Advantages and disadvantages for receiving Internet-based HIV/AIDS interventions at home or at community-based organizations.
Advantages and disadvantages for receiving Internet-based HIV/AIDS interventions at home or at community-based organizations.
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DOI：
10.1080/09540121.2015.1051503
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发表时间：
2015
期刊：
影响因子：
1.7
通讯作者：
Marhefka SL
中科院分区：
文献类型：
--
作者：
Green SM;Lockhart E;Marhefka SL
近年来，公共卫生干预措施已成为技术基础，以反映我们目前生活的数字时代，并以创新和新颖的方式吸引公众。互联网打破了距离强加的界限，并提高了我们与人接触和联系的能力。基于互联网的干预措施有可能扩大获得有效行为干预措施的机会。美国国家艾滋病毒/艾滋病战略指出，艾滋病毒感染者应该获得有效的行为干预措施，如健康关系（HR），以帮助他们发展安全性行为和披露技能。然而，在全国范围内，获得人力资源的机会有限，特别是对偏远或农村地区的人来说。基于互联网的健康关系视频组（HR-VG）在家庭或社区组织（CBO）提供可能会扩大访问。本研究评估的偏好的妇女艾滋病毒感染者（WLH）参与HR-VG中21 WLH谁参加了随机对照试验（RCT）测试HR-VG，并完成了开放式半结构化的电话采访。成绩单进行了专题分析，以确定优势，劣势和总体偏好的家庭或机构提供的HR-VG。与便利、技术获取、隐私、分心、艾滋病毒血清状况披露和社会机会有关的主题被确定为在每个地点参加HR-VG的优点或缺点。总体隐私是在家中或CBO访问HR-VG最突出的问题。考虑到WLH所表达的担忧，需要进一步的研究来评估如何在家中为WLH提供基于互联网的干预，同时保持隐私的成本效益。
Within recent years public health interventions have become technologically based to reflect the digital age we currently live in and appeal to the public in innovative and novel ways. The Internet breaks down boundaries distance imposes and increases our ability to reach and connect with people. Internet-based interventions have the potential to expand access to effective behavioral interventions. The US National HIV/AIDS Strategy states that people living with HIV should have access to effective behavioral interventions like Healthy Relationships (HR) to help them develop safe sex and disclosure skills. However, access to HR is limited across the country, especially for people in remote or rural areas. Internet-based Healthy Relationships Video Groups (HR-VG) delivered at home or community based organizations (CBOs) can possibly expand access. This study assesses the preferences of women living with HIV (WLH) for participation in HR-VG among 21 WLH who participated in a randomized control trial (RCT) testing HR-VG and completed open-ended semi-structured telephone interviews. Transcripts were thematically analyzed to determine advantages, disadvantages and overall preference for home or agency delivery of HR-VG. Themes relating to convenience, technology access, privacy, distractions, HIV serostatus disclosure and social opportunities were identified as advantages or disadvantages to participating in HR-VG at each location. Overall privacy was the most salient concern of accessing HR-VG at home or at a CBO. Considering the concerns expressed by WLH, further studies are needed to assess how an Internet-based intervention delivered at home for WLH can maintain privacy while being cost effective.