Digital Health App to Address Disparate HIV Outcomes Among Black Women Living in Metro-Atlanta: Protocol for a Multiphase, Mixed Methods Pilot Feasibility Study.
Digital Health App to Address Disparate HIV Outcomes Among Black Women Living in Metro-Atlanta: Protocol for a Multiphase, Mixed Methods Pilot Feasibility Study.
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DOI：
10.2196/42712
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发表时间：
2023-09-15
影响因子：
1.7
通讯作者：
Hernandez, Natalie D
中科院分区：
文献类型：
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作者：
Chandler, Rasheeta;Farinu, Oluyemi T O;Guillaume, Dominique;Francis, Sherilyn;Parker, Andrea G;Shah, Kewal;Hernandez, Natalie D
美国南部的顺性别黑人妇女感染艾滋病毒和不良性健康和生殖健康结果的风险更高。针对艾滋病毒风险，同时又适应黑人妇女的需要和生活经历的流动保健干预措施非常有限。本研究旨在以居住在乔治亚州HIV高发地区的黑人妇女为对象，对SavvyHER这款预防HIV的移动应用程序进行改进，并评估其可行性、可接受性和可用性。本文描述了进行本研究的程序。以社区为基础的参与性研究原则指导了这项多阶段研究，以最终确定我们假设的开发，这将是一个有效的、可持续的、与文化相关的艾滋病毒预防和最佳的黑人妇女性健康和生殖健康应用程序。该多阶段混合方法研究分为三个阶段。第一阶段需要与黑人女性进行焦点小组讨论，以了解她们对SavvyHER测试版原型的功能和设计的偏好。在第二阶段，应用程序可用性预测试（N=10）将用于完善和优化SavvyHER应用程序。最后阶段将需要一个试点随机对照试验（N=60）来评估应用程序的可行性和可用性，为更大规模的试验做准备。初步焦点小组的调查结果揭示了黑人女性喜欢的教育内容、应用美学、隐私考虑和营销，从而为第一个功能性SavvyHER原型提供了信息。在我们调整和测试SavvyHER的可行性时，我们假设该应用程序将成为黑人女性有效、可持续和与文化相关的艾滋病毒预防、性健康和生殖健康工具。这项研究的结果证实了制定针对黑人妇女和由黑人妇女策划的卫生干预措施以解决严重的艾滋病毒差异的重要性。从这项研究中获得的知识可以通过以黑人妇女的健康需求和优先事项为中心的有针对性的干预来减少黑人妇女之间的艾滋病毒差异。derr1 - 10.2196/42712
Cisgender Black women in the southern United States are at heightened risk for HIV and adverse sexual and reproductive health outcomes. Mobile health interventions that target HIV risk while being adapted to the needs and lived experiences of Black women are remarkably limited. The study aims to refine SavvyHER, a mobile app for HIV prevention, with Black women residing in high HIV incidence areas of Georgia and evaluate the feasibility, acceptability, and usability of SavvyHER. This paper describes the procedures implemented to conduct this research. Community-based participatory research tenets guide this multiphase study to finalize the development of what we hypothesize will be an effective, sustainable, and culturally relevant HIV prevention and optimal sexual health and reproductive wellness app for Black women. This multiphased, mixed methods study consists of 3 phases. The first phase entails focus groups with Black women to understand their preferences for the functionality and design of a beta prototype version of SavvyHER. In the second phase, an app usability pretest (N=10) will be used to refine and optimize the SavvyHER app. The final phase will entail a pilot randomized controlled trial (N=60) to evaluate the app’s feasibility and usability in preparation for a larger trial. Findings from preliminary focus groups revealed educational content, app aesthetics, privacy considerations, and marketing preferred by Black women, thus informing the first functional SavvyHER prototype. As we adapt and test the feasibility of SavvyHER, we hypothesize that the app will be an effective, sustainable, and culturally relevant HIV prevention, sexual health, and reproductive wellness tool for Black women. The findings from this research substantiate the importance of developing health interventions curated for and by Black women to address critical HIV disparities. The knowledge gained from this research can reduce HIV disparities among Black women through a targeted intervention that centers on their health needs and priorities. DERR1-10.2196/42712