"I care about sex, I care about my health": A mixed-methods pre-test of a HIV prevention mobile health app for Black women in the southern United States.
"I care about sex, I care about my health": A mixed-methods pre-test of a HIV prevention mobile health app for Black women in the southern United States.
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DOI：
10.1371/journal.pone.0289884
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
黑人妇女经历不良性健康和生殖健康以及艾滋病毒结果的比率较高，但使用移动健康解决这一人群的这些健康差异一直不够。这项研究涉及一个月的预测试与黑人妇女生活在大都会亚特兰大，以评估可用性，可接受性和参与的艾滋病毒预防应用程序SavvyHER。本研究采解释性混合方法设计，透过每周一次的横断面调查收集定量资料，并透过半结构式深度访谈收集质性资料。定量数据采用STATA软件进行描述性分析和方差分析。定性资料分析通过定性描述性方法对patientas. ti。参与者对应用程序的接受程度很高，并适度使用SavvyHER。最常使用的特征是直播组（2.96 ±0.22，95%CI 2.51，3.41）、观看资源和教育信息（2.77 ± 0.21，95%CI 2.33，3.20）和心理健康监测（2.73 ±0.21，95%CI 2.29，3.12）。最少使用的特征是妊娠症状监测（1.92 ±0.27，95% CI 1.38，2.47）和STI症状监测（2.0 ±0.25，95% CI 1.48，2.52）。在定性采访中，几位女性讨论了如何参与积极的讨论，并加入与其他最终用户的实时会话的能力是SavvyHER的一个有利方面。虽然该应用程序的主要重点是性健康和生殖健康以及艾滋病毒预防，但妇女更有可能获得心理健康监测和身体活动监测功能。女性表达了她们对应用程序设计和界面的喜爱，因为它反映了黑人女性的多样性。需要进一步的研究来探索使用SavvyHER和其他mHealth干预措施的有效性，以提高黑人妇女的性健康和生殖健康以及整体健康。
Black women experience higher rates of adverse sexual and reproductive health and HIV outcomes, however the use of mHealth to address these health disparities in this population has been inadequate. This study involved a one-month pre-test with Black women living in metro-Atlanta to evaluate the usability, acceptability, and engagement of an HIV prevention app SavvyHER. An explanatory mixed-methods design was employed in which quantitative data was collected through weekly cross-sectional surveys, and qualitative data was collected through semi-structured in-depth interviews. Descriptive and ANOVA analysis was conducted for the quantitative data using STATA software. Qualitative data was analyzed through qualitative descriptive methods on Atlas.ti. Participants had high levels of acceptability towards the app and used SavvyHER moderately. The most frequently used features were live groups (2.96 ±0.22, 95% CI 2.51,3.41), viewing resources and educational information (2.77 ± 0.21, 95% CI 2.33,3.20), and mental health monitoring (2.73 ±0.21, 95% CI 2.29,3.12). The least used features were pregnancy symptom monitoring (1.92 ±0.27, 95% CI 1.38,2.47) and STI symptom monitoring (2.0 ±0.25, 95% CI 1.48,2.52). In qualitative interviews, several women discussed how the ability to engage in active discussions and join live sessions with other end-users was a favorable aspect of SavvyHER. Although the app’s primary focus was on sexual and reproductive health and HIV prevention, women were more likely to access mental health monitoring and physical activity monitoring features. Women expressed their fondness of the app design and interface as it was reflective of the diversity of Black women. Further research is needed to explore the efficacy in using SavvyHER and additional mHealth interventions to enhance Black women’s sexual and reproductive health and overall wellness.
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DOI：
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