Towards elimination of <scp>HIV</scp> transmission, <scp>AIDS</scp> and <scp>HIV</scp>‐related deaths in the <scp>UK</scp>

Brown, Alison E; Nash, Sophie; Connor, N.; Kirwan, Peter; Ogaz, Dana; Croxford, Sara; Angelis, Daniela De; Delpech, Valérie

doi:10.1111/hiv.12617

Cited by 71 publications

(95 citation statements)

References 12 publications

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“…Despite efforts to increase access to HIV testing services, it is estimated that worldwide around half of HIV‐positive people remain undiagnosed (Conserve et al ., ) and Public Health England estimated that 13% of HIV‐positive men who have sex with men (MSM) were undiagnosed in 2016 (Brown et al ., ). Undiagnosed infection is the primary source of onwards transmission (Skarbinski et al ., ).…”

Section: Introductionmentioning

confidence: 97%

What are mass media interventions made of? Exploring the active content of interventions designed to increase HIV testing in gay men within a systematic review

Flowers

Riddell

Boydell

et al. 2019

British J Health Psychol

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Purpose Mass media HIV testing interventions are effective in increasing testing, but there has been no examination of their theory or behaviour change technique (BCT) content. Within a heterogeneous body of studies with weak evaluative designs and differing outcomes, we attempted to gain useful knowledge to shape future interventions. Methods Within a systematic review, following repeated requests to the authors of included studies for intervention materials, the Theory Coding Scheme, the Theoretical Domains Framework (TDF), and Behaviour Change Technique Taxonomy (BCTT) were used to extract data relating to active intervention content. Results Of 19 studies, five reported an explicit theoretical basis to their intervention. TDF analysis highlighted the key domains employed within the majority of interventions: ‘knowledge’, ‘social roles and identities’, and ‘beliefs about consequences’. BCT analysis showed three BCT groupings commonly reported within interventions: ‘Comparison of outcomes’, ‘Natural consequences’, and ‘Shaping knowledge’. Three individual BCTs formed the backbone of most interventions and can be considered ‘standard’ content: ‘Instructions on how to perform behaviour’; ‘Credible source’; and ‘Information about health consequences’. Conclusions This is the first study to examine and detail active intervention content in this field. It suggests future interventions should improve knowledge about testing, and use well‐branded and trusted sources that endorse testing. Future interventions should also provide clear information about the health benefits of testing. Our analysis also suggests that to improve levels of effectiveness characterizing the current field, it may be useful to elicit commitment, and action plans, relating to how to implement testing intentions. Statement of contribution What is already known on this subject? Interventions are urgently needed to increase HIV testing among men who have sex with men (MSM) and enable increased access to effective treatment for HIV infection. There is some evidence of the effectiveness of mass media interventions in increasing HIV testing among MSM. Nothing is known about the active components of existing mass media interventions targeting HIV testing. What does this study add? It describes the available literature concerning evaluated mass media interventions to increase HIV testing. It shows few interventions report any explicit theoretical basis although many interventions share common components, including coherently connected causal mechanisms and behaviour change techniques to moderate them. As a minimum, future interventions should improve knowledge about testing; use well‐branded and trusted sources that endorse testing; and provide clear information about the health benefits of testing. Our analysis also tentatively suggests it may be useful to elicit commitment and planning of how to implement testing intentions.

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Section: Introductionmentioning

confidence: 97%

What are mass media interventions made of? Exploring the active content of interventions designed to increase HIV testing in gay men within a systematic review

Flowers

Riddell

Boydell

et al. 2019

British J Health Psychol

View full text Add to dashboard Cite

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“…Advances have also been made in enhancing HIV care. In England, 87% of MSM living with HIV have been diagnosed and over 90% are now on effective antiretroviral therapy (ART) 2. Yet, some patients struggle to accept and adjust to their HIV diagnosis.…”

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confidence: 99%

Enhancing HIV prevention and care among men who have sex with men: insights from social psychology

Jaspal

Page

2018

Sex Transm Infect

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“…In 2016, 89 400 people were living with HIV in England, with 10 400 unaware of their infection . Timely diagnosis of HIV infection is of major public health importance, ensuring the full benefit of treatment and minimizing the risk of onward transmission .…”

Section: Introductionmentioning

confidence: 99%

“…Timely diagnosis of HIV infection is of major public health importance, ensuring the full benefit of treatment and minimizing the risk of onward transmission . While there has been a decline in late presentation over time, 42% of adults were diagnosed late (CD4 count < 350 cells/μL) in 2016 in the UK and 23% were severely immunocompromised (CD4 count < 200 cells/μL) at the time of diagnosis .…”

Section: Introductionmentioning

confidence: 99%

Where do we diagnose HIV infection? Monitoring new diagnoses made in nontraditional settings in England, Wales and Northern Ireland

et al. 2018

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Towards elimination of HIV transmission, AIDS and HIV‐related deaths in the UK

Cited by 71 publications

References 12 publications

What are mass media interventions made of? Exploring the active content of interventions designed to increase HIV testing in gay men within a systematic review

What are mass media interventions made of? Exploring the active content of interventions designed to increase HIV testing in gay men within a systematic review

Enhancing HIV prevention and care among men who have sex with men: insights from social psychology

Where do we diagnose HIV infection? Monitoring new diagnoses made in nontraditional settings in England, Wales and Northern Ireland

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