Preferences for a Game-Based SMS Adherence Intervention Among Young People Living with HIV in Ghana: A Qualitative Study

Tarantino, Nicholas; Lartey, Margaret; Arnold, Trisha; Brown, Larry K.; Kwara, Awewura; Guthrie, Kate M.

doi:10.1007/s10461-021-03562-9

Cited by 2 publications

(7 citation statements)

References 30 publications

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“…An additional Attractive nudge included allowing youth to set their own goals for medication adherence in Uganda, which increased the likelihood they met those targets. 36,46 Attractive nudges that are currently being planned and/or evaluated are gamification in phone-based apps targeting youth in Nigeria 39 and Ghana 40 as well as messaging to adults in South Africa highlighting altruism to improve continuity of treatment and re-engagement in care. 38…”

Section: Resultsmentioning

confidence: 99%

“…Nudges that fit into the “Social” category mainly include different types of social proof. 8, 9, 13, 34, 38–40, 47–52…”

Section: Resultsmentioning

confidence: 99%

“…These nudges include testing the fresh start effect (a Timely nudge) that uses a key date, such as the first of the month or the start of a season, to give someone a mental reset which can motivate them to change their behavior, especially around re-engagement in care. 58, 63, 64 Gamification and game-based text messaging is also being tested in various contexts, particularly with youth, 39, 40 to increase engagement in care and reduce interruptions in treatment. Gamification interventions tend to rely heavily on non-monetary rewards like “badges” and being able to advance to a higher level in an online or phone-based app, intermittent recognition, and they frequently use social comparison tools such as leaderboards.…”

Section: Discussionmentioning

confidence: 99%

“…It also includes appropriately designed rewards or sanctions. 5,[12][13][14][31][32][33][34][35][36][37][38][39][40] Reframing: gain-frame…”

Section: Attractivementioning

confidence: 99%

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Applications of Behavioral Economics to HIV Programs in Low and Middle Income Countries: A Scoping Review Using the EAST Framework

Long,

Devine

2023

Preprint

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Despite significant gains and successes in many areas, progress in HIV prevention and treatment is uneven, highlighted in the 2022 UNAIDS reportIn Danger, and certain populations are being left behind. In particular, men and adolescent girls and young women (AGYW) are among the groups in danger of not reaching epidemic control targets. Among other calls for utilizing scientific innovations, PEPFAR’s Office of the Global AIDS Coordinator and Health Diplomacy recently highlighted the need to expand the use of innovative methods from behavioral science in HIV programs. One of these innovative, but underused, approaches is behavioral economics (BE), which leverages our predictable cognitive biases and mental shortcuts to both diagnose behavioral factors and positively influence behavior. The tools used by BE to change behavior are frequently called nudges, which tend to be low-cost and easy-to-implement interventions. This scoping review identified nudges applied to select client and provider behaviors along the HIV prevention, testing, and care and treatment continuum. It maps them to the commonly used EAST Framework, a simplified way to classify nudges for program design and highlights those that shifted behavior. The EAST Framework groups nudges into Easy, Attractive, Social, and Timely categories. This scoping review identified that Easy nudges were commonly applied as changes to the structure of HIV programs, influencing individual behavior through program changes. Nudges that directly targeted individuals most commonly fell into the Attractive and Social categories. Many of the individual-focused nudges in the Attractive and Social categories changed behavior, along with Easy nudges. Additionally, the mapping highlighted the dearth of nudges applied to provider behavior in the Low and Middle Income (LMIC) HIV space. Further integration of nudges into HIV programs and their evaluation using implementation science may help move the needle to end the HIV epidemic as a public health threat by 2030.

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Section: Resultsmentioning

confidence: 99%

“…Nudges that fit into the “Social” category mainly include different types of social proof. 8, 9, 13, 34, 38–40, 47–52…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…It also includes appropriately designed rewards or sanctions. 5,[12][13][14][31][32][33][34][35][36][37][38][39][40] Reframing: gain-frame…”

Section: Attractivementioning

confidence: 99%

See 2 more Smart Citations

Applications of Behavioral Economics to HIV Programs in Low and Middle Income Countries: A Scoping Review Using the EAST Framework

Long,

Devine

2023

Preprint

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“…Participants may have little control over whether other group members may share information publicly [43]. None of the interventions used specially developed smartphone applications or gamification features, although these are being developed in Nigeria (PeerNinja) [53], Ghana (Game-based SMS adherence) [54] or ongoing in South Africa (MAsakhane Siphucule Impilo Yethu; Xhosa for "Let's empower each other and improve our health"/MASI) [55].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review

Crowley

Petinger

Nchendia

et al. 2023

IJERPH

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Background: Adolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa. This review synthesized the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Methods: Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar were searched to identify studies in LMIC published from 2010 to 2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) were included. The review was performed, and findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols. The review was registered with PROSPERO: CRD42022336330. Results: There is weak evidence that technology-enabled health interventions for ALHIV in LMIC improve treatment outcomes. However, most interventions appear to be acceptable and feasible. Conclusion: There is a need to ensure that technology-enabled interventions have a strong theoretical base. Larger studies with rigorous evaluation designs are needed to determine the effects of these interventions on the health outcomes of ALHIV in LMIC.

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Preferences for a Game-Based SMS Adherence Intervention Among Young People Living with HIV in Ghana: A Qualitative Study

Cited by 2 publications

References 30 publications

Applications of Behavioral Economics to HIV Programs in Low and Middle Income Countries: A Scoping Review Using the EAST Framework

Applications of Behavioral Economics to HIV Programs in Low and Middle Income Countries: A Scoping Review Using the EAST Framework

Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review

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