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Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach

Digital storytelling (DST) is an emerging participatory visual method which combines storytelling traditions with computer and video production technology. In this project, at the heart of the HIV epidemic in KwaZulu-Natal, South Africa, we used DST to create a culturally grounded community engageme...

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Autores principales: Treffry-Goatley, Astrid, Lessells, Richard John, Moletsane, Relebohile, de Oliveira, Tulio, Gaede, Bernhard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288689/
https://www.ncbi.nlm.nih.gov/pubmed/30482816
http://dx.doi.org/10.1136/medhum-2018-011474
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author Treffry-Goatley, Astrid
Lessells, Richard John
Moletsane, Relebohile
de Oliveira, Tulio
Gaede, Bernhard
author_facet Treffry-Goatley, Astrid
Lessells, Richard John
Moletsane, Relebohile
de Oliveira, Tulio
Gaede, Bernhard
author_sort Treffry-Goatley, Astrid
collection PubMed
description Digital storytelling (DST) is an emerging participatory visual method which combines storytelling traditions with computer and video production technology. In this project, at the heart of the HIV epidemic in KwaZulu-Natal, South Africa, we used DST to create a culturally grounded community engagement intervention. Our aim was to use narratives of people living with HIV on antiretroviral therapy (ART) to stimulate dialogue among the wider community and to encourage reflection on the contextual factors that influence ART adherence in this setting. We also wanted to explore whether exposure to the personal narratives might influence health literacy around HIV and ART. We ran two DST workshops, where 20 community participants were supported to create short digital stories about personal experiences of adherence. We then hosted 151 screenings of the digital stories at seven local health facilities and evaluated the impact of the intervention using a three-tiered mixed methods approach. We conducted two independent quantitative surveys of healthcare users (852 respondents during the preintervention round and 860 people during the postintervention round), five focus group discussions and observation of practice. Exposure to the digital stories did stimulate rich dialogue among community members, which broadened from the focus on ART adherence to other aspects around the impact of HIV and its treatment on individuals and the community. In the independently conducted surveys, we found no clear difference in knowledge or understanding of HIV and ART between the people exposed to the digital stories and those who were not exposed. Our findings provide support for the use of DST as an engagement intervention, but highlight some of the challenges in delivering this type of intervention and in evaluating the impact of this approach.
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spelling pubmed-62886892018-12-27 Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach Treffry-Goatley, Astrid Lessells, Richard John Moletsane, Relebohile de Oliveira, Tulio Gaede, Bernhard Med Humanit Original Research Digital storytelling (DST) is an emerging participatory visual method which combines storytelling traditions with computer and video production technology. In this project, at the heart of the HIV epidemic in KwaZulu-Natal, South Africa, we used DST to create a culturally grounded community engagement intervention. Our aim was to use narratives of people living with HIV on antiretroviral therapy (ART) to stimulate dialogue among the wider community and to encourage reflection on the contextual factors that influence ART adherence in this setting. We also wanted to explore whether exposure to the personal narratives might influence health literacy around HIV and ART. We ran two DST workshops, where 20 community participants were supported to create short digital stories about personal experiences of adherence. We then hosted 151 screenings of the digital stories at seven local health facilities and evaluated the impact of the intervention using a three-tiered mixed methods approach. We conducted two independent quantitative surveys of healthcare users (852 respondents during the preintervention round and 860 people during the postintervention round), five focus group discussions and observation of practice. Exposure to the digital stories did stimulate rich dialogue among community members, which broadened from the focus on ART adherence to other aspects around the impact of HIV and its treatment on individuals and the community. In the independently conducted surveys, we found no clear difference in knowledge or understanding of HIV and ART between the people exposed to the digital stories and those who were not exposed. Our findings provide support for the use of DST as an engagement intervention, but highlight some of the challenges in delivering this type of intervention and in evaluating the impact of this approach. BMJ Publishing Group 2018-12 2018-11-27 /pmc/articles/PMC6288689/ /pubmed/30482816 http://dx.doi.org/10.1136/medhum-2018-011474 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Research
Treffry-Goatley, Astrid
Lessells, Richard John
Moletsane, Relebohile
de Oliveira, Tulio
Gaede, Bernhard
Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title_full Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title_fullStr Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title_full_unstemmed Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title_short Community engagement with HIV drug adherence in rural South Africa: a transdisciplinary approach
title_sort community engagement with hiv drug adherence in rural south africa: a transdisciplinary approach
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288689/
https://www.ncbi.nlm.nih.gov/pubmed/30482816
http://dx.doi.org/10.1136/medhum-2018-011474
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