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AIDS and Behavior

, Volume 16, Issue 7, pp 1961–1969 | Cite as

Interest in, Concerns About, and Preferences for Potential Video-Group Delivery of an Effective Behavioral Intervention Among Women Living With HIV

  • Stephanie L. MarhefkaEmail author
  • Hollie J. Fuhrmann
  • Patricia Gilliam
  • Bernice Lopez
  • Julie Baldwin
Original Paper

Abstract

Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.

Keywords

HIV seropositivity Women Video-conferencing Telemedicine Behavioral interventions 

Resumen

Nuevas estrategias son necesarias para ampliar el acceso a intervenciones conductistas efectivas para la prevención del VIH. Entregando intervenciónes basados en grupos a personas que viven con el VIH a través por tecnología de video-conferencia es un enfoque innovador que puede dirigir esta necesidad, pero no ha sido explorado. Veintisiete mujeres que viven con el VIH (WLH) que acaban de completar las “Relaciones Sanas”, un programa basado en grupos de conductista para WLH, tomaron parte en un grupo de foco para compartir sus pensamientos acerca de la posibilidad de tomar parte en “Relaciones Sanas” a través de un grupo de video-conferencia. En general, WLH apoyó la idea de la entrega del programa basado en grupos a través de video-conferencia. Tuvieron numerosas preguntas acerca de la logística, expresaron su preocupación por la seguridad y confidencialidad, y indicaron una preferencia para conseguir acceso al video-conferencia a través de teléfonos de video especiales en vez de computadoras. Las conclusiones justifican investigación adicional en la viabilidad, en la aceptabilidad y en la eficacia de la entrega de video-conferencia basado en grupos sobre las intervenciones de prevención del VIH y sugieren consideraciones importantes para los investigadores y facultativos que pueden emplear video-conferencia para la entrega de intervención.

Palabras Clave

La seropositividad del VIH Las mujeres Video-conferencia Telemedicina Las intervenciones conductuales 

Notes

Acknowledgments

This work was supported by an Early Career Investigator Award from the College of Public Health at the University of South Florida. During manuscript preparation, Dr. Marhefka (PI) and other authors were supported by a grant from the National Institute of Mental Health (R34 MH092207). We are grateful to our community partner, the Tampa Hillsborough Action Plan, and especially Dr. Lynn Knox and Mr. Guttenburg Pierre, for supporting our efforts. Finally, we would like to thank the women living with HIV who participated in the study.

References

  1. 1.
    Centers for Disease Control and Prevention. HIV prevalence estimates-United States, 2006. MMWR October 3. 2008;57(39):1073–6.Google Scholar
  2. 2.
    Fisher JD, Fisher WA, Cornman DH, Amico RK, Bryan A, Friedland GH. Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. J Acquir Immune Defic Syndr. 2006;41(1):44–52.PubMedCrossRefGoogle Scholar
  3. 3.
    Gilbert P, Ciccarone D, Gansky SA, Bangsberg DR, Clanon K, McPhee SJ, et al. Interactive ‘‘video doctor’’ counseling reduces drug and sexual risk behaviors among HIV-positive patients in diverse outpatient settings. PloS One. 2008;3(4):1–10.CrossRefGoogle Scholar
  4. 4.
    Kalichman SC, Rompa D, Cage M, DiFonzo K, Simpson D, Austin J, et al. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21(2):84–92.PubMedCrossRefGoogle Scholar
  5. 5.
    Richardson JL, Milam J, McCutchan A, Stoyanoff S, Bolan R, Weiss J, et al. Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: a multi-clinic assessment. AIDS. 2004;18:1179–86.PubMedCrossRefGoogle Scholar
  6. 6.
    Sikkema KJ, Hansen NB, Kochman A, Tarakeshwar N, Neufeld S, Meade CS, et al. Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: reductions in traumatic stress. AIDS Behav. 2007;11(1):49–60.PubMedCrossRefGoogle Scholar
  7. 7.
    Sikkema KJ, Wilson PA, Hansen NB, Kochman A, Neufeld S, Ghebremichael MS, et al. Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse. J Acquir Immune Defic Syndr. 2008;47:506–13.PubMedCrossRefGoogle Scholar
  8. 8.
    Wingood GM, DiClemente RJ, Mikhail I, Lang DL, Hubbard McCree D, Davies SL, et al. A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: the WILLOW program. J Acquir Immune Defic Syndr. 2004;37:S58–67.PubMedCrossRefGoogle Scholar
  9. 9.
    Centers for Disease Control and Prevention. CDC HIV prevention strategic plan: extended through 2010. 2007. http://www.cdc.gov/hiv/topics/research/prs/evidence-based-interventions.htm. Cited January 5, 2011.
  10. 10.
    White House Office of National AIDS Policy. National HIV/AIDS strategy for the United States. 2010. www.whitehouse.gov/sites/default/files/uploads/nhas.pdf. Updated July 2010.
  11. 11.
    Centers for Disease Control and Prevention. Compendium of evidence-based HIV prevention interventions. 2009. http://www.cdc.gov/hiv/topics/research/prs/evidence-based-interventions.htm. Cited April 21, 2010.
  12. 12.
    Academy for Educational Development. DEBI: Diffusion of Effective Behavioral Interventions. 2011. http://www.effectiveinterventions.org/en/home.aspx. Cited January 13, 2011.
  13. 13.
    The Florida comprehensive planning network. State of Florida 2007–2009 comprehensive HIV/AIDS prevention plan. Tallahassee, FL: Florida Department of Health 2007.Google Scholar
  14. 14.
    Maddox L. Florida HIV/AIDS statistics. Personal communication to Hollie Fuhrmann. 2009.Google Scholar
  15. 15.
    Marziali E, Damianakis T, Donahue P. Internet-based clinical services: virtual support groups for family caregivers. J Technol Hum Serv. 2006;24(2/3):39–54.CrossRefGoogle Scholar
  16. 16.
    Marziali E, Donahue P. Caring for others: Internet video-conferencing group intervention for family caregivers of older adults with neurodegenerative disease. Gerontologist. 2006;46(3):398.PubMedCrossRefGoogle Scholar
  17. 17.
    Collie K, Kreshka MA, Ferrier S, Parsons R, Graddy K, Avram S, et al. Videoconferencing for delivery of breast cancer support groups to women living in rural communities: a pilot study. Psychooncology. 2007;16(8):778–82.PubMedCrossRefGoogle Scholar
  18. 18.
    Lounsberry JJ, MacRae H, Angen M, Hoeber M, Carlson LE. Feasibility study of a telehealth delivered, psychoeducational support group for allogeneic hematopoietic stem cell transplant patients. Psychooncology. 2009;19(7):777–81.CrossRefGoogle Scholar
  19. 19.
    Kalichman SC, Weinhardt L, Benotsch E, DiFonzo K, Luke W, Austin J. Internet access and Internet use for health information among people living with HIV-AIDS. Patient Educ Couns. 2002;46(2):109–16.PubMedCrossRefGoogle Scholar
  20. 20.
    Krueger RA, Casey MA. In: Knight V, editor. Focus Groups: a practical guide for applied research. 4th ed. London: SAGE Publications Inc.; 2009.Google Scholar
  21. 21.
    Sandelowski M. Focus on research methods. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334–40.PubMedCrossRefGoogle Scholar
  22. 22.
    McKinney MM. Variations in rural AIDS epidemiology and service delivery models in the United States. J Rural Health. 2002;18(3):455–66.PubMedCrossRefGoogle Scholar
  23. 23.
    Sarnquista CC, Sonib S, Hwanga H, Topolb BB, Mutimaa S, Maldonadoab YA. Rural HIV-infected women’s access to medical care: ongoing needs in California. AIDS Care. 2011:1–5.Google Scholar
  24. 24.
    McKinney MM. Service needs and networks of rural women with HIV/AIDS. AIDS Patient Care STDS. 1998;12(6):471–80.PubMedCrossRefGoogle Scholar
  25. 25.
    Castańeda D. HIV/AIDS-related services for women and the rural community context. AIDS Care. 2000;12(5):549–65.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Stephanie L. Marhefka
    • 1
    Email author
  • Hollie J. Fuhrmann
    • 1
  • Patricia Gilliam
    • 2
    • 3
  • Bernice Lopez
    • 1
    • 4
  • Julie Baldwin
    • 1
  1. 1.Department of Community and Family Health, College of Public HealthUniversity of South FloridaTampaUSA
  2. 2.AETC National Centers for HIV in Minority CommunitiesWashingtonUSA
  3. 3.St. Joseph’s Hospital Tampa Care ClinicTampaUSA
  4. 4.Department of Global Health, College of Public HealthUniversity of South FloridaTampaUSA

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