Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study
Acceptability of a tablet-based application to support early HIV testing among men in rural KwaZulu-Natal, South Africa: a mixed method study
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DOI：
10.1080/09540121.2020.1742867
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发表时间：
2020-03-17
影响因子：
1.7
通讯作者：
Shahmanesh, Maryam
中科院分区：
文献类型：
--
作者：
Adeagbo, Oluwafemi;Kim, Hae-Young;Shahmanesh, Maryam
南非男性接受艾滋病毒检测的比例仍然很低。作为试验的一部分，我们评估了南非农村地区理论上衍生和改编的基于平板电脑的应用程序(EPIC-HIV1)的可接受性。我们对18岁的男性进行了20次深度访谈，并对所有接受EPIC-HIV1治疗的15岁男性进行了基于平板电脑的调查(2018年9月至12月)。我们对调查进行了描述性分析，并使用自我决定理论(SDT)来指导我们的主题分析。共有232/307人(75%)完成了调查，其中55%的人年龄在15-24岁之间。96%[CI：92.8-98.2%；n=223]认为EPIC-HIV1可接受，77%[95%CI：71.8-82.6%；n=179]用户友好。2 2 2例(96%)报告说EPIC-HIV1激励了他们进行检测；83%(192/2 32)的人进行了艾滋病毒检测，其中33%(/192)是第一次检测。那些不同意的人(n=40)更有可能有艾滋病毒阳性的测试结果。参与者报告说，这款应用增强了他们测试的信心。然而，他们不确定这款应用能否帮助他们克服在当地诊所进行测试的障碍。考虑到覆盖范围和可用性，一款经过调整的SDT男性定制应用程序被发现是可以接受的，并可能鼓励男性积极的健康寻求行为改变。
Uptake of HIV testing remains low among men in South Africa. As part of a trial, we assessed the acceptability of a theoretically derived and adapted tablet-based-application (EPIC-HIV1) in rural South Africa. We conducted 20 in-depth interviews with men aged >= 18 years and offered a tablet-based survey to all men aged >= 15 years who received EPIC-HIV1 (Sep-Dec 2018). We conducted a descriptive analysis of the survey and used Self-Determination Theory (SDT) to guide our thematic analysis. A total of 232/307 (75%) completed the survey, 55% of whom were aged 15-24 years. 96%[ CI: 92.8-98.2%; n = 223] found EPIC-HIV1 acceptable and 77% [95% CI: 71.8-82.6%; n = 179] found it user-friendly. 222 [96%] reported that EPIC-HIV1 motivated them to test; 83% (192/232) tested for HIV, of which 33% (64/192) were first time testers. Those who did not consent (n = 40) were more likely to have had an HIV-positive test result. Participants reported that the app boosted their confidence to test. However, they were unsure that the app would help them overcome barriers to test in local clinics. Given reach and usability, an adapted SDT male-tailored app was found to be acceptable and could encourage positive health-seeking behavioural change among men.