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Discreet, accessible interventions are urgently needed to mitigate the risk of intimate-partner violence IPV and other relationship barriers that women encounter to using HIV prevention methods such as pre-exposure prophylaxis PrEP. We adapted a counsellor-administered intervention, CHARISMA, into a mobile-optimized website to enhance accessibility and reduce human resources required for HIV prevention and relationship counseling. Feedback was measured via surveys and website analytics.
Workshops and cognitive interviews generated insights on technology use, contextual adaptations, and confidentiality, which were integrated into the beta version. In pilot testing, users found the website was useful mean rating 4. On average, users rated the website more than 4 stars out of 5. Beta and pilot-testing suggested the smartphone-optimized website was well-accepted, relevant, engaging, feasible to administer, discreet and safe.
Results contributed to a refined website, suitable for adaptations to other contexts and further evaluation where outcomes related to PrEP use and relationships should be assessed. Relationship-based issues such as intimate partner violence remain a barrier for women to effectively use HIV prevention like pre-exposure prophylaxis PrEP , and limited tools or human resources exist to provide adequate counselling on this topic.
We involved women in the adaptation of a novel in-person counselling program addressing relationship-based barriers to PrEP to a mobile website. Using a multi-step process we co-designed the website with women, beta and pilot tested it to identify barriers and facilitators to use and improve its features and content. The process helped us design a mobile website that was contextually relevant, feasible, and easy to use.