Sex workers perspectives on strategies to reduce sexual exploitation and HIV risk: a qualitative study in Tijuana, Mexico.

Globally, female sex workers are a population at greatly elevated risk of HIV infection, and the reasons for and context of sex industry involvement have key implications for HIV risk and prevention. Evidence suggests that experiences of sexual exploitation (i.e., forced/coerced sex exchange) contribute to health-related harms. However, public health interventions that address HIV vulnerability and sexual exploitation are lacking. Therefore, the objective of this study was to elicit recommendations for interventions to prevent sexual exploitation and reduce HIV risk from current female sex workers with a history of sexual exploitation or youth sex work. From 2010-2011, we conducted in-depth interviews with sex workers (n = 31) in Tijuana, Mexico who reported having previously experienced sexual exploitation or youth sex work. Participants recommended that interventions aim to (1) reduce susceptibility to sexual exploitation by providing social support and peer-based education; (2) mitigate harms by improving access to HIV prevention resources and psychological support, and reducing gender-based violence; and (3) provide opportunities to exit the sex industry via vocational supports and improved access to effective drug treatment. Structural interventions incorporating these strategies are recommended to reduce susceptibility to sexual exploitation and enhance capacities to prevent HIV infection among marginalized women and girls in Mexico and across international settings

VIRTUAL AGENTS VERSUS CLINICAL PSYCHOLOGISTS

The use of Virtual Agents (VAs) is currently a popular topic in mental health interviews. Advantages of VA over Real Expert (RE) in the interview were reported. However, the advantages of audio-visual VAs over REs during comprehensive mental health interviews remain unclear, and their clarification is important to promote the practical application of VAs in these settings. To explore the advantages, we triangulated data using mixed methods design, aiming to show quantitative advantages of the VAs in their perceived rapport and eye movement, and to describe the qualitative advantages of the VAs in their disclosed mental symptoms during the interview. A total of 55 Japanese university students participated in comprehensive mental health interviews conducted by the VA and RE. Findings show that participants perceived rapport and moved their right eyes more often, along with disclosing numerous mental symptoms, with the RE than the VA. However, they disclosed more sex-related symptoms to the VA than the RE. The VA can be used most practically in sex-related health fields. The anonymity conditions in the VA setting might be relevant to patients’ self-disclosure of sex-related topics

TOWARDS BUILDING AN INTELLIGENT INTEGRATED MULTI-MODE TIME DIARY SURVEY FRAMEWORK

Enabling true responses is an important characteristic in surveys; where the responses are free from bias and satisficing. In this thesis, we examine the current state of surveys, briefly touching upon questionnaire surveys, and then on time diary surveys (TDS). TDS are open-ended conversational surveys of a free-form nature with both, the interviewer and the respondent, playing a part in its progress and successful completion. With limited research available on how intelligent and assistive components can affect TDS respondents, we explore ways in which intelligent systems such as Computer Adaptive Testing, Intelligent Tutoring Systems, Recommender Systems, and Decision Support Systems can be leveraged for use in TDS. The motivation for this work is from realizing the opportunity that an enhanced web based instrument can offer the survey domain to unite the various facets of web based surveys to create an intelligent integrated multi-mode TDS framework. We envision the framework to provide all the advantages of web based surveys and interviewer assisted surveys. The two primary challenges are in determining what data is to be used by the system and how to interact with the user – specifically integrating the (1) Interviewer-assisted mode, and (2) Self-administered mode. Our proposed solution – the intelligent integrated multi-mode framework – is essentially the solution to a set of modeling problems and we propose two sets of overreaching mechanisms: (1) Knowledge Engineering Mechanisms (KEM), and (2) Interaction Mechanisms (IxM), where KEM serves the purpose of understanding what data can be created, used and stored while IxM deals with interacting with the user. We build and study a prototype instrument in the interviewer-assisted mode based on the framework. We are able to determine that the instrument improves the interview process as intended and increases the data quality of the response data and is able to assist the interviewer. We also observe that the framework’s mechanisms contribute towards reducing interviewers’ cognitive load, data entry times and interview time by predicting the next activity. Advisor: Leenkiat So

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"It's Like the Pieces of a Puzzle That You Know": Research Interviews With People Who Inject Drugs Using the VidaviewTM Life Story Board

Bei dem Life Story Board (LSB) handelt es sich um ein visuelles Tool, das in therapeutischen Kontexten zum Einsatz kommt, um die Lebenswelt zu ko-konsturieren, die die persönlichen, relationalen und zeitlichen Aspekte individueller gelebter Erfahrung umfasst. In unserer Studie zu Drogennutzung und Schadensreduzierung interviewten wir Menschen, die Drogen injizieren unter Einsatz des LSB, um herauszufinden, ob sich hieraus Potenziale für eine verbesserte qualitative Forschung ergeben könnten. In unserem Forschungsteam arbeiteten neben Akademiker*innen auch frühere oder aktuelle Drogenkonsument*innen mit. Interviews wurden von jeweils zwei Personen geführt: eine agierte als Interviewer*in, die andere war für das LSB zuständig.Entlang der Ergebnisse war nachvollziehbar, dass Interviewende und Interviewte in unterschiedlicher Weise mit dem LSB interagierten: Während die Interviewer*innen es nutzten, um sich im Leitfaden zu orientieren, half es den Befragten, die eigene Lebensgeschichte mittels einer Vielzahl an emotionalen und kognitiven Äußerungen zu validieren oder zu unterstreichen. Das LSB erlaubte, sich an spezifische Situationen oder Vorfälle zu erinnern, Perspektiven hinzuzugewinnen und der eigenen Geschichte zusätzlichen Sinn zu verleihen. Insoweit arbeiteten Interviewte und Interviewende unter jeweils unterschiedlichen Vorzeichen mittels des LSB gemeinsam an einer (Re-)Präsentation der jeweiligen Lebensgeschichte.The Life Story Board (LSB) is a visual tool used in therapeutic circumstances to co-construct a lifescape that represents the personal, relational and temporal aspects of a person's lived experiences. We conducted a study of the drug use and harm reduction experiences of people who inject drugs through research interviews using the LSB to determine whether it has the potential to enhance qualitative research. Our team included community researchers who were current or former drug users and academic researchers. Interviews were conducted by two community researchers: an interviewer and a storyboarder who populated the LSB.Results showed that interviewers and participants interacted with the LSB in different ways. The board functioned to situate the interviewers in the interview schedule, whereas participants often used the board as a way to validate or reinforce their life story. Participants expressed a variety of emotional and cognitive responses to the board. Overall, the LSB helped participants focus on their life story to recall specific occasions or incidents and enabled them to gain perspective and make greater sense of their lives. Both participants and interviewers engaged with the LSB in nuanced ways that enabled them to work together to represent the participant's life story