From VIH-TAVIE™ to TAVIE-WOMAN™: Development of a Web-Based Virtual Nursing Intervention to Meet the Specific Needs of Women Living With HIV
The web-based virtual nursing intervention VIH-TAVIE™ was designed to help people living with HIV (PLWH) adhere to their antiretroviral treatment (ART). The content of the intervention is generic and gender neutral. However, it is recognised that women living with HIV (WLWH) experience their condition in a unique way and face gender-specific challenges regarding ART intake. Consequently, it seemed appropriate to adapt VIH-TAVIE™ specifically for women. The purpose of this paper is to present the qualitative results of an evaluative study of VIH-TAVIE™ that describe the experience of six WLWH who received the web-based computer-delivered intervention and to present the content and specificities of an offshoot intervention under development, TAVIE-Woman™. The following themes emerged from the content analysis of interviews with the WLWH about : 1) presence of actual nurse on site to facilitate transition to virtual mode; 2) virtual nurse humanises experience of computer-delivered intervention; 3) learners’ appreciation of medium and content; and 4) perceived benefits following participation in the intervention. To adapt VIH-TAVIETM for women, discussions were also held with a healthcare team in a mother-child university hospital centre. The gender-specific content added to TAVIE-WomanTM included digital storytelling of HIV-positive women, various topics about changing ARV medication during pregnancy, neonatal ART prophylaxis, disclosure to children, adapting to life with HIV, selecting a birth-control method, and social support. Ultimately, the purpose of TAVIE-WomanTM is to support WLWH by offering them 24/7 access to tailored education and reliable quality information.
Côté J, Godin G, Ramirez P, Gagnon ML, Rouleau G. Program development for enhancing adherence to antiretroviral therapy among persons living with HIV. AIDS Patient Care STDS 2008;22(12):965-975.
Côté J, Godin G, Ramirez-Garcia P, et al. Virtual intervention to support self-management of antiretroviral therapy among persons living with HIV. JMIR 2015;17(1):e6.
Côté J, Ramìrez-Garcia P, Rouleau G, et al. A nursing virtual intervention : Real-time support for managing antiretroviral therapy. Comput Inform Nurs 2011;29(1):43-51.
Côté J, Rouleau G, Bourbonnais A, Ramirez-Garcia P. Virtual nursing intervention adjunctive to conventional care: The experience of persons living with HIV. JMIR Res Protoc 2015;4(4):e124.
Côté J, Rouleau G, Godin G, et al. Acceptability and feasibility study of a virtual intervention to help persons living with HIV manage their daily therapies. J Telemed Telecare 2012;18(7):409-412.
Carter AJ, Bourgeois S, O'Brien N, et al. Women-specific HIV/AIDS services: identifying and defining the components of holistic service delivery for women living with HIV/AIDS. J Int AIDS Soc 2013;16:17433.
Nicastri E, Leone S, Angeletti C, et al. Sex issues in HIV-1-infected persons during highly active antiretroviral therapy: a systematic review. J Antimicrob Chemother 2007;60(4):724-732.
Prins M, Meyer L, Hessol NA. Sex and the course of HIV infection in the pre- and highly active antiretroviral therapy eras. AIDS 2005;19(4):357-370.
Sandelowski M, Lambe C, Barroso J. Stigma in HIV-positive women. J Nurs Scholarsh 2004;36(2):122-128.
Ho SS, Holloway A. The impact of HIV-related stigma on the lives of HIV-positive women: an integrated literature review. J Clin Nurs 2016;25(1-2):8-19.
Sohler NL, Li X, Cunningham CO. Gender disparities in HIV health care utilization among the severely disadvantaged: can we determine the reasons? AIDS Patient Care STDS 2009;23(9):775-783.
Millennia2025 Women & Innovation Foundation (2015). Available at: http://www.millennia2015.org/Millennia2025_Foundation, http://www.m2025-weobservatory.org/, http://www.m2025-weobservatory.org/vih-tavie---tavie-women.html accessed 25 November 2016.
Canada's source for HIV and hepatitis C information. (2016). Managing your health: a guide for people living with HIV. Women and HIV. Available at: http://www.catie.ca/ accessed 25 November 2016.
Greenhalgh T, Robert G, Bate P, et al. Diffusion of innovations in health service organisations : a systematic literature review. Oxford: Blackwell; 2005.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations Milbank Q 2004;82(4):581-629.
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