Kukaa Salama (Staying Safe): a pre-post trial of an interactive informational mobile health intervention for increasing COVID-19 prevention practices with urban refugee youth in Uganda.

COVID-19 global health humanitarian health intervention mHealth sanitation water insecurity

Journal

International health
ISSN: 1876-3405
Titre abrégé: Int Health
Pays: England
ID NLM: 101517095

Informations de publication

Date de publication:
17 Jul 2023
Historique:
received: 22 12 2022
revised: 08 06 2023
accepted: 23 06 2023
medline: 17 7 2023
pubmed: 17 7 2023
entrez: 17 7 2023
Statut: aheadofprint

Résumé

Tailored coronavirus disease 2019 (COVID-19) prevention strategies are needed for urban refugee youth in resource-constrained contexts. We developed an 8-wk interactive informational mobile health intervention focused on COVID-19 prevention practices informed by the Risk, Attitude, Norms, Ability, Self-regulation-or RANAS-approach. We conducted a pre-post trial with a community-recruited sample of refugee youth aged 16-24 y in Kampala, Uganda. Data were collected before (T1) and immediately following (T2) the intervention, and at the 16-wk follow up (T3), to examine changes in primary (COVID-19 prevention self-efficacy) and secondary outcomes (COVID-19 risk awareness, attitudes, norms and self-regulation practices; depression; sexual and reproductive health [SRH] access; food/water security; COVID-19 vaccine acceptability). Participants (n=346; mean age: 21.2 [SD 2.6] y; cisgender women: 50.3%; cisgender men: 48.0%; transgender persons: 1.7%) were largely retained (T2: n=316, 91.3%; T3: n=302, 87.3%). In adjusted analyses, COVID-19 prevention self-efficacy, risk awareness, attitudes and vaccine acceptance increased significantly from T1 to T2, but were not sustained at T3. Between T1 and T3, COVID-19 norms and self-regulation significantly increased, while community violence, water insecurity and community SRH access decreased. Digital approaches for behaviour change hold promise with urban refugee youth but may need booster messaging and complementary programming for sustained effects.

Sections du résumé

BACKGROUND BACKGROUND
Tailored coronavirus disease 2019 (COVID-19) prevention strategies are needed for urban refugee youth in resource-constrained contexts. We developed an 8-wk interactive informational mobile health intervention focused on COVID-19 prevention practices informed by the Risk, Attitude, Norms, Ability, Self-regulation-or RANAS-approach.
METHODS METHODS
We conducted a pre-post trial with a community-recruited sample of refugee youth aged 16-24 y in Kampala, Uganda. Data were collected before (T1) and immediately following (T2) the intervention, and at the 16-wk follow up (T3), to examine changes in primary (COVID-19 prevention self-efficacy) and secondary outcomes (COVID-19 risk awareness, attitudes, norms and self-regulation practices; depression; sexual and reproductive health [SRH] access; food/water security; COVID-19 vaccine acceptability).
RESULTS RESULTS
Participants (n=346; mean age: 21.2 [SD 2.6] y; cisgender women: 50.3%; cisgender men: 48.0%; transgender persons: 1.7%) were largely retained (T2: n=316, 91.3%; T3: n=302, 87.3%). In adjusted analyses, COVID-19 prevention self-efficacy, risk awareness, attitudes and vaccine acceptance increased significantly from T1 to T2, but were not sustained at T3. Between T1 and T3, COVID-19 norms and self-regulation significantly increased, while community violence, water insecurity and community SRH access decreased.
CONCLUSIONS CONCLUSIONS
Digital approaches for behaviour change hold promise with urban refugee youth but may need booster messaging and complementary programming for sustained effects.

Identifiants

DOI: 10.1093/inthealth/ihad051 PMID: 37458073
pubmed: 37458073
pii: 7225124
doi: 10.1093/inthealth/ihad051
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : International Development Research Center
Organisme : Canada Research Chairs
Organisme : Canada Foundation for Innovation
Organisme : Ontario Ministry of Research and Innovation

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

Auteurs

Carmen H Logie (CH)

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario M5S 1V4, Canada.
Women's College Research Institute, Women's College Hospital, Toronto, Ontario M5S 1B2, Canada.
Centre for Gender & Sexual Health Equity, Vancouver, BC V6Z 2K5, Canada.
ORCID: 0000-0002-8035-433X

Moses Okumu (M)

School of Social Work, University of Illinois Urbana-Champaign, Urbana, Illinois 61820, United States.
School of Social Sciences, Uganda Christian University, Mukono, Uganda.

Isha Berry (I)

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada.

Jean-Luc Kortenaar (JL)

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada.

Robert Hakiza (R)

Young African Refugees for Integral Development (YARID), Kampala, Uganda.

Daniel Kibuuka Musoke (DK)

International Research Consortium (IRC), Kampala, Uganda.

Brenda Katisi (B)

Young African Refugees for Integral Development (YARID), Kampala, Uganda.

Aidah Nakitende (A)

International Research Consortium (IRC), Kampala, Uganda.

Peter Kyambadde (P)

National AIDS and STI Control Programme, Ministry of Health, Kampala, Uganda.
Most at Risk Population Initiative, Mulago Hospital, Kampala, Uganda.

Richard Lester (R)

Department of Medicine, University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada.

Amaya G Perez-Brumer (AG)

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada.

Zerihun Admassu (Z)

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario M5S 1V4, Canada.

Lawrence Mbuagbaw (L)

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario L8S 4L8, Canada.
Department of Anesthesia, McMaster University, Hamilton, ON L8N 3Z5, Canada.
Department of Pediatrics, McMaster University, Hamilton, ON L8S 4K1, Canada.
Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, ON L8G 5E4, Canada.
Centre for Development of Best Practices in Health (CDBPH), Yaoundé Central Hospital, Yaoundé, Cameroon.
Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape Town, South Africa.

Classifications MeSH