and evaluate the change in youth's knowledge scores.Methods: We implemented the HT2 programme among HIV‐infected Thai youth aged 14–22 years who were aware of their HIV status and receiving care at two hospitals in Bangkok (Siriraj Hospital, Queen Sirikit National Institute of Child Health [QSNICH]). Staff interviewed youth using a standardized questionnaire to assess HIV and health‐related knowledge at baseline and at 12 and 18 months while they participated in the programme. We examined factors associated with a composite knowledge score ≥95% at month 18 using logistic regression.Results: During March 2014–July 2016, 192 of 245 (78%) eligible youth were interviewed at baseline. Of these, 161 (84%) returned for interviews at 12 and 18 months. Among the 161 youth, the median age was 17 years, 74 (46%) were female, and 99% were receiving antiretroviral treatment. The median composite score was 45% at baseline and increased to 82% at 12 months and 95% at 18 months (P < 0.001). The range of median knowledge scores for antiretroviral management, HIV monitoring, HIV services, and family planning significantly increased from baseline (range 0–75%) to (range 67–100%) at 12 months and to 100% at 18 months (P < 0.001). Almost all youth were able to describe education and career goals at 12 and 18 months compared to 75% at baseline. In multivariable analysis, a composite knowledge score at 18 months >95% was associated with education level >high school (aOR: 2.15, 95%CI, 1.03–4.48) and receipt care at QSNICH (aOR: 2.43, 95%CI, 1.18–4.98). Youth whose mother and father had died were less likely to have score ≥95% (aOR: 0.22, 95%CI, 0.07–0.67) than those with living parents.Conclusions: Knowledge useful for a successful transition from paediatric to adult HIV care increased among youth participating in the HT2 programme. Youth follow‐up will continue to assess the impact of improved knowledge on outcomes following the transition to adult care services.

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“…pHIV and behaviorally acquired HIV-infected adolescents may have differed in their risk behaviors profiles, but challenges with ART adherence, safe sexual practices, and life skills were common to both (Bauermeister et al, 2009; Brogly et al, 2007; Elkington et al, 2009; Ezeanolue et al, 2006; Murphy et al, 2001; Rongkavilit et al, 2007; Wiener et al, 2007). The majority of HIV-infected adolescents in Bangkok were knowledgeable about HIV transmission and the importance of antiretroviral (ARV) adherence; however, more than half lacked family planning, reproductive health, and knowledge about sexually transmitted infections (STI) (Lolekha et al, 2015). …”

Section: Introductionmentioning

confidence: 99%

Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling^†

Manaboriboon

Lolekha²,

Chokephaibulkit

et al. 2016

AIDS Care

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Identifying psychosocial needs of perinatally HIV-infected (pHIV) youth is a key step in ensuring good mental health care. We report psychosocial needs of pHIV youth identified using the “Youth Counseling Needs Survey” (YCS) and during individual counseling (IC) sessions. pHIV youth receiving care at two tertiary-care hospitals in Bangkok or at an orphanage in Lopburi province were invited to participate IC sessions. The youths’ psychosocial needs were assessed using instructive IC sessions in four main areas: general health, reproductive health, mood, and psychosocial concerns. Prior to the IC session youth were asked to complete the YCS in which their concerns in the four areas were investigated. Issues identified from the YCS and the IC sessions were compared. During October 2010–July 2011, 150 (68.2%) of 220 eligible youths participated in the IC sessions and completed the YCS. Median age was 14 (range 11–18) years and 92 (61.3%) were female. Mean duration of the IC sessions was 36.5 minutes. One-hundred and thirty (86.7%) youths reported having at least one psychosocial problem discovered by either the IC session or the YCS. The most common problems identified during the IC session were poor health attitude and self-care (48.0%), lack of life skills (44.0%), lack of communication skills (40.0%), poor antiretroviral (ARV) adherence (38.7%), and low self-value (34.7%). The most common problems identified by the YCS were lack of communication skills (21.3%), poor health attitude and self-care (14.0%), and poor ARV adherence (12.7%). Youth were less likely to report psychosocial problems in the YCS than in the IC session. Common psychosocial needs among HIV-infected youth were issues about life skills, communication skills, knowledge on self-care, ARV adherence, and self-value. YCS can identify pHIV youths’ psychosocial needs but might underestimate issues. Regular IC sessions are useful to detect problems and provide opportunities for counseling.

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Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand

Cited by 24 publications

References 14 publications

Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand

Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling^†

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Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand

Cited by 24 publications

References 14 publications

Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

Outcomes of a Comprehensive Youth Program for HIV-infected Adolescents in Thailand

The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand

Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling†

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Product

Resources

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Psychosocial needs of perinatally HIV-infected youths in Thailand: lessons learnt from instructive counseling^†