Development and formative evaluation of a family-centred adolescent HIV prevention programme in South Africa

Show simple item record Visser, M.J. (Maretha Johanna) Thurman, Tonya R. Spyrelis, Alexandra Taylor, Tory M. Nice, Johanna K. Finestone, Michelle 2018-04-16T12:44:42Z 2018-06
dc.description.abstract Preventing HIV among young people is critical to achieving and sustaining global epidemic control. Evidence from Western settings suggests that family-centred prevention interventions may be associated with greater reductions in risk behaviour than standard adolescent-only models. Despite this, family-centred models for adolescent HIV prevention are nearly non-existent in South Africa − home to more people living with HIV than any other country. This paper describes the development and formative evaluation of one such intervention: an evidence-informed, locally relevant, adolescent prevention intervention engaging caregivers as co-participants. The programme, originally consisting of 19 sessions for caregivers and 14 for adolescents, was piloted with 12 groups of caregiver-adolescent dyads by community-based organizations (CBOs) in KwaZulu-Natal and Gauteng provinces. Literature and expert reviews were employed in the development process, and evaluation methods included analysis of attendance records, session-level fidelity checklists and facilitator feedback forms collected during the programme pilot. Facilitator focus group discussions and an implementer programme workshop were also held. Results highlighted the need to enhance training content related to cognitive behavioural theory and group management techniques, as well as increase the cultural relevance of activities in the curriculum. Participant attendance challenges were also identified, leading to a shortened and simplified session set. Findings overall were used to finalize materials and guidance for a revised 14-week group programme consisting of individual and joint sessions for adolescents and their caregivers, which may be implemented by community-based facilitators in other settings. en_ZA
dc.description.department Educational Psychology en_ZA
dc.description.department Psychology en_ZA
dc.description.embargo 2019-06-01
dc.description.librarian hj2018 en_ZA
dc.description.sponsorship The United States Agency for International Development (USAID) Southern Africa under the President’s Emergency Plan for AIDS Relief (PEPFAR) through Cooperative Agreement No. AID-674-A-12-00002 awarded to Tulane University. en_ZA
dc.description.uri en_ZA
dc.identifier.citation Visser, M.J., Thurman, T.R., Spyrelis, A. et al. 2018, 'Development and formative evaluation of a family-centred adolescent HIV prevention programme in South Africa', Evaluation and Program Planning, vol. 68, pp. 124-134. en_ZA
dc.identifier.issn 0149-7189
dc.identifier.other 10.1016/j.evalprogplan.2018.03.002
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2018 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Evaluation and Program Planning. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in Evaluation and Program Planning, vol. 68, pp. 124-134, 2018, doi : 10.1016/j.evalprogplan.2018.03.002. en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject Community-based organization (CBO) en_ZA
dc.subject Formative evaluation en_ZA
dc.subject Vulnerable children en_ZA
dc.subject Orphans en_ZA
dc.subject Family-centred en_ZA
dc.subject Adolescent HIV prevention en_ZA
dc.subject South Africa (SA) en_ZA
dc.title Development and formative evaluation of a family-centred adolescent HIV prevention programme in South Africa en_ZA
dc.type Postprint Article en_ZA

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