Robin J. Jacobs|Joshua Caballero|Raymond L. Ownby|Michael N. Kane
Development of a culturally appropriate computer-delivered tailored internet-based health literacy intervention for spanish-dominant hispanics living with HIV
Nova Southeastern University|Nova Southeastern University|Nova Southeastern University|Florida Atlantic University
low health literacy associated poor medication adherence persons human immunodeficiency virus hiv lead poor health outcomes linguistic minorities spanishdominant hispanics sdh face challenges difficulties obtaining understanding accurate information hiv treatment traditional health educational methods eg pamphlets talking may effective delivering alternate venues technologybased health information interventions potential readily available desktop computers internet purpose research adapt theoreticallybased computer application initially developed englishspeaking hivpositive persons provide linguistically culturally appropriate tailored health education spanishdominant hispanics hiv hiv sdh mixed methods approach using quantitative qualitative interviews 25 hiv sdh 5 key informants guided informationmotivationbehavioral imb skills model used investigate cultural factors influencing medication adherence hiv sdh used triangulation approach identify major themes within cultural contexts relevant understanding factors related motivation adhere treatment data adapted automated computerbased health literacy intervention delivered spanish culturespecific motivational factors treatment adherence hiv sdh persons emerged data stigma familismo family mood social support using data developed culturally linguistically adapted tailored intervention provides information hiv infection treatment medication related problem solving skills proven effective englishspeaking populations delivered using touchscreen computers tablets smartphones tested future study using theoreticallygrounded internetbased ehealth education intervention builds knowledge also targets core cultural determinants adherence may prove highly effective approach improve health literacy medication decisionmaking group