{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:07:45Z","timestamp":1790636865165,"version":"4.1.0"},"reference-count":40,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Adolescents living with HIV (ALHIV) face significant challenges in self-managing their chronic condition. Digital health technology (DHT) has become increasingly common and understanding ALHIVs\u2019 preferences is essential for developing interventions tailored to this unique population. This study aimed to explore the preferences of ALHIV regarding the use of DHT for self-management. A qualitative research approach with an exploratory and descriptive design was used. Participants were recruited using a purposive sampling method. Data were gathered through six nominal focus groups with 29 participants at two Community Health Centers in the Western Cape Province, South Africa. The participants were ALHIV aged 15\u201324 years. Discussions focused on current technology usage and the ranking of desired DHT features. The transcripts were analyzed using thematic analysis. Three main themes emerged: (1) everyday usage of digital technology where participants frequently used digital devices for communication, social media, and finding information; (2) the role of digital technology in self-management; a strong interest in digital technology that provides medication reminders, health education, and peer support; and (3) factors influencing digital technology, including the cost of data, limited connectivity, and issues of privacy related to participants\u2019 HIV status. The ALHIV showed a strong willingness to use digital platforms for health information, reminders, and peer support, although concerns about connectivity, data cost, and privacy remain. These findings underscore the need for flexible, user-centered approaches when designing DHT interventions for self-management in South Africa.<\/jats:p>","DOI":"10.3390\/ijerph22070972","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T06:10:27Z","timestamp":1750399827000},"page":"972","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preferences of South African Adolescents Living with HIV in the Western Cape Province Regarding the Use of Digital Technology for Self-Management"],"prefix":"10.3390","volume":"22","author":[{"given":"Leonie","family":"Weyers","sequence":"first","affiliation":[{"name":"School of Nursing, University of the Western Cape, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2993-6553","authenticated-orcid":false,"given":"Talitha","family":"Crowley","sequence":"additional","affiliation":[{"name":"School of Nursing, University of the Western Cape, Cape Town 7535, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3288-8289","authenticated-orcid":false,"given":"Lwandile","family":"Tokwe","sequence":"additional","affiliation":[{"name":"HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7700, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"ref_1","unstructured":"The Joint United Nation Programme on HIV\/AIDS (2022). IN DANGER: UNAIDS Global AIDS Update 2022, UNAIDS. Available online: https:\/\/www.unaids.org\/en\/resources\/documents\/2022\/in-danger-global-aids-update."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e25832","DOI":"10.1002\/jia2.25832","article-title":"Uncovering ART adherence inconsistencies: An assessment of sustained adherence among adolescents in South Africa","volume":"24","author":"Zhou","year":"2021","journal-title":"J. Int. AIDS Soc."},{"key":"ref_3","unstructured":"Human Sciences Research Council (2023, May 30). SABSSM VI Shows Prevalence Peak Shift to Older People 2023. Available online: https:\/\/hsrc.ac.za\/news\/public-health\/sabssm-vi-shows-prevalence-peak-shift-to-older-people\/."},{"key":"ref_4","unstructured":"Human Sciences Research Council (2019). New HIV Survey Highlights Progress and Ongoing Disparities in South Africa\u2019s HIV Epidemic, Human Sciences Research Council."},{"key":"ref_5","unstructured":"Simbayi, L.C., Zuma, K., Zungu, N., Moyo, S., Marinda, E., Jooste, S., Mabaso, M., Ramlagan, S., North, A., and Van Zyl, J. (2019). South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2017, HSRC Press."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e25921","DOI":"10.1002\/jia2.25921","article-title":"Health-related needs reported by adolescents living with HIV and receiving antiretroviral therapy in sub-Saharan Africa: A systematic literature review","volume":"25","author":"Chem","year":"2022","journal-title":"J. Int. AIDS Soc."},{"key":"ref_7","unstructured":"Tomlinson, M., Kleintjes, S., and Lake, L. (2022). Child and adolescent mental health and the digital world: A double-edged sword. South African Child Gauge 2021\/2022, Children\u2019s Institute, University of Cape Town."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1080\/09540121.2016.1173638","article-title":"Acceptability and use of a virtual support group for HIV-positive youth in Khayelitsha, Cape Town using the MXit social networking platform","volume":"28","author":"Henwood","year":"2016","journal-title":"AIDS Care"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1007\/s10461-018-2352-6","article-title":"Barriers to Retention in Care are Overcome by Adolescent-Friendly Services for Adolescents Living with HIV in South Africa: A Qualitative Analysis","volume":"23","author":"Zanoni","year":"2019","journal-title":"AIDS Behav."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1805","DOI":"10.1080\/09540121.2024.2383868","article-title":"Digital technology for HIV self-management in low- and middle-income countries: A scoping review of adolescents\u2019 preferences","volume":"36","author":"Weyers","year":"2024","journal-title":"AIDS Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S186","DOI":"10.1542\/peds.2019-2056G","article-title":"Technology Use for Adolescent Health and Wellness","volume":"145","author":"Radovic","year":"2020","journal-title":"Pediatrics"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1007\/s11904-015-0280-x","article-title":"Youth, Technology, and HIV: Recent Advances and Future Directions","volume":"12","author":"Muessig","year":"2015","journal-title":"Curr. HIV\/AIDS Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e17883","DOI":"10.2196\/17883","article-title":"Habit Strength, Medication Adherence, and Habit-Based Mobile Health Interventions Across Chronic Medical Conditions: Systematic Review","volume":"22","author":"Badawy","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1007\/s10461-021-03562-9","article-title":"Preferences for a Game-Based SMS Adherence Intervention Among Young People Living with HIV in Ghana: A Qualitative Study","volume":"26","author":"Tarantino","year":"2022","journal-title":"AIDS Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1080\/17450128.2021.1876965","article-title":"\u201cIt was not okay because you leave your friends behind\u201d: A prospective analysis of transition to adult care for adolescents living with perinatally-acquired HIV in South Africa","volume":"16","author":"Zanoni","year":"2021","journal-title":"Vulnerable Child. Youth Stud."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e47137","DOI":"10.2196\/47137","article-title":"MASI, a Smartphone App to Improve Treatment Adherence Among South African Adolescents and Young Adults With HIV: Protocol for a Pilot Randomized Controlled Trial","volume":"12","author":"Mulawa","year":"2023","journal-title":"JMIR Res. Protoc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.4102\/phcfm.v13i1.2756","article-title":"Adolescent human immunodeficiency virus self-management: Needs of adolescents in the Eastern Cape","volume":"13","author":"Adams","year":"2021","journal-title":"Afr. J. Prim. Health Care Fam. Med."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Armstrong, M., Halim, N.K., Raeside, R., Jia, S.S., Hyun, K., Boroumand, F., Mandoh, M., Singleton, A.C., Phongsavan, P., and Redfern, J. (2021). How Helpful and What Is the Quality of Digital Sources of Healthy Lifestyle Information Used by Australian Adolescents? A Mixed Methods Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182312844"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Bitto Urbanova, L., Madarasova Geckova, A., Dankulincova Veselska, Z., Capikova, S., Holubcikova, J., van Dijk, J.P., and Reijneveld, S.A. (2022). Technology supports me: Perceptions of the benefits of digital technology in adolescents. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.970395"},{"key":"ref_20","unstructured":"World Health Organization (2020). Youth-Centred Digital Health Interventions: A Framework for Planning, Developing and Implementing Solutions with and for Young People, WHO."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S2352-4642(18)30022-1","article-title":"The age of adolescence","volume":"2","author":"Sawyer","year":"2018","journal-title":"Lancet Child. Adolesc. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"114523","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: A systematic review of empirical tests","volume":"292","author":"Hennink","year":"2022","journal-title":"Soc. Sci. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/14703297.2015.1058721","article-title":"Focus Group meets Nominal Group Technique: An effective combination for student evaluation?","volume":"54","author":"McIsaac","year":"2017","journal-title":"Innov. Educ. Teach. Int."},{"key":"ref_24","first-page":"655","article-title":"How to use the nominal group and Delphi techniques","volume":"38","author":"McMillan","year":"2016","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/0147-1767(85)90062-8","article-title":"Naturalistic Inquiry: Beverly Hills, CA: Sage Publications, 1985, 416 pp., $25.00 (Cloth)","volume":"9","author":"Lincoln","year":"1985","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/capr.12360","article-title":"Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches","volume":"21","author":"Braun","year":"2021","journal-title":"Couns. Psychother. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? What counts as quality practice in (reflexive) thematic analysis?","volume":"18","author":"Braun","year":"2021","journal-title":"Qual. Res. Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/26895269.2022.2129597","article-title":"Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher","volume":"24","author":"Braun","year":"2023","journal-title":"Int. J. Transgend Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e20160884","DOI":"10.1542\/peds.2016-0884","article-title":"Mobile Phone Interventions for Adolescent Sexual and Reproductive Health: A Systematic Review","volume":"138","author":"Mangone","year":"2016","journal-title":"Pediatrics"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1007\/s10461-021-03376-9","article-title":"A Pilot Study of a Mobile Intervention to Support Mental Health and Adherence Among Adolescents Living with HIV in Western Kenya","volume":"26","author":"Chory","year":"2022","journal-title":"AIDS Behav."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e104","DOI":"10.1192\/bjo.2020.67","article-title":"Mental health interventions for adolescents living with HIV or affected by HIV in low- and middle-income countries: Systematic review","volume":"6","author":"Bhana","year":"2020","journal-title":"BJPsych Open"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Zanoni, B.C., Archary, M., Sibaya, T., Musinguzi, N., and Haberer, J.E. (2020). Transition from pediatric to adult care for adolescents living with HIV in South Africa: A natural experiment and survival analysis. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0240918"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e24867","DOI":"10.1097\/MD.0000000000024867","article-title":"Toward improved adherence: A text message intervention in an human immunodeficiency virus pediatric clinic in Guatemala City","volume":"100","author":"Ramay","year":"2021","journal-title":"Medicine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.jadohealth.2020.11.016","article-title":"A Single-Blind, Parallel Design RCT to Assess the Effectiveness of SMS Reminders in Improving ART Adherence Among Adolescents Living with HIV (STARTA Trial)","volume":"68","author":"Abiodun","year":"2021","journal-title":"J. Adolesc. Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1016\/j.jadohealth.2020.02.020","article-title":"Leveraging Technology to Improve Health in Adolescence: A Developmental Science Perspective","volume":"67","author":"Giovanelli","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Gunnlaugsson, G.A.-O., Whitehead, T.A.-O., Baboud\u00f3ttir, F.N., Bald\u00e9, A., Jandi, Z., Boiro, H., and Einarsd\u00f3ttir, J.A.-O. (2020). Use of Digital Technology among Adolescents Attending Schools in Bissau, Guinea-Bissau. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17238937"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Allen, T., Reda, S., Martin, S., Long, P., Franklin, A., Bedoya, S.Z., Wiener, L., and Wolters, P.L. (2022). The Needs of Adolescents and Young Adults with Chronic Illness: Results of a Quality Improvement Survey. Children, 9.","DOI":"10.3390\/children9040500"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e47575","DOI":"10.2196\/47575","article-title":"Supporting Adolescents With HIV in South Africa Through an Adherence-Supporting App: Mixed Methods Beta-Testing Study","volume":"7","author":"Mulawa","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1089\/tmj.2017.0249","article-title":"Theories Applied to m-Health Interventions for Behavior Change in Low- and Middle-Income Countries: A Systematic Review","volume":"24","author":"Cho","year":"2018","journal-title":"Telemed. e-Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"695","DOI":"10.4102\/sajhivmed.v18i1.695","article-title":"HIV epidemic drivers in South Africa: A model-based evaluation of factors accounting for inter-provincial differences in HIV prevalence and incidence trends","volume":"18","author":"Johnson","year":"2017","journal-title":"S. Afr. J. HIV Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/7\/972\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:55:37Z","timestamp":1760032537000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/7\/972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,20]]},"references-count":40,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["ijerph22070972"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22070972","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,20]]}}}