Comfort Enah, PhD, RN
Innovative nursing interventions - Video-gaming to prevent HIV in rural adolescents
Assistant professor Comfort Enah, PhD, has been awarded a three-year, K01 grant from NINR for a project titled “Development of an HIV Prevention Game for African American Rural Adolescents.”
Dr. Enah has focused her research on the development of theory-based, culturally-sensitive interventions directed toward African American rural adolescents (AARAs) at risk for contracting HIV and other sexually transmitted diseases. Her interest in the study of sexual risk behaviors among AARAs and the development of HIV risk reduction interventions stems from her roots in Cameroon Africa where she was exposed to similar rural populations living in poverty and experiencing HIV/AIDS related health disparities.
Unfortunately, African Americans (AAs) in the rural Deep South continue to experience a disproportionate increase in new HIV/AIDS infection despite the availability of HIV prevention interventions with demonstrated effectiveness. And the number of new cases of HIV/AIDS among adolescents is rapidly increasing and more than ever it is important that prevention interventions target young adolescents prior to their becoming sexually active.
However, few interventions are directed toward young adolescents. As one might expect, electronic gaming interventions hold promise of being developmentally appropriate for young adolescents. However, research involving the use of such strategies in HIV prevention is quite limited.
Dr. Enah's progress hope to adds to the body of knowledge by developing a proof of concept prototype for an individually tailored, electronic HIV prevention adventure game for young AARAs ages 12-14 years. Enah will conduct focus groups with the AARAs to better understand sociocontextual influences on the sexual risk. And based on the findings from the focus groups, a draft of intervention components will be developed and programmed into a gaming prototype with the assistance of programming experts; the acceptability and relevance of the prototype will then be assessed by a group of AARAs.
The gaming intervention will be designed to improve decision-making and to learn behavior strategies that will assist these young adolescents to know how to avoid sexual risk behaviors before they become sexualy active.
Dr. Enah hopes that findings from this research will serve as the basis for future applications for NIH funding to further develop and test the electronic gaming intervention.
Enah, C., Moneyham, L., Vance, D.E., Childs, G. (2012) Digital Gaming for HIV Prevention with Southern Rural African American Adolescents. Journal of the Association of Nurses in AIDS Care. 2012 Aug 4. [Epub ahead of print]
Gakumo, C. A., Moneyham, L. D., Enah, C. C., & Childs, G. D. (2012). The moderating effect of sexual pressure on young Urban women's condom use. Res Nurs Health, 35(1), 4-14.
Enah, C., Sommers, M., Moneyham, L., Long, C. A., & Childs, G. (2010). Piloting an HIV Prevention Intervention for Cameroonian Girls. Journal of the Association of Nurses in AIDS Care, 21(6), 512-521.