A youth-centred approach to improving engagement in HIV services: human-centred design methods and outcomes in a research trial in Kisumu County, Kenya.
Eliud Omondi AkamaLaura K BeresJayne Lewis KulzerGladys OntugaHarriet AdhiamboSarah BushuruEdwin NyagesoaJoseph OsoroIsaya OpondoNorton SangBertha OketchJames NyangaCirilus Ogollah OsongoEvelyn NyandiekaEvelyn OdodaEunice OmondiFelix OchiengClinton OwinoThomas OdenyZachary Arochi KwenaIngrid Eshun-WilsonMaya PetersenElizabeth A BukusiElvin H GengLisa L AbuogiPublished in: BMJ global health (2023)
Research employing HCD among youth can improve interventions preimplementation through empathy, youth-led inquiry and real-time problem solving. Peer navigation may be most influential in improving retention when engagement with young people is based on mutual trust, respect, privacy and extends beyond HIV-specific support. Identifying opportunities for personalisation and adaptation within intervention delivery is important for AYAs. Patient engagement interventions that target young people should prioritise improved transition between youth and adult services, youth HIV status disclosure, AYA empowerment and healthcare worker responsiveness in interactions and episodic adherence interruptions.
Keyphrases
- physical activity
- mental health
- healthcare
- antiretroviral therapy
- hiv positive
- hiv infected
- young adults
- human immunodeficiency virus
- hiv testing
- hepatitis c virus
- hiv aids
- social media
- men who have sex with men
- primary care
- randomized controlled trial
- endothelial cells
- health information
- clinical trial
- south africa
- skeletal muscle
- big data
- type diabetes
- case report
- study protocol
- machine learning
- deep learning
- pluripotent stem cells
- health insurance