The goal of this study is to learn whether a digital tool can help improve HIV knowledge, self-awareness, and testing among adolescents in Yogyakarta, Indonesia. The tool includes online HIV education, a self-assessment for HIV risk, and access to trained peer educators for support. The study will also explore how comfortable and willing adolescents are to use this kind of digital health service.
The main questions the study aims to answer are:
* Can this digital tool help adolescents better understand HIV and their personal risk? * Will more adolescents be willing to get tested for HIV after using the tool? * What factors affect whether adolescents accept and use digital HIV services?
Researchers will compare two groups of high school students:
* One group will use the digital tool for 6 weeks * The other group will receive standard HIV education (not through the tool)
Participants will:
* Answer surveys before and after the 6-week period * Learn about HIV through videos and interactive content * Use the tool to assess their personal HIV risk * Receive support from trained peer educators (online)
The researchers hope this study will lead to new ways of using technology to improve HIV prevention and testing for young people.
Adolescents aged 15-17 years
Reside or attend school in the Yogyakarta area
Currently enrolled in one of the participating high schools
Able to read and understand Bahasa Indonesia
Adolescents outside the 15-17 age range
Unable to access digital devices or internet independently
Previously diagnosed with HIV (as this study targets prevention and self-screening among untested adolescents)
Unwilling or unable to provide informed assent or whose parents/guardians do not provide consent
Parallel
Digital HIV Education and Self-Screening (EKSTRIM Model)
DeviceParticipants in this arm will receive access to the EKSTRIM platform, a web-based digital tool designed for adolescents. The platform includes interactive educational content on HIV prevention, a self-assessment screening tool to evaluate individual HIV risk, and online peer educator support. The intervention will be implemented over a 6-week period. Participants will be encouraged to use the platform independently, with monitoring of access logs and engagement levels.
HIV Testing Uptake Among Adolescents Using a Digital Self-Screening and Education Platform
Proportion of adolescents aged 15-17 who undergo voluntary HIV testing following engagement with the EKSTRIM digital platform, which includes audiovisual education, risk self-assessment, and online counseling. This outcome measures the effectiveness of the intervention in increasing HIV testing behavior compared to baseline where no participants had ever been tested, despite prior exposure to HIV-related information. Data will be collected through platform records and follow-up surveys to confirm testing uptake and linkage to services.
Change in HIV Knowledge and Self Awareness Among Adolescents
Measured change in HIV-related knowledge and self-perceived risk awareness before and after using the EKSTRIM digital platform. Participants complete standardized pre- and post-intervention questionnaires assessing HIV transmission, prevention, testing, and risk awareness. The outcome evaluates the educational impact of audiovisual content and interactive modules. Scores will be compared using paired statistical analysis to determine knowledge gains and shifts in perceived vulnerability.
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