The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand

Details

• Alternative Title:
  J Int AIDS Soc
• Personal Author:
  Lolekha, Rangsima ; Boon‐yasidhi, Vitharon ; Na‐Nakorn, Yossawadee ; Manaboriboon, Boonying ; Vandepitte, Warunee Punpanich ; Martin, Michael ; Tarugsa, Jariya ; Nuchanard, Wipada ; Leowsrisook, Pimsiri ; Lapphra, Ketwadee ; Suntarattiwong, Piyarat ; Thaineua, Vorapathu ; Chokephaibulkit, Kulkanya
• Corporate Authors:
  Happy Teen Working Group
• Description:
  We developed an 18-month Happy Teen 2 (HT2) programme comprised of a one-day workshop, two half-day sessions, and three individual sessions to prepare HIV-infected youth for the transition from paediatric to adult HIV care services. We describe the programme and evaluate the change in youth's knowledge scores.|We implemented the HT2 programme among HIV-infected Thai youth aged 14-22 years who were aware of their HIV status and receiving care at two hospitals in Bangkok (Siriraj Hospital, Queen Sirikit National Institute of Child Health [QSNICH]). Staff interviewed youth using a standardized questionnaire to assess HIV and health-related knowledge at baseline and at 12 and 18 months while they participated in the programme. We examined factors associated with a composite knowledge score ≥95% at month 18 using logistic regression.|During March 2014-July 2016, 192 of 245 (78%) eligible youth were interviewed at baseline. Of these, 161 (84%) returned for interviews at 12 and 18 months. Among the 161 youth, the median age was 17 years, 74 (46%) were female, and 99% were receiving antiretroviral treatment. The median composite score was 45% at baseline and increased to 82% at 12 months and 95% at 18 months (| < 0.001). The range of median knowledge scores for antiretroviral management, HIV monitoring, HIV services, and family planning significantly increased from baseline (range 0-75%) to (range 67-100%) at 12 months and to 100% at 18 months (| < 0.001). Almost all youth were able to describe education and career goals at 12 and 18 months compared to 75% at baseline. In multivariable analysis, a composite knowledge score at 18 months >95% was associated with education level >high school (aOR: 2.15, 95%CI, 1.03-4.48) and receipt care at QSNICH (aOR: 2.43, 95%CI, 1.18-4.98). Youth whose mother and father had died were less likely to have score ≥95% (aOR: 0.22, 95%CI, 0.07-0.67) than those with living parents.|Knowledge useful for a successful transition from paediatric to adult HIV care increased among youth participating in the HT2 programme. Youth follow-up will continue to assess the impact of improved knowledge on outcomes following the transition to adult care services.
• Subjects:
  Adolescent Ambulatory Care Facilities Female Health Knowledge, Attitudes, Practice HIV Infections Holistic Health Humans Male Surveys And Questionnaires Transition To Adult Care Young Adult

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• Source:
  J Int AIDS Soc. 20(Suppl 3).
• Pubmed ID:
  28530043
• Pubmed Central ID:
  PMC5704900
• Document Type:
  Journal Article
• Funding:
  5U2GGH000616-04/Presidents' Emergency Plan for AIDS Relief (PEPFAR)/International ; U2G GH000616/GH/CGH CDC HHS/United States
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  Thailand
• Volume:
  20
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:a7ecaa2b6d9faa1116a38b1fb874082145e146b90302b0f5291a2fbb4598783f44d78b3e367b8fc2b1721f78a37dd383b6d196c3418e9e326388743c6ec47664
• Download URL:
  https://stacks.cdc.gov/view/cdc/61184/cdc_61184_DS1.pdf
• File Type:
  [PDF - 130.17 KB ]