Smartphone Ownership and Usage Among Pregnant Women Living With HIV in South Africa: Secondary Analysis of CareConekta Trial Data.
Smartphone Ownership and Usage Among Pregnant Women Living With HIV in South Africa: Secondary Analysis of CareConekta Trial Data.
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智能手机的所有权和南非艾滋病毒孕妇的使用：Careconekta试验数据的次要分析。
DOI：
10.2196/43855
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发表时间：
2023-06-22
影响因子：
2.2
通讯作者：
Clouse, Kate
中科院分区：
文献类型：
--
作者：
Noholoza, Sandisiwe;Phillips, Tamsin K.;Madwayi, Sindiswa;Mrubata, Megan;Camlin, Carol S.;Myer, Landon;Clouse, Kate
移动的健康举措在资源匮乏的环境中越来越普遍，但智能手机干预在医疗保健环境中的适当性尚不确定。需要进行更多的研究，以确定在南非的背景下整合新的移动健康模式（新的应用程序和社交媒体应用程序）的适当性和可行性。在这项研究中，为未来的移动健康干预提供信息，我们描述了南非Gugulethu感染艾滋病毒的孕妇的智能手机拥有率，偏好和使用模式。我们从2019年12月至2021年2月为CareConekta试验筛查了感染艾滋病毒的孕妇。参加试验的受试者必须年满18岁，感染HIV，怀孕≥28周，拥有符合CareConekta应用程序技术要求的智能手机。在这项二次分析中，我们描述了所有筛选合格女性（n=639）的移动的手机拥有量和社会人口学特征，和智能手机使用模式在那些参加试验（n=193）。总体而言，中位年龄为31岁（IQR 27-35）。在582名拥有智能手机的女性中，580人回答了是否是智能手机的问题，2人没有回答。在拥有智能手机的人中，92%（421/458）使用Android 5.0或以上版本的操作系统，98%（497/506）的手机有GPS，96%（485/506）的人每天给手机充电少于两次。在参加试验的女性中，几乎所有人（99%，190/193）都拥有智能手机;然而，14%（26/193）与某人分享智能手机。在这种情况下，96%（25/26）的人报告说一天中大部分时间都在使用手机。拥有智能手机的中位持续时间为1 - 2（IQR 5-24）个月，当前使用电话号码的中位持续时间为25（IQR 1 - 2 -60）个月，入组试验前2年拥有的手机号码的中位数量为2（IQR 1-2）。接电话（192/193，99.5%）和打电话（190/193，99%）是最常见的智能手机使用方式。最少使用的功能是GPS（106/193，55%）和电子邮件（91/193，47%）。WhatsApp最常被报告为最喜欢的应用程序（181/193，94%）。在这种资源匮乏的城郊环境中，拥有智能手机在感染艾滋病毒的孕妇中非常普遍。手机共享并不常见，几乎所有的手机都使用Android系统，并且手机保持足够的电池寿命。这些结果对移动健康干预措施的发展是令人鼓舞的。现有的消息平台-特别是WhatsApp-非常受欢迎，可以用于干预。适度的智能手机所有权营业额和电话号码营业额的调查结果是考虑在类似的设置mHealth干预措施。ClinicalTrials.gov NCT 03836625; https://clinicaltrials.gov/ct2/show/NCT03836625?术语= NCT 03836625
Mobile health (mHealth) initiatives are increasingly common in low-resource settings, but the appropriateness of smartphone interventions in health care settings is uncertain. More research is needed to establish the appropriateness and feasibility of integrating new mHealth modalities (novel apps and social media apps) in the South African context. In this study, to inform future mHealth interventions, we describe smartphone ownership, preferences, and usage patterns among pregnant women living with HIV in Gugulethu, South Africa. We screened pregnant women living with HIV from December 2019 to February 2021 for the CareConekta trial. To be enrolled in the trial, respondents were required to be 18 years of age or older, living with HIV, ≥28 weeks pregnant, and own a smartphone that met the technical requirements of the CareConekta app. In this secondary analysis, we describe mobile phone ownership and sociodemographic characteristics of all women screened for eligibility (n=639), and smartphone use patterns among those enrolled in the trial (n=193). Overall, median age was 31 (IQR 27-35) years. Of the 582 women who owned smartphones, 580 responded to the question about whether or not it was a smartphone, 2 did not. Among those with smartphones, 92% (421/458) of them used the Android operating system of version 5.0 or above, 98% (497/506) of phones had a GPS, and 96% (485/506) of individuals charged their phones less than twice a day. Among women who were enrolled in the trial, nearly all (99%, 190/193) owned the smartphone themselves; however, 14% (26/193) shared their smartphone with someone. In this case, 96% (25/26) reported possessing the phone most of the day. Median duration of ownership of the smartphone was 12 (IQR 5-24) months, median duration with current phone number use was 25 (IQR 12-60) months, and median number of cell phone numbers owned 2 years prior to enrollment in the trial was 2 (IQR 1-2). Receiving (192/193, 99.5%) and making (190/193, 99%) phone calls were among the most common smartphone uses. The least used features were GPS (106/193, 55%) and email (91/193, 47%). WhatsApp was most frequently reported as a favorite app (181/193, 94%). Smartphone ownership is very common among pregnant women living with HIV in this low-resource, periurban setting. Phone sharing was uncommon, nearly all used the Android system, and phones retained sufficient battery life. These results are encouraging to the development of mHealth interventions. Existing messaging platforms—particularly WhatsApp—are exceedingly popular and could be leveraged for interventions. Findings of moderate smartphone ownership turnover and phone number turnover are considerations for mHealth interventions in similar settings. ClinicalTrials.gov NCT03836625; https://clinicaltrials.gov/ct2/show/NCT03836625?term=NCT03836625
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影响因子：
2.2
作者：
Lalla-Edward ST;Mashabane N;Stewart-Isherwood L;Scott L;Fyvie K;Duncan D;Haile B;Chugh K;Zhou Y;Reimers J;Pan M;Venkatraman M;Stevens W
通讯作者：
Stevens W
DOI：
10.1111/tmi.12072
发表时间：
2013-04
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Clouse K;Pettifor A;Shearer K;Maskew M;Bassett J;Larson B;Van Rie A;Sanne I;Fox MP
通讯作者：
Fox MP
DOI：
10.1097/qai.0000000000000584
发表时间：
2015-06
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Myer L;Phillips T;Manuelli V;McIntyre J;Bekker LG;Abrams EJ
通讯作者：
Abrams EJ
DOI：
10.1162/itgg.2009.4.1.103
发表时间：
2009-01-01
期刊：
Innovations: Technology / Governance / Globalisation
影响因子：
--
作者：
Mechael, P. N.
通讯作者：
Mechael, P. N.
DOI：
10.1080/09540121.2018.1563283
发表时间：
2019-06-03
影响因子：
1.7
作者：
Mogoba, Phepo;Phillips, Tamsin K.;Clouse, Kate
通讯作者：
Clouse, Kate