Smartphone usage and preferences among postpartum HIV-positive women in South Africa
Smartphone usage and preferences among postpartum HIV-positive women in South Africa
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DOI：
10.1080/09540121.2018.1563283
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发表时间：
2019-06-03
影响因子：
1.7
通讯作者：
Clouse, Kate
中科院分区：
文献类型：
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作者：
Mogoba, Phepo;Phillips, Tamsin K.;Clouse, Kate
在南非，接受抗逆转录病毒治疗的艾滋病毒抗体阳性妇女产后往往得不到护理;需要制定战略，支持长期参与。移动的保健干预措施正在成为支持长期参与预防母婴传播艾滋病毒护理连续体的可能解决方案。为了探讨在这种情况下移动的健康（mHealth）干预措施的可接受性和可行性，我们进行了焦点小组讨论（FGD），以评估产后妇女使用智能手机的趋势。在六个FGD中，我们采访了27名艾滋病毒阳性的产后妇女，她们在南非开普敦的Gugulethu社区卫生中心接受定期护理，并使用智能手机。问题评估了受访者使用智能手机的总体趋势，以及他们对移动健康干预措施的接触和看法。我们发现手机和电话号码的流动性很小，大约一半的参与者与家人和朋友分享他们的设备。受访者对智能手机应用程序非常熟悉，包括WhatsApp、Facebook、YouTube和Twitter，WhatsApp是他们首选的智能手机通信方式。数据包最常用于连接互联网，这是因为数据包的使用时间更长，而且比通话时间便宜，但受访者擅长在工作场所或其他公共场所定位Wi-Fi源。几乎所有的参与者都熟悉MomConnect，这是南非的一项全国性的移动健康文本支持服务，大多数人对其进行了积极的描述。受访者表示对未来的艾滋病毒移动健康应用感兴趣，包括关于身体活动、营养、心理健康和基本社会服务的补充健康信息。参与者都是活跃的智能手机用户，具有可靠的互联网连接和对移动健康平台的积极态度。未来的移动健康干预措施在这一人群中显示出希望。
In South Africa, HIV-positive women receiving antiretroviral therapy often are lost to care postpartum; strategies to support long-term engagement are needed. Mobile health (mHealth) interventions are emerging as a possible solution for supporting long-term engagement in the prevention of mother-to-child transmission (PMTCT) of HIV care continuum. In order to explore acceptability and feasibility of mobile health (mHealth) interventions in this context, we conducted focus group discussions (FGDs) to assess trends in smartphone usage in postpartum women. In six FGDs, we interviewed 27 HIV-positive, postpartum women who attended regular care at the Gugulethu Community Health Centre in Cape Town, South Africa, and who use a smartphone. Questions assessed the respondent's general trends in smartphone use, as well as their exposure to and perceptions of mHealth interventions. We found little turnover in phones and phone numbers, and about half the participants shared their devices with family and friends. Respondents reported high familiarity with smartphone applications, including WhatsApp, Facebook, YouTube, and Twitter, with WhatsApp as their preferred method of smartphone communication. Data bundles were most often used to connect to the internet, motivated by the perception that data bundles last longer and are cheaper than airtime, but respondents were adept at locating Wi-Fi sources at work or other public spaces. Nearly all participants were familiar with MomConnect, a national mHealth text support service in South Africa, and most described it positively. Respondents expressed interest in future HIV mHealth applications including complementary health information on physical activity, nutrition, mental health and basic social services. Participants were active and engaged smartphone users with reliable internet connections and a positive attitude towards mHealth platforms. Future mHealth interventions show promise in this population.