We evaluated the feasibility of a Positive Prevention intervention adapted for youth living with HIV/AIDS (YLWH) ages 15-24 in Kinshasa, Democratic Republic of the Congo. We conducted in-depth interviews and focus group discussions with intervention facilitators and YLWH participants on the following four areas of a feasibility framework: acceptability, implementation, adaptation, and limited-efficacy. The adapted intervention was suitable, satisfying, and attractive to program facilitators and participants and able to be implemented effectively. It performed well with a new population and showed preliminary efficacy. However, we identified certain aspects of the intervention that must be addressed prior to wider implementation such as: (1) including more content on navigating marriage while living with HIV and disclosure; (2) adjusting intervention timing and session length; and (3) simplifying the more complicated content. An adapted evidencebased intervention was found to be feasible and lessons learned can be applied to YLWH in other low-resource settings.

译文

我们评估了在刚果民主共和国金沙萨针对15-24岁的艾滋病毒/艾滋病青年 (YLWH) 采取积极预防干预措施的可行性。我们与干预促进者和YLWH参与者就可行性框架的以下四个领域进行了深入访谈和焦点小组讨论: 可接受性,实施性,适应性和有限功效。经过调整的干预措施适合,令人满意,并且对计划促进者和参与者具有吸引力,并且能够有效实施。它在新人群中表现良好,并显示出初步疗效。但是,我们确定了在更广泛实施之前必须解决的干预措施的某些方面,例如 :( 1) 包括更多有关艾滋病毒感染者和披露的婚姻导航的内容; (2) 调整干预时间和会话长度; (3) 简化更复杂的内容。发现经过调整的基于证据的干预是可行的,并且可以将经验教训应用于其他低资源环境中的YLWH。

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