A Men Who Have Sex With Men-Friendly Doctor Finder Hackathon in Guangzhou, China: Development of a Mobile Health Intervention to Enhance Health Care Utilization

A Men Who Have Sex With Men-Friendly Doctor Finder Hackathon in Guangzhou, China: Development of a Mobile Health Intervention to Enhance Health Care Utilization
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DOI:
10.2196/16030
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发表时间:
2020-02-27
影响因子:
5
通讯作者:
Tucker, Joseph D.
Tucker, Joseph D.
中科院分区:
医学2区
文献类型:
--
作者:
Li, Chunyan;Xiong, Yuan;Tucker, Joseph D.

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背景资料:在低收入和中等收入环境中,基于移动的健康(mHeath)的男男性行为者(MSM)艾滋病毒和性健康促进是可行的。然而,目前市场上的许多移动健康工具都是由私营部门开发的,目的是为了盈利,而MSM社区的投入有限。目的:健康黑客大赛是一个密集的比赛,汇集了来自多学科背景的参与者,在短时间内为特定的健康问题提出解决方案。本文的目的是描述一个黑客事件,旨在开发一个移动健康工具,以提高中国男男性接触者的医疗保健(特别是艾滋病预防)的利用,总结最终原型的特点,并讨论未来的移动健康干预development.Methods:黑客发生在广州,中国。在3个中国社交媒体平台上公开招募黑客活动参与者,包括在MSM中流行的社交网络应用程序Blued。所有申请人都完成了一项基于网络的调查,然后进行评分。得分最高的申请人根据他们的技能和内容领域的专业知识分组。每个团队都有一个月的时间来准备黑客攻击。然后,这些团队在现场专家指导下亲自参加了72小时的黑客竞赛,以开发和展示mHealth原型解决方案。评审团包括心理学、公共卫生、计算机科学、社交媒体、临床医学和MSM倡导方面的专家。最终的原型根据创新性、可用性和可行性进行了评估。结果:我们收到了92名申请者,其中38人被选中参加2019年4月的黑客大会。共有8个团队组成,包括计算机科学,用户界面设计,商业或营销,临床医学和公共卫生方面的专业知识。此外,24名参与者自我认同为同性恋,3名参与者自我认同为双性恋。所有团队都成功开发了原型工具。共有4个原型被设计为可以嵌入到流行的中国社交网络应用程序中的小程序,3个原型被设计为独立的应用程序。常见的原型功能包括基于Web的医生搜索基于一个人的位置(8个原型),健康教育(4个原型),基于Web的健康咨询与供应商或外行健康志愿者(6个原型),预约安排(8个原型),和用户之间的通信(2个原型)。所有原型都包括确保MSM用户隐私保护的策略,一些原型提供了确保医生隐私的策略。选定的原型正在进行试点testing.Conclusions:这项研究证明了使用黑客创建移动健康干预工具的可行性和可接受性。这表明了制定移动健康干预措施的不同途径,并可能与其他环境相关。
Background: Mobile health (mHeath)-based HIV and sexual health promotion among men who have sex with men (MSM) is feasible in low- and middle-income settings. However, many currently available mHealth tools on the market were developed by the private sector for profit and have limited input from MSM communities.Objective: A health hackathon is an intensive contest that brings together participants from multidisciplinary backgrounds to develop a proposed solution for a specific health issue within a short period. The purpose of this paper was to describe a hackathon event that aimed to develop an mHealth tool to enhance health care (specifically HIV prevention) utilization among Chinese MSM, summarize characteristics of the final prototypes, and discuss implications for future mHealth intervention development.Methods: The hackathon took place in Guangzhou, China. An open call for hackathon participants was advertised on 3 Chinese social media platforms, including Blued, a popular social networking app among MSM. All applicants completed a Web-based survey and were then scored. The top scoring applicants were grouped into teams based on their skills and content area expertise. Each team was allowed 1 month to prepare for the hackathon. The teams then came together in person with on-site expert mentorship for a 72-hour hackathon contest to develop and present mHealth prototype solutions. The judging panel included experts in psychology, public health, computer science, social media, clinical medicine, and MSM advocacy. The final prototypes were evaluated based on innovation, usability, and feasibility.Results: We received 92 applicants, and 38 of them were selected to attend the April 2019 hackathon. A total of 8 teams were formed, including expertise in computer science, user interface design, business or marketing, clinical medicine, and public health. Moreover, 24 participants self-identified as gay, and 3 participants self-identified as bisexual. All teams successfully developed a prototype tool. A total of 4 prototypes were designed as a mini program that could be embedded within a popular Chinese social networking app, and 3 prototypes were designed as stand-alone apps. Common prototype functions included Web-based physician searching based on one's location (8 prototypes), health education (4 prototypes), Web-based health counseling with providers or lay health volunteers (6 prototypes), appointment scheduling (8 prototypes), and between-user communication (2 prototypes). All prototypes included strategies to ensure privacy protection for MSM users, and some prototypes offered strategies to ensure privacy of physicians. The selected prototypes are undergoing pilot testing.Conclusions: This study demonstrated the feasibility and acceptability of using a hackathon to create mHealth intervention tools. This suggests a different pathway to developing mHealth interventions and could be relevant in other settings.