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Table 2 SPEED Training Intervention Case Scripts

From: Simulated patient encounters to improve adolescent retention in HIV care in Kenya: study protocol of a stepped-wedge randomized controlled trial

Case Name

Key features and health concerns

Alex, Lisa (Case “0”)

17 year old male (Alex) or female (Lisa) with no complaints, good adherence, disclosed to family

Teddy

15 year old male, cognitive delay that can be mistaken for depression

Rehema

17 year old female, needs family planning, had bad experiences with health care providers in the past. She has a history of tuberculosis.

Nick, accompanied by older sister Emily

13 year old male whose is unaware of his HIV status and thinks he is taking medicine for a lung infection. He is in need of disclosure counseling. His older sister, who is also HIV-positive, is his primary caregiver. She has been hiding his HIV status from him all these years. She distrusts medical providers and HIV treatments, and sometimes gives her brother herbal treatments.

Lucy

18 year old female with STI symptoms, an older “sponsor” who is abusive, and an alcohol problem related to being in an abusive relationship.

Ian

16 year old gay-identified who is afraid of coming out to his friends and family. His HIV status is not his primary concern. He experiences suicidal ideation because he cannot be himself around anyone. For this reason, he has poor adherence and alcohol problems.

Ashley

19 year old female in need of counseling about fertility desire. She has mixed feelings about having a child. Her boyfriend knows her HIV-status and is pressuring her to get pregnant.