Adapting and Piloting a Combined Gender, Livelihoods, and HIV Prevention Intervention with Street-connected Young People in Eldoret, Kenya
Notice bibliographique
Résumé
Despite being highly vulnerable to acquiring human immunodeficiency virus (HIV), no effective evidence-based interventions exist for street-connected young people in low- and middle-income countries (LMICs). In Kenya, street-connected young people have a heightened HIV prevalence, engage in sexual practices that elevate their exposure to HIV, and experience structural drivers of HIV acquisition, such as gender inequities and economic marginalization. Therefore, the overall objective of this doctoral thesis was to adapt and pilot a combined gender, livelihoods, and HIV prevention with street-connected young people in Eldoret, Kenya using a multi-stage mixed methods study design. In the first stage, the Stepping Stones and Creating Futures interventions and a matched-savings programme were adapted using a modified ADAPT-ITT model. During adaptation, we used community-based research methods informed by a rights-based approach, with four Peer Facilitators and 24 street-connected young people aged 16 to 24 years. Numerous adaptations came forth to the programme content and delivery. This adaptation process resulted in producing a comprehensive intervention entitled ‘Stepping Stones ya Mshefa na Kujijenga Kimaisha’. In the second stage, we piloted the adapted intervention with 80 street-connected young people using a pre- and post-intervention convergent mixed methods design. The primary outcomes of interest were HIV knowledge and gender equitable attitudes. Secondary outcomes included condom-use self-efficacy, sexual practices, economic resources, and livelihoods. Participants had significant increases in HIV knowledge and gender equitable attitudes from pre- to post-intervention. Attendance level at the intervention was a significant predictor of HIV knowledge and gender equitable attitudes change scores. Intervention participants reported encouraging changes in condom use knowledge, condom use self-efficacy, health-seeking practices, daily earnings, housing, livelihood activities, and street-involvement. Overall, this research demonstrated that it was feasible to adapt an evidence-based intervention with street-connected young people and provides a model for other researchers and organizations in LMICs to use, which may assist in addressing the knowledge gap in effective interventions for street-connected young people. The pilot findings support the potential for further testing with a rigorous study design to investigate how best to tailor the intervention, particularly accounting for gender differences, and increase the overall effectiveness of the programme.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».