Development of an mHealth App to Support the Prevention of Sexually Transmitted Infections Among Black Men Who Have Sex With Men Engaged in Pre-exposure Prophylaxis Care in New Orleans, Louisiana: Qualitative User-Centered Design Study.
Development of an mHealth App to Support the Prevention of Sexually Transmitted Infections Among Black Men Who Have Sex With Men Engaged in Pre-exposure Prophylaxis Care in New Orleans, Louisiana: Qualitative User-Centered Design Study.
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DOI：
10.2196/43019
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发表时间：
2023-02-27
影响因子：
2.2
通讯作者：
Ingersoll, Karen
中科院分区：
文献类型：
--
作者：
Clement, Meredith Edwards;Lovett, Aish;Caldwell, Sylvia;Beckford, Jeremy;Hilgart, Michelle;Corneli, Amy;Flickinger, Tabor;Dillingham, Rebecca;Ingersoll, Karen
在路易斯安那州新奥尔良市，与男性发生性行为的黑人男性（BMSM）存在性健康差异。性传播感染（STIs）的比率在男同性恋者和那些采取艾滋病毒暴露前预防（PrEP）。在本研究中，我们将现有的PrEP依从性应用程序介绍给新的潜在用户-新奥尔良从事PrEP护理的bmsm -以指导应用程序适应STI预防功能并根据当地情况进行定制。使用以用户为中心的设计，我们进行了4次焦点小组讨论（fgd），从2020年12月到2021年3月进行了临时应用程序调整。在fgd期间，向参与者展示了应用程序的视频、应用程序网站和模型。我们询问了预防性传播感染的促进因素和障碍，目前的应用程序使用情况，对现有应用程序的印象，可能促进性传播感染预防的新应用程序功能，以及如何为BMSM量身定制应用程序。我们使用应用定性专题分析来确定主题和人口需求。总体而言，对24名使用PrEP的BMSM进行了4次fdd。我们将主题分为4类：STI预防，当前应用程序的使用和偏好，预先存在的功能和对PrEP应用程序的印象，以及BMSM的新功能和修改。参与者指出了对性传播感染的担忧，并表示对某些性传播感染的焦虑程度高于其他性传播感染；一些与会者分享说，自从PrEP出现以来，人们很少考虑性传播感染。然而，参与者希望通过应用程序实施性传播感染预防策略和建议的预防方法，包括访问资源、教育内容和性日记，以跟踪他们的性活动。在讨论应用偏好时，他们强调应用需要提供相关功能和易于使用，并表示某些通知对于保持用户粘性很重要，但应该限制它们以避免通知疲劳。参与者认为当前的应用程序很有用，并且普遍喜欢现有的功能，包括通过社区论坛与供应商、员工以及彼此沟通的能力。他们对预防性传播感染的修改提出了建议，比如对性接触发表评论的能力，以及根据当地情况进行调整，比如描绘该地区的标志性景点。在讨论这款应用的几乎所有功能时，心理健康成为一个需要解决的重要问题。参与者还强调了通过应用程序确保隐私和减少耻辱的重要性。根据BMSM的反馈，对PrEP依从性应用程序进行了迭代调整，从而产生了针对新奥尔良环境进行修改的新应用程序，并具有性病预防功能。为了更加谨慎，参与者给这款应用起了一个新名字PCheck。下一步将评估PCheck的使用和预防STI的效果。
Sexual health disparities exist for Black men who have sex with men (BMSM) in New Orleans, Louisiana. Rates of sexually transmitted infections (STIs) are high for both BMSM and those taking HIV pre-exposure prophylaxis (PrEP). In this study, we introduced an existing PrEP adherence app to new potential users—BMSM engaged in PrEP care in New Orleans—to guide app adaptation with STI prevention features and tailoring for the local context. Using a user-centered design, we conducted 4 focus group discussions (FGDs), with interim app adaptations from December 2020 to March 2021. During the FGDs, a video of the app, app website, and mock-ups were shown to participants. We asked about facilitators of and barriers to STI prevention in general, current app use, impressions of the existing app, new app features to potentially facilitate STI prevention, and how the app should be tailored for BMSM. We used applied qualitative thematic analysis to identify themes and needs of the population. Overall, 4 FGDs were conducted with 24 BMSM taking PrEP. We grouped themes into 4 categories: STI prevention, current app use and preferences, preexisting features and impressions of the prep’d app, and new features and modifications for BMSM. Participants noted concern about STIs and shared that anxiety about some STIs was higher than that for others; some participants shared that since the emergence of PrEP, little thought is given to STIs. However, participants desired STI prevention strategies and suggested prevention methods to implement through the app, including access to resources, educational content, and sex diaries to follow their sexual activity. When discussing app preferences, they emphasized the need for an app to offer relevant features and be easy to use and expressed that some notifications were important to keep users engaged but that they should be limited to avoid notification fatigue. Participants thought that the current app was useful and generally liked the existing features, including the ability to communicate with providers, staff, and each other through the community forum. They had suggestions for modifications for STI prevention, such as the ability to comment on sexual encounters, and for tailoring to the local context, such as depictions of iconic sights from the area. Mental health emerged as an important need to be addressed through the app during discussion of almost all features. Participants also stressed the importance of ensuring privacy and reducing stigma through the app. A PrEP adherence app was iteratively adapted with feedback from BMSM, resulting in a new app modified for the New Orleans context and with STI prevention features. Participants gave the app a new name, PCheck, to be more discreet. Next steps will assess PCheck use and STI prevention outcomes.
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DOI：
10.1080/09540121.2016.1220479
发表时间：
2017-01-01
影响因子：
1.7
作者：
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通讯作者：
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影响因子：
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DOI：
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发表时间：
2021-04-01
期刊：
MHEALTH
影响因子：
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作者：
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通讯作者：
Bauermeister, Jose A.
影响因子：
2.2
作者：
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DOI：
10.1007/s11524-009-9363-6
发表时间：
2009-07-01
影响因子：
6.6
作者：
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