Evaluation of a Web-based intervention for improving HIV/AIDS knowledge in rural Yunnan, China

Institute for Health Sciences, Kunming Medical College, Yunnan, China.
AIDS (London, England) (Impact Factor: 5.55). 01/2008; 21 Suppl 8(Suppl 8):S137-42. DOI: 10.1097/01.aids.0000304709.02412.3c
Source: PubMed


To improve HIV/AIDS knowledge among villagers and students in remote rural counties of Yunnan, China.
The University of California at Los Angeles School of Public Health and the Institute of Health Sciences of Kunming Medical College, with the assistance of local health and community agencies, initiated a web-based intervention project. Nanhua county received computers, training on accessing the website, and ongoing logistic support for diffusing information to their village colleagues. Mouding county received computers only, and Dayao county received neither.
Health workers in the two experimental counties were encouraged to disseminate the information from the website to villagers and students. Health knowledge was queried by cross-sectional surveys before and after implementation of the intervention.
Health workers, villagers and students in Nanhua experienced the greatest increase in knowledge of HIV/AIDS and sexually transmitted infections, and Dayao the lowest. The improved knowledge was substantial in many, but not all areas (e.g. hepatitis B transmission) assessed.
Web-based education is an effective method to increase health knowledge in rural China. Ongoing logistic support is essential for success.

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    • "Although there are significantly few empirical studies focusing on computer-assisted HIV/AIDS interventions, the modest studies conducted in this area show some positive benefits. There is evidence that computer-assisted HIV/AIDS innovations increase participants' knowledge of sexual health and HIV/AIDS (Bailey et al 2010; Young and Rice 2011; Noar et al 2009; Tian et al 2007; Ito et al 2008; Lou et al 2006; Halpern et al 2008), attitudes and self-efficacy (Gustafson et al 2001; Ashton et al 2005; Coursaris et al 2009). "
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    ABSTRACT: Unlike traditional approaches to sexuality and HIV education which can be constrained by the sensitive nature of the subject, Information Technology (IT) can be an innovative teaching tool that can be used to educate people about HIV. This is especially relevant to interventions targeting young people; the population group fond of using IT, and the same group that is more vulnerable to HIV/AIDS. Yet, there are significantly few empirical studies that rigorously evaluated computer-assisted school-based HIV/AIDS interventions in developing countries. The modest studies conducted in this area have largely been conducted in developed countries, leaving little known about the effectiveness of such interventions in low resource settings, which moreover host the majority of HIV/AIDS infections. This research addresses this gap by conducting a controlled pre-post intervention evaluation of the impacts of the World Starts With Me (WSWM), a computer-assisted HIV/AIDS intervention implemented in schools in Uganda. The research question was: did the WSWM intervention significantly influence students’ sexual behaviors, HIV/AIDS knowledge, attitudes and self-efficacy? To address this question, questionnaires were simultaneously administering to 146 students in an intervention group (the group receiving the WSWM intervention) and 146 students in a comparison group (the group who did not receive the WSWM intervention), before (February 2009) and after the intervention (December 2009). Findings indicate that the intervention significantly improved students’ HIV/AIDS knowledge, attitudes self-efficacy, sex abstinence and fidelity, but had no significant impact on condom use. The major reason for non-use of condoms was lack of knowledge about condom use which can be attributed to teachers’ failure and inabilities to demonstrate condom use in class. To address this challenge, intervention teachers should be continuously trained in skills-based and interactive sexuality education. This training will equip them with self-confidence and interactive teaching skills, including tactics for emphasizing building students’ skills through role plays and interactive assignments. In addition, the HIV interventions themselves should include interactive virtual condom use demonstrations that can be accessed by students themselves.
    Full-text · Article · May 2012
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    • "There were studies about fairly good use of the Internet for health education in low-income countries; Iran (the use of a web-based education system for patients with inflammatory bowel disease which showed fairly good usage)[13], India (successful implementation of Information and Communication Technology based project for local public heath sector which emphasizes the requirement of connectivity, content, capacity building, and policy for bridging the digital divide) [14], Colombia (web-based tele-consulting service to under-served areas to improve the access to health care and information to the community and to encourage open discussion) [15] and China (web-based intervention for improving HIV/AIDS knowledge in rural areas which emphasizes the need for ongoing logistic support for the success of such a project.) [16]. "
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    ABSTRACT: The internet is a relatively new medium of disseminating health information. Studies on Internet usage for health information are mainly done in developed countries and very few studies have been carried out in developing countries. The Internet usage of patients who were attending specialist clinics in Teaching Hospital Karapitiya and Southern Hospital in Galle, Sri Lanka was investigated. The study was carried out on the following specialities; General Medicine, Pediatrics, General Surgery and Cardiothoracic surgery. Information was collected using an investigator-administered questionnaire while patients were waiting for a consultation. Three hundred and fifty five patients (or guardians in the Pediatric clinic) participated in the study. One hundred seventy two (48.3%) participants have heard about the Internet. There was a relationship between awareness of the Internet and age, educational level and the clinic attended. There was no difference of awareness depending on the gender or the hospital. Only three participants (0.97%) have used the Internet to find information about their disease conditions. Close relatives searched the Internet about the conditions of two participants. Altogether, the Internet was used to search information on the disease condition of five participants (1.4%). Very low usage of the Internet for health information retrieval in this study is probably due to low awareness of the Internet and low educational level. This low usage of Internet and the associated reasons shown in this study can be generalized to Sri Lanka and probably to other low-income countries that have lower educational level than Sri Lanka.
    Full-text · Article · Mar 2009 · BMC Medical Informatics and Decision Making
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    • "HIV lower in one intervention community. Tian et al. 2007 2003. "
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    ABSTRACT: In the past two decades, China has witnessed an alarming increase of HIV/AIDS epidemic. Meanwhile, a number of HIV prevention interventions have been conducted. This study reviews existing studies in literature on behavioral interventions on HIV/AIDS in China. Of 25 studies we identified, most have been concentrated in South and South-West China, mainly targeting injection drug users and female sex workers. The most commonly used intervention strategy was individual-oriented HIV-related knowledge education and behavioral skill training. All studies reported positive intervention effects including improved HIV-related knowledge, increased condom use, reduced needle sharing, and reduced STI. Literature also suggests a lack of intervention among other at-risk populations such as MSM, migrant workers, and non-injecting drug users, lack of studies with rigorous evaluation design, inadequate follow-up, limited outcome measurement, and lack of multi-faceted structural interventions. The existing intervention studies document strong evidence of controlling HIV/AIDS epidemic through effective behavioral intervention. More efforts are needed to control the growing HIV/AIDS epidemic in China. Future studies need to employ more rigorous methodology and incorporate environmental or structural factors for different populations at risk of HIV infection in China.
    Full-text · Article · Nov 2008 · AIDS and Behavior
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