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. 2022 Nov 3:10:975117.
doi: 10.3389/fpubh.2022.975117. eCollection 2022.

Using scenario videos with Theatre Testing method to adapt a peer navigation model to improve street-connected youth's access to HIV care in Kenya and Canada

Katie MacEntee  1   2 , Edward Ou Jin Lee  3 , Abe Oudshoorn  4 , Alex Abramovich  1   2   5 , Reuben Kiptui  6 , David Ayuku  6   7 , Amy Van Berkum  4 , Olli Saarela  1 , Thai-Son Tang  1 , Edith Apondi  6   8 , Juddy Wachira  6   7 , Sue-Ann MacDonald  3 , Paula Braitstein  1   9
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Using scenario videos with Theatre Testing method to adapt a peer navigation model to improve street-connected youth's access to HIV care in Kenya and Canada

Katie MacEntee et al. Front Public Health. .

Abstract

Theatre testing (TT) method demonstrates whole or portions of an evidence-based intervention to stakeholders to elicit feedback on context-specific adaptations and future implementation. The Peer Navigator Project (PNP) studied the adaptation and implementation of Peer Navigators in five urban sites to increase street-connected youth (SCY) access to HIV prevention, testing, and treatment in Canada and Kenya. TT was used with SCY, healthcare providers, and community stakeholders to collect feedback on the optimal characteristics of the PNs (e.g., social identities) and their professional activities and responsibilities in each site. Sites scripted unique scenarios of PNs supporting SCY and interacting with social service providers. Local actors were employed, and the scenarios were filmed and edited into videos alongside audience discussion questions. Videos were screened to separate audiences of SCY (n = 40), healthcare providers (n = 12), and community stakeholders (n = 59). Facilitated discussion about the scenarios were recorded as data, and transcripts were analyzed thematically by the research team. The scenario videos are presented as a unique adaptation to the TT method. The adaptations were time-consuming and limited the ability to present responsive changes while presenting the method to different audiences. They were also effective at maintaining presentation fidelity and eliciting diverse and meaningful responses from different stakeholder groups. One site successfully adapted the method for use in a physically distanced manner that complied with COVID-19 public health regulations. TT using video scenarios is an engaging approach that garners rich responses from diverse stakeholder groups about the adaptation of evidence-based interventions preparing for implementation in international settings.

Keywords: Canada; HIV Peer Navigation; Kenya; Theatre Testing method; street-connected youth.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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References

    1. Wingood GM, DiClemente RJ. The ADAPT-ITT model: a novel method of adapting evidence-based HIV Interventions. JAIDS J Acquired Immune Defic Synd. (2008) 47:S40–6. 10.1097/QAI.0b013e3181605df1 - DOI - PubMed
    1. Biello KB, Marrow E, Mimiaga MJ, Sullivan P, Hightow-Weidman L, Mayer KH. A mobile-based app (MyChoices) to increase uptake of HIV testing and pre-exposure prophylaxis by young men who have sex with men: protocol for a pilot randomized controlled trial. JMIR Res Protoc. (2019) 8:e10694. 10.2196/10694 - DOI - PMC - PubMed
    1. Sullivan PS, Stephenson R, Grazter B, Wingood G, Diclemente R, Allen S, et al. . Adaptation of the African couples HIV testing and counseling model for men who have sex with men in the United States: an application of the ADAPT-ITT framework. SpringerPlus. (2014) 3:249. 10.1186/2193-1801-3-249 - DOI - PMC - PubMed
    1. Davidson TM, Lopez CM, Saulson R, Borkman AL, Soltis K, Ruggiero KJ, et al. . Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA. Cult Health Sexual. (2014) 16:533–46. 10.1080/13691058.2014.891049 - DOI - PMC - PubMed
    1. Salazar AM, Haggerty KP, Barkan SE, Peterson R, Furlong ME, Kim E, et al. . Supporting LGBTQ+ foster teens: development of a relationship-focused,self-guided curriculum for foster families. Sexual Res Soc Policy. (2019) 17:239–51. 10.1007/s13178-019-00387-z - DOI - PMC - PubMed

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