Alone But Supported: A Qualitative Study of an HIV Self-testing App in an Observational Cohort Study in South Africa
Alone But Supported: A Qualitative Study of an HIV Self-testing App in an Observational Cohort Study in South Africa
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DOI：
10.1007/s10461-019-02516-6
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发表时间：
2020-02-01
影响因子：
4.4
通讯作者：
Pai, Nitika Pant
中科院分区：
文献类型：
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作者：
Janssen, Ricky;Engel, Nora;Pai, Nitika Pant
艾滋病毒自我检测有可能改善检测的获得和接受情况，但在艾滋病毒自我检测期间和之后的咨询和支持方面仍然存在关切。我们研究了口服艾滋病毒自我检测策略以及移动的手机/平板电脑应用程序，以了解它是否以及如何提供咨询和支持，以及它如何影响检测访问。这项人种学研究嵌套在南非开普敦正在进行的观察性队列研究中。从研究参与者和研究人员收集定性数据，使用33个半结构化访谈，一个焦点小组讨论和观察笔记。该应用程序提供信息和指导，同时也解决了隐私问题。该策略提供的灵活性和支持使参与者在选择测试对象时有更多的控制权。无障碍问题包括老年人和农村用户使用智能手机和使用智能手机的问题。这一战略的适应性接入和支持可以帮助扩大南非的测试接入。
HIV self-testing has the potential to improve test access and uptake, but concerns remain regarding counselling and support during and after HIV self-testing. We investigated an oral HIV self-testing strategy together with a mobile phone/tablet application to see if and how it provided counselling and support, and how it might impact test access. This ethnographic study was nested within an ongoing observational cohort study in Cape Town, South Africa. Qualitative data was collected from study participants and study staff using 33 semi-structured interviews, one focus group discussion, and observation notes. The app provided information and guidance while also addressing privacy concerns. The flexibility and support provided by the strategy gave participants more control in choosing whom they included during testing. Accessibility concerns included smartphone access and usability issues for older and rural users. The adaptable access and support of this strategy could aid in expanding test access in South Africa.