@article{e9f56124c104476f9591bcdb1e990b04,
title = "Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda",
abstract = "Introduction: Humanitarian settings are underserved by HIV self-testing (HIV-ST). Methods: We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16–24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions. Results: Retention was 98% (n = 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87–24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58–10.87), with no significant differences in Arm 1. Conclusion: HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.",
keywords = "edutainment comics, HIV self-testing, intervention, refugees, Uganda, youth",
author = "Logie, {Carmen H.} and Loutet, {Miranda G.} and Moses Okumu and Frannie MacKenzie and Madelaine Coelho and Lukone, {Simon Odong} and Nelson Kisubi and Aiman Malhi and Peter Kyambadde and Lawrence Mbuagbaw",
note = "We would like to acknowledge the support and contributions of the Uganda Refugee and Disaster Management Council (URDMC), the Uganda Ministry of Health, the Uganda National AIDS Control Program, Mildmay Uganda, the Uganda Office of the Prime Minister Department of Refugees, the peer navigators, the research assistants who collected the data, and the refugee youth who participated in the study. We would like to acknowledge the support of Ellie Moffatt and Duncan Short at ViiV Healthcare. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by ViiV Healthcare (Positive Action for Adolescents Grant), with additional support from: Canada Research Chairs (Tier 2, Logie), Social Sciences and Humanities Research Council of Canada (Insight Grant), Canadian Institutes of Health Research Institute of Gender and Health (Project Grant: Grant#628520-1652450711), and Canada Foundation for Innovation (JELF). The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by ViiV Healthcare (Positive Action for Adolescents Grant), with additional support from: Canada Research Chairs (Tier 2, Logie), Social Sciences and Humanities Research Council of Canada (Insight Grant), Canadian Institutes of Health Research Institute of Gender and Health (Project Grant: Grant#628520-1652450711), and Canada Foundation for Innovation (JELF). Research ethics board approval was provided by the Mildmay Uganda Research Ethics Committee (REC REF 0802-2021), the Uganda National Council for Science and Technology (SS884ES), and the University of Toronto Research Ethics Board (37496). The trial was registered at ClinicalTrials.gov (#NCT05213689). All participants provided written informed consent prior to study enrollment.",
year = "2024",
month = jan,
day = "1",
doi = "10.1177/23259582241307057",
language = "English (US)",
volume = "23",
journal = "Journal of the International Association of Providers of AIDS Care",
issn = "2325-9574",
publisher = "SAGE Publications Inc.",
}