Pediatric HIV Pre-test Informational Video is Associated with Higher Knowledge Scores Compared to Counselor-Delivered Information

Yu Wang; Jillian Neary; Xinyi Zhai; Anita Otieno; Gabrielle O'Malley; Hellen Moraa; Christine Kundu; Vincent Omondi; Emily R Begnel; Laura Oyiengo; Dalton Wamalwa; Grace C John-Stewart; Jennifer A Slyker; Anjuli D Wagner; Irene N Njuguna

doi:10.1007/s10461-022-03706-5

Pediatric HIV Pre-test Informational Video is Associated with Higher Knowledge Scores Compared to Counselor-Delivered Information

AIDS Behav. 2022 Nov;26(11):3775-3782. doi: 10.1007/s10461-022-03706-5. Epub 2022 Jun 8.

Authors

Yu Wang^#¹, Jillian Neary^#^{2

3}, Xinyi Zhai¹, Anita Otieno⁴, Gabrielle O'Malley^{1

5}, Hellen Moraa⁶, Christine Kundu⁶, Vincent Omondi⁴, Emily R Begnel¹, Laura Oyiengo⁷, Dalton Wamalwa⁶, Grace C John-Stewart^{1

8

9

10}, Jennifer A Slyker^{1

8}, Anjuli D Wagner¹, Irene N Njuguna^{1

11}

Affiliations

¹ Department of Global Health, University of Washington, Seattle, WA, USA.
² Department of Epidemiology, University of Washington, Seattle, WA, USA. [email protected].
³ Hans Rosling Center, 3980 15th Ave NE, Box 351620, Seattle, WA, 98195, USA. [email protected].
⁴ Kenya Pediatric Association, Nairobi, Kenya.
⁵ International Training and Education Center for Health, University of Washington, Seattle, WA, USA.
⁶ Department of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
⁷ National AIDS and STI Control Programme, Ministry of Health, Nairobi, Kenya.
⁸ Department of Epidemiology, University of Washington, Seattle, WA, USA.
⁹ Department of Pediatrics, University of Washington, Seattle, WA, USA.
¹⁰ Department of Medicine, University of Washington, Seattle, WA, USA.
¹¹ Kenyatta National Hospital, Nairobi, Kenya.

^# Contributed equally.

Abstract

Video-based pre-test information is used in high resource settings to increase HIV testing coverage but remains untested in resource-limited settings. We conducted formative and evaluative focus group discussions with healthcare workers (HCWs) and caregivers of children in Kenya to develop and refine a pediatric HIV pre-test informational video. We then assessed HIV knowledge among caregivers sequentially enrolled in one of three pre-test information groups: (1) individual HCW-led (N = 50), (2) individual video-based (N = 50), and (3) group video-based (N = 50) sessions. A brief video incorporating information on national pediatric testing, modes of HIV transmission, and dramatized testimonials of caregivers who tested children was produced in three languages. Compared to individual HCW-led sessions (mean: 7.2/9; standard deviation [SD]: 1.3), both the group video-based (mean: 7.7; SD: 0.9) and individual video-based (mean: 7.6; SD: 0.9) sessions had higher mean knowledge scores. Video-based pre-test information could enhance existing pediatric HIV testing services.

Keywords: Children; HIV; Pediatric HIV testing; Pre-test counseling; Video counseling.

MeSH terms

Caregivers
Child
Counselors*
Focus Groups
HIV Infections* / diagnosis
HIV Infections* / epidemiology
HIV Infections* / prevention & control
HIV Testing
Humans
Kenya

Abstract

MeSH terms

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