FEATURE ARTICLEUsability and Navigability of an HIV/AIDS Internet Intervention for Adolescents in a Resource-Limited SettingYBARRA, MICHELE L. PhD, MPH; BIRINGI, RUTH MA; PRESCOTT, TONYA BA; BULL, SHEANA S. PhD, MPHAuthor Information Author Affiliations: Internet Solutions for Kids USA (Dr Ybarra and Ms Prescott), San Clemente, CA; Internet Solutions for Kids Uganda (Ms Biringi), Mbarara, Uganda; and Department of Community and Behavioral Health, Colorado School of Public Health (Dr Bull), Denver. CyberSenga is supported by a grant from the National Institute of Mental Health of the National Institutes of Health, study number R01-MH080662. Staff from this agency were not directly involved in data collection, analysis, or writing of this work. All work related to CyberSenga has been reviewed and approved by the Mbarara University of Science and Technology and Cheseapeake Internal Review Boards. All study participants were given detailed information on their role as study participants and offered their informed consent prior to participation in any data collection activity. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Michele L. Ybarra, PhD, MPH, Center for Innovative Public Health Research, 555 El Camino Real #A347, San Clemente, CA 92672 ([email protected]). CIN: Computers, Informatics, Nursing: November 2012 - Volume 30 - Issue 11 - p 587-595 doi: 10.1097/NXN.0b013e318266cb0e Buy CE Test Metrics Abstract Use of the Internet is growing in Sub-Saharan Africa. Evidence of computer and Internet effectiveness for reduction in risk behaviors associated with HIV shown in US settings has yet to be replicated in Africa. We describe the development, usability, and navigability testing of an Internet-based HIV prevention program for secondary school students in Uganda, called CyberSenga. For this work, we used four data collection activities, including observation of (a) computer skills and (b) navigation, (c) focus group discussions, and (d) field assessments to document comprehension and usability of program content. We document limited skills among students, but youth with basic computer skills were able to navigate the program after instruction. Youth were most interested in activities with more interaction. Field testing illustrated the importance of using a stand-alone electrical source during program delivery. This work suggests that delivery of Internet-based health promotion content in Africa requires attention to user preparedness and literacy, bandwidth, Internet connection, and electricity. © 2012 Lippincott Williams & Wilkins, Inc.