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Battle in the Blood Development of a Mobile Game to Increase Uptake of Hiv Services Among Young Key Populations in the Philippines: Mixed Methods Case Study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Battle in the Blood Development of a Mobile Game to Increase Uptake of Hiv Services Among Young Key Populations in the Philippines: Mixed Methods Case Study./
Author:	Hemingway, Charlotte.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	226 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-05, Section: B.
Contained By:	Dissertations Abstracts International83-05B.
Subject:	Design. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28827659
ISBN:	9798494461100

Battle in the Blood Development of a Mobile Game to Increase Uptake of Hiv Services Among Young Key Populations in the Philippines: Mixed Methods Case Study.
Hemingway, Charlotte.

Battle in the Blood Development of a Mobile Game to Increase Uptake of Hiv Services Among Young Key Populations in the Philippines: Mixed Methods Case Study. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 226 p.

Source: Dissertations Abstracts International, Volume: 83-05, Section: B.

Thesis (Ph.D.)--The University of Liverpool (United Kingdom), 2021.

This item must not be sold to any third party vendors.

BackgroundWhile progress has been made against the UNAIDS 90-90-90 targets, public health gains made in the adult population continue to elude adolescent and young key populations. Progress is not the same in all countries with the Philippines experiencing a sharp rise in HIV infections among young key populations with limited uptake of testing and treatment services. Behaviour change is key to addressing these issues and interventions targeted at this cohort need to be relevant and engaging to successfully compete for their attention, change perceptions, and encourage positive health-related behaviour. The advent and popularity of mobile gaming in the Philippines position digital behaviour change games as a promising platform. Through gameplay, users can traverse a carefully constructed narrative, exposing them to new perspectives around HIV and increasing knowledge of early signs of HIV infection, risk behaviours and available testing and treatment services. While the use of digital games for HIV prevention and detection has rapidly increased in recent times, little is known about game development and effectiveness in low and middle-income (LMIC) contexts. In addition, evidence through randomized control trial design of the effectiveness of games underpinned by cognitive theories of behaviour change is weak, denoting a need to re-think the contribution of these games to the health development field and how we evaluate them. To explore the contribution and limitations of a tailored digital game for health aimed at improving HIV-related knowledge, attitudes and practices among young key populations in the Philippines.Objectives1. To identify appropriate learning objectives and theoretically driven game design relating to HIV prevention and control among young key populations in the Philippines.2. To develop a playable and acceptable behaviour change game targeted at young key populations in the Philippines.3. To assess demand and reach of the game among target users. 4. To explore the effect of the game on cognitive and social determinants of HIV service use and behaviour.MethodsA mixed methods approach was taken to establish a theoretically driven, evidence-based game design and explore its acceptability and effect among target users. All primary data were collected in the Philippines between August 2016 and December 2018.A literature review was combined with formative work in the Philippines to determine theintended learning and behaviour outcomes of the game. The formative work comprised: 1) semi-structured qualitative interviews with men who have sex with men (MSM) and transgender women (TGW) in the National Capital Region (NCR) to inform the learning objectives; and 2) a retrospective review of attrition along the HIV care cascade conducted at four HIV testing and counselling clinics (three in the NCR and one in the Davao Region). An additional review of games for health literature underpinned the development of a conceptual framework to inform the game design and evaluation.The game was developed through an iterative user-centred design process: game design (November 2016 to February 2017), prototype testing (August 2017 to November 2017) and game analytics (December 2017 to December 2018). The game was built by a UK developer with input from a UK physician and Filipino physician, nurse, virologist and epidemiologist. During the game design and prototype testing activities, a total of 40 Filipino participants comprising target users and trained HIV counsellors engaged in participatory design workshops, extended playtests and focus group discussions.

ISBN: 9798494461100Subjects--Topical Terms:

518875
Design.

Battle in the Blood Development of a Mobile Game to Increase Uptake of Hiv Services Among Young Key Populations in the Philippines: Mixed Methods Case Study.
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520 $a BackgroundWhile progress has been made against the UNAIDS 90-90-90 targets, public health gains made in the adult population continue to elude adolescent and young key populations. Progress is not the same in all countries with the Philippines experiencing a sharp rise in HIV infections among young key populations with limited uptake of testing and treatment services. Behaviour change is key to addressing these issues and interventions targeted at this cohort need to be relevant and engaging to successfully compete for their attention, change perceptions, and encourage positive health-related behaviour. The advent and popularity of mobile gaming in the Philippines position digital behaviour change games as a promising platform. Through gameplay, users can traverse a carefully constructed narrative, exposing them to new perspectives around HIV and increasing knowledge of early signs of HIV infection, risk behaviours and available testing and treatment services. While the use of digital games for HIV prevention and detection has rapidly increased in recent times, little is known about game development and effectiveness in low and middle-income (LMIC) contexts. In addition, evidence through randomized control trial design of the effectiveness of games underpinned by cognitive theories of behaviour change is weak, denoting a need to re-think the contribution of these games to the health development field and how we evaluate them. To explore the contribution and limitations of a tailored digital game for health aimed at improving HIV-related knowledge, attitudes and practices among young key populations in the Philippines.Objectives1. To identify appropriate learning objectives and theoretically driven game design relating to HIV prevention and control among young key populations in the Philippines.2. To develop a playable and acceptable behaviour change game targeted at young key populations in the Philippines.3. To assess demand and reach of the game among target users. 4. To explore the effect of the game on cognitive and social determinants of HIV service use and behaviour.MethodsA mixed methods approach was taken to establish a theoretically driven, evidence-based game design and explore its acceptability and effect among target users. All primary data were collected in the Philippines between August 2016 and December 2018.A literature review was combined with formative work in the Philippines to determine theintended learning and behaviour outcomes of the game. The formative work comprised: 1) semi-structured qualitative interviews with men who have sex with men (MSM) and transgender women (TGW) in the National Capital Region (NCR) to inform the learning objectives; and 2) a retrospective review of attrition along the HIV care cascade conducted at four HIV testing and counselling clinics (three in the NCR and one in the Davao Region). An additional review of games for health literature underpinned the development of a conceptual framework to inform the game design and evaluation.The game was developed through an iterative user-centred design process: game design (November 2016 to February 2017), prototype testing (August 2017 to November 2017) and game analytics (December 2017 to December 2018). The game was built by a UK developer with input from a UK physician and Filipino physician, nurse, virologist and epidemiologist. During the game design and prototype testing activities, a total of 40 Filipino participants comprising target users and trained HIV counsellors engaged in participatory design workshops, extended playtests and focus group discussions.
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