A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique
Objective The study aimed to develop and validate messages for a mobile phone text-based intervention to enhance human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) risk reduction among long-distance truckers (LDTs) in Kenya. Methods and methodology Initially, key facts and up...
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SAGE Publishing
2025-06-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076251353287 |
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| author | Cyrus Mutie Kawira Kithuci John Gachohi Grace Mbuthia |
| author_facet | Cyrus Mutie Kawira Kithuci John Gachohi Grace Mbuthia |
| author_sort | Cyrus Mutie |
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| description | Objective The study aimed to develop and validate messages for a mobile phone text-based intervention to enhance human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) risk reduction among long-distance truckers (LDTs) in Kenya. Methods and methodology Initially, key facts and updates on HIV/AIDS risk reduction were extracted from existing guidelines and packaged into short messages targeted for LDTs. Subsequently, a panel of interdisciplinary experts was purposively sampled and invited through individual emails to participate in the e-Delphi exercise. The study involved three phases: formative research, intervention development, and content validation. Two rounds of the e-Delphi exercise were conducted. A consensus threshold of above 75% was adopted. A Fleiss’ kappa ( K ) statistic was computed to assess the interrater reliability levels in each round of the e-Delphi exercise. Results Most experts were of Kenyan citizenship, 21 (88%), except for one Ugandan and two South Africans. A total of 56 items were rated by 24 experts in round one. Out of the 56 items rated in round one, 50 achieved a consensus above 75%. Based on feedback from specific experts in round one, six items were amended, and an extra one was formulated. In round two, seven items were rated. The seven items achieved a consensus level of 98.21%, meaning a third round was unnecessary. Conclusion Given the multi-dimensional inputs from the interdisciplinary panel of experts, the text-based intervention is considered a valid tool for promoting HIV/AIDS risk reduction among LDTs. Considering the substantive approval of the intervention from the panel of experts, a short message service-based digital delivery platform will be used in the implementation phase. We recommend regular updates of the intervention, as the evidence is expected to grow and evolve further. |
| format | Article |
| id | doaj-art-a1e8f1b3c8d94654b7d270b686faf34b |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-a1e8f1b3c8d94654b7d270b686faf34b2025-08-20T03:31:53ZengSAGE PublishingDigital Health2055-20762025-06-011110.1177/20552076251353287A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi techniqueCyrus Mutie0Kawira Kithuci1John Gachohi2Grace Mbuthia3 Department of Nursing Education, Leadership, Management and Research, , Thika, Kenya Department of Nursing Education, Leadership, Management and Research, , Nairobi, Kenya Paul G. Allen School of Global Health, , Pullman, USA Department of Community Health Nursing, , Nairobi, KenyaObjective The study aimed to develop and validate messages for a mobile phone text-based intervention to enhance human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) risk reduction among long-distance truckers (LDTs) in Kenya. Methods and methodology Initially, key facts and updates on HIV/AIDS risk reduction were extracted from existing guidelines and packaged into short messages targeted for LDTs. Subsequently, a panel of interdisciplinary experts was purposively sampled and invited through individual emails to participate in the e-Delphi exercise. The study involved three phases: formative research, intervention development, and content validation. Two rounds of the e-Delphi exercise were conducted. A consensus threshold of above 75% was adopted. A Fleiss’ kappa ( K ) statistic was computed to assess the interrater reliability levels in each round of the e-Delphi exercise. Results Most experts were of Kenyan citizenship, 21 (88%), except for one Ugandan and two South Africans. A total of 56 items were rated by 24 experts in round one. Out of the 56 items rated in round one, 50 achieved a consensus above 75%. Based on feedback from specific experts in round one, six items were amended, and an extra one was formulated. In round two, seven items were rated. The seven items achieved a consensus level of 98.21%, meaning a third round was unnecessary. Conclusion Given the multi-dimensional inputs from the interdisciplinary panel of experts, the text-based intervention is considered a valid tool for promoting HIV/AIDS risk reduction among LDTs. Considering the substantive approval of the intervention from the panel of experts, a short message service-based digital delivery platform will be used in the implementation phase. We recommend regular updates of the intervention, as the evidence is expected to grow and evolve further.https://doi.org/10.1177/20552076251353287 |
| spellingShingle | Cyrus Mutie Kawira Kithuci John Gachohi Grace Mbuthia A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique Digital Health |
| title | A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique |
| title_full | A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique |
| title_fullStr | A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique |
| title_full_unstemmed | A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique |
| title_short | A mobile phone text-based intervention to enhance HIV/AIDS risk reduction among long-distance truckers in Kenya: Development and validation using an e-Delphi technique |
| title_sort | mobile phone text based intervention to enhance hiv aids risk reduction among long distance truckers in kenya development and validation using an e delphi technique |
| url | https://doi.org/10.1177/20552076251353287 |
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