Perceptions of Audio Computer-Assisted Self-Interviewing (ACASI) among Women in an HIV-Positive Prevention Program
Perceptions of Audio Computer-Assisted Self-Interviewing (ACASI) among Women in an HIV-Positive Prevention Program
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DOI：
10.1371/journal.pone.0009149
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发表时间：
2010-02-10
期刊：
影响因子：
3.7
通讯作者：
Glick, Nancy
中科院分区：
文献类型：
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作者：
Estes, Larissa J.;Lloyd, Linda E.;Glick, Nancy
背景：有声计算机辅助自访(ACASI)提高了自我报告的HIV健康和危险行为数据的可靠性和准确性，但很少有研究说明参与者如何体验数据收集过程。方法/主要发现：这项探索性定性分析旨在更好地了解在芝加哥(n=12)和费城(n=18)参与性风险降低干预措施的HIV阳性女性中使用ACASI的经验和意义。结论/意义：我们确定的关键主题包括可以归因于ACASI的主题和其他数据收集方法(例如，基于纸质的自填式问卷或面对面访谈)。关键主题是可用性；隐私和诚实；社会合意的反应和避免评判；以及使用ACASI回忆危险行为导致的无意不适。尽管ACASI的经验有积极和消极的结果，但我们得出结论，ACASI总体上是收集艾滋病毒阳性女性中艾滋病毒/艾滋病危险行为的敏感数据的合适方法，因为它似乎确保了研究人群的隐私，允许更诚实的反应，最大限度地减少社会期望的反应，并帮助参与者避免实际或感知的判断。
Background: Audio Computer-Assisted Self Interviewing (ACASI) has improved the reliability and accuracy of self-reported HIV health and risk behavior data, yet few studies account for how participants experience the data collection process.Methodology/Principal Findings: This exploratory qualitative analysis aimed to better understand the experience and implications of using ACASI among HIV-positive women participating in sexual risk reduction interventions in Chicago (n = 12) and Philadelphia (n = 18). Strategies of Grounded Theory were used to explore participants' ACASI experiences.Conclusion/Significance: Key themes we identified included themes that could be attributed to the ACASI and other methods of data collection (e. g., paper-based self-administered questionnaire or face-to-face interviews). The key themes were usability; privacy and honesty; socially desirable responses and avoiding judgment; and unintentional discomfort resulting from recalling risky behavior using the ACASI. Despite both positive and negative findings about the ACASI experience, we conclude that ACASI is in general an appropriate method for collecting sensitive data about HIV/AIDS risk behaviors among HIV-positive women because it seemed to ensure privacy in the study population allowing for more honest responses, minimize socially desirable responses, and help participants avoid actual or perceived judgment.