Opportunities for technologically driven dialogical health communication for participatory interventions: Perspectives from male peer navigators in rural South Africa.
Opportunities for technologically driven dialogical health communication for participatory interventions: Perspectives from male peer navigators in rural South Africa.
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DOI：
10.1016/j.socscimed.2021.114539
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Shahmanesh M
中科院分区：
文献类型：
--
作者：
Gibbs A;Gumede D;Luthuli M;Xulu Z;Washington L;Sikweyiya Y;Adeagbo O;Shahmanesh M
人们对通过数字平台提供参与式对话艾滋病毒和亲密伴侣暴力（IPV）预防干预措施的潜力越来越感兴趣，尽管大多数移动医疗干预措施的方法都是说教式的。我们对夸祖鲁-纳塔尔省农村地区的男性同伴导航员（PNs）进行了10次深入访谈，他们接受过广泛的培训，从事促进年轻人性权利和生殖权利的更大规模干预工作。采访的重点是他们和他们的同龄人在日常生活中使用科技的情况。对数据进行转录和翻译，并进行专题分析。PNs描述了技术使用的结构性障碍，包括连通性差、数据成本高和电力不稳定。他们主要使用Facebook和WhatsApp进行交流，并强调异步读取消息对于克服连接挑战非常重要。PNs分享了小组主要是如何分享信息的，他们也在网上讨论“敏感”问题。隐私是一个令人担忧的问题，尤其是在谈话中，人们认识到保密可能会被破坏。还有人认为，WhatsApp可能会支持更开放的讨论。我们思考了在线干预措施支持健康对话交流的潜力，强调了如何通过提供信息、异步交流增强反思的潜力以及害羞者更多地参与讨论来实现健康对话交流。尽管有这种潜力，但在讨论的隐私以及如何在网上实施这些方法方面仍然存在重大风险。对年轻男性的定性研究显示，他们的手机使用率很高。强调在线分享信息和个人讨论的重要性。通过WhatsApp建议潜在的讨论和反思机会。认识到WhatsApp通信在健康通信方面的局限性。
There is increasing interest in the potential to deliver participatory dialogical HIV and intimate partner violence (IPV) prevention interventions via digital platforms, though the majority of mHealth interventions have been didactic in approach. We undertook 10 in-depth interviews with male Peer Navigators (PNs) who had been extensively trained and working on a larger intervention promoting young people's sexual and reproductive rights, in rural KwaZulu-Natal. Interviews focused on their, and their peers', use of technology in their everyday lives. Data were transcribed and translated, and subjected to thematic analysis. PNs described structural barriers to the use of technology, including poor connectivity, high data costs, and erratic electricity. They primarily used Facebook and WhatsApp for communication and highlighted how reading messages asynchronously was important to overcome connectivity challenges. PNs shared how groups were primarily for information sharing, they also discussed ‘sensitive’ issues online. Privacy was a concern, especially for conversations, and there was recognition of how confidentiality could be breached. It was also felt that WhatsApp could potentially support greater openness in discussions. We reflect on the potential for online interventions to support dialogical health communication, highlighting how dialogical health communication may be enabled through information provision, the asynchronous communication enhancing the potential for reflection, and greater participation in discussion by those who are shyer. Despite this potential there remain important risks around privacy of discussions and how to implement these approaches online. Qualitative research with young men showed high levels of cellphone usage. Emphasizes the importance of sharing information and personal discussions online. Suggests potential opportunities for discussion and reflection via WhatsApp. Recognises limitations of WhatsApp communication for health communication.
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影响因子：
5
作者：
Archambault, Julie Soleil
通讯作者：
Archambault, Julie Soleil
DOI：
10.1080/09540121.2020.1742867
发表时间：
2020-03-17
影响因子：
1.7
作者：
Adeagbo, Oluwafemi;Kim, Hae-Young;Shahmanesh, Maryam
通讯作者：
Shahmanesh, Maryam
影响因子：
2.2
作者：
Gibbs, Andrew;Willan, Samantha;Jewkes, Rachel
通讯作者：
Jewkes, Rachel
影响因子：
3.7
作者：
Baisley, Kathy;Chimbindi, Natsayi;Shahmanesh, Maryam
通讯作者：
Shahmanesh, Maryam
DOI：
10.5539/gjhs.v8n9p183
发表时间：
2016-09-01
期刊：
Global journal of health science
影响因子：
--
作者：
Hurt K;Walker RJ;Campbell JA;Egede LE
通讯作者：
Egede LE