Acceptability and appropriateness of “Undetectable=Untransmittable” messages targeting HIV mixed-status couples in Malawi

Description

Qualitative data on optimising communication package for Undetectable=Untransmittable 'U=U' targeting HIV mixed-status couples in Malawi

Steps to reproduce

Cognitive interviews were conducted at the clinic by systematically engaging participants in person to evaluate their understanding of the developed ‘U=U’ materials. Participants were guided through a three-step process: (1) reading the messages, (2) reflecting on and articulating their comprehension of the information, and (3) suggesting adjustments to improve the clarity and accessibility of the content for lay audiences. Scripted probes were utilized together with follow-up questions to gain deeper insights. The following is an example of cognitive interview questions: 1. Please read the text above the picture. (Probes: Tell me in your own words what the text is trying to mean. What does this text mean to you? What is your understanding of the term ‘viral load’ contained in this text? What is the meaning of the term ‘undetectable viral load’?). The duration of cognitive interviews was between 35 minutes and 1 hour and non-participants were not present during data collection. Data collection was concluded after the attainment of information saturation observable through data duplication. Data were collected in two iterations. The first iteration entailed allowing participants to provide feedback on the original materials while the second iteration allowed participants to provide feedback on improvements made to ‘U=U’ materials following recommendations from participants in the first iteration. Data collection approaches and tools used in the first and second iterations were the same. The participatory stakeholder workshop provided an additional layer of expert opinion on the materials. Stakeholders critically examined the communication materials and reflected on the insights gathered during the cognitive interviews, contributing to further refinement of the messages.

Institutions

• University of Malawi College of Medicine

  Southern Region, Blantyre

Categories

Funders

• European & Developing Countries Clinical Trials Partnership

  South Holland, The Netherlands

  Grant ID: TMA2019CDF2704

Licence