Uptake of and Engagement With an Online Sexual Health Intervention (HOPE eIntervention) Among African American Young Adults: Mixed Methods Study.
Uptake of and Engagement With an Online Sexual Health Intervention (HOPE eIntervention) Among African American Young Adults: Mixed Methods Study.
复制标题
DOI：
10.2196/22203
复制
发表时间：
2021-07-16
影响因子：
7.4
通讯作者：
Veinot TC
中科院分区：
文献类型：
--
作者：
Williamson A;Barbarin A;Campbell B;Campbell T;Franzen S;Reischl TM;Zimmerman M;Veinot TC
关于卫生技术，非裔美国年轻人的吸收率低，持续使用和参与，这可能会扩大性健康不平等。我们的目的是检查的摄取率和持续使用，以及影响摄取，持续使用，并参与消费者健康信息（CHI）干预艾滋病毒/性传播感染（STI）预防非洲裔美国年轻人，使用创新理论的扩散，以信任为中心的设计框架，和奥布莱恩和汤姆斯的参与模式。这项以社区为基础的参与式混合方法研究包括在四个时间点（n=315; 280名非洲裔美国人参与者）对参与混合离线/在线艾滋病毒/性传播感染预防干预（艾滋病毒外展，预防和教育[HOPE]电子干预）的18至24岁的年轻人进行调查，这被描述为“HOPE派对”。在初步调查和网站服务器日志表明低吸收和持续使用后，对一部分参与者（n=19）进行了定性访谈。广义线性混合效应模型确定了eIntervention摄取的预测因素，总结了服务器日志以描述随时间推移的使用情况，并对访谈记录进行了编码和主题分析，以确定影响摄取和参与的因素。参与者最初自我报告的eIntervention摄入量很低，但随着时间的推移显着增加，尽管摄入量从未达到预期。最频繁的活动是访问网站。人口统计学因素和希望党的社会网络特征与吸收没有显着相关性，虽然参与者的教育和党的网络性别同质性接近的意义。根据访谈，推动接受的一个因素是希望与他人分享艾滋病毒/性传播感染预防信息。调查和访谈结果表明，技术的访问，感知时间，以及制度和技术的信任是必要的条件，吸收。访谈显示，影响接受的因素是宣传和认识建设不足，以及干预平台，由于以前在社交媒体上讨论性问题的负面经验，社交媒体的吸引力较低。在与eIntervention的互动过程中，访谈数据显示，推动初始参与的因素是针对受众的网站美学和吸引人的视觉效果。更新不够频繁，妨碍了持续使用。同样，缺乏新奇感促使人们脱离接触，尽管社交媒体上分享干预内容的竞赛导致了一些重新参与。为了鼓励接受，针对非裔美国年轻人的CHI干预措施可以更好地利用用户与他人分享艾滋病毒/性传播感染预防信息的愿望。确保通过值得信赖的组织实施也很重要，但需要大力推广。视觉吸引力和有针对性的内容首先会促进参与，但持续的使用可能需要不断的内容变化。对CHI干预措施使用情况的彻底分析可以为未来干预措施的制定提供信息，以促进吸收和参与。为了指导未来的分析，我们提出了一个扩大的吸收和参与模式CHI干预措施，针对非洲裔美国年轻人根据我们的实证结果。
Regarding health technologies, African American young adults have low rates of uptake, ongoing usage, and engagement, which may widen sexual health inequalities. We aimed to examine rates of uptake and ongoing usage, and factors influencing uptake, ongoing usage, and engagement for a consumer health informatics (CHI) intervention for HIV/sexually transmitted infection (STI) prevention among African American young adults, using the diffusion of innovation theory, trust-centered design framework, and O’Brien and Toms’ model of engagement. This community-based participatory mixed methods study included surveys at four time points (n=315; 280 African American participants) among young adults aged 18 to 24 years involved in a blended offline/online HIV/STI prevention intervention (HIV Outreach, Prevention, and Education [HOPE] eIntervention), which was described as a “HOPE party.” Qualitative interviews were conducted with a subset of participants (n=19) after initial surveys and website server logs indicated low uptake and ongoing usage. A generalized linear mixed-effects model identified predictors of eIntervention uptake, server logs were summarized to describe use over time, and interview transcripts were coded and thematically analyzed to identify factors affecting uptake and engagement. Participants’ initial self-reported eIntervention uptake was low, but increased significantly over time, although uptake never reached expectations. The most frequent activity was visiting the website. Demographic factors and HOPE party social network characteristics were not significantly correlated with uptake, although participant education and party network gender homophily approached significance. According to interviews, one factor driving uptake was the desire to share HIV/STI prevention information with others. Survey and interview results showed that technology access, perceived time, and institutional and technological trust were necessary conditions for uptake. Interviews revealed that factors undermining uptake were insufficient promotion and awareness building, and the platform of the intervention, with social media being less appealing due to previous negative experiences concerning discussion of sexuality on social media. During the interaction with the eIntervention, interview data showed that factors driving initial engagement were audience-targeted website esthetics and appealing visuals. Ongoing usage was impeded by insufficiently frequent updates. Similarly, lack of novelty drove disengagement, although a social media contest for sharing intervention content resulted in some re-engagement. To encourage uptake, CHI interventions for African American young adults can better leverage users’ desires to share information about HIV/STI prevention with others. Ensuring implementation through trusted organizations is also important, though vigorous promotion is needed. Visual appeal and targeted content foster engagement at first, but ongoing usage may require continual content changes. A thorough analysis of CHI intervention use can inform the development of future interventions to promote uptake and engagement. To guide future analyses, we present an expanded uptake and engagement model for CHI interventions targeting African American young adults based on our empirical results.
登录
查看更多内容
影响因子：
4.4
作者：
Bauermeister JA;Pingel ES;Jadwin-Cakmak L;Harper GW;Horvath K;Weiss G;Dittus P
通讯作者：
Dittus P
影响因子：
3
作者：
Danielson, Carla Kmett;McCauley, Jenna L.;Ruggiero, Kenneth J.
通讯作者：
Ruggiero, Kenneth J.
影响因子：
2.2
作者：
Dwyer, Catherine
通讯作者：
Dwyer, Catherine
影响因子：
4.3
作者：
Dancy, BL;Wilbur, J;Barnes-Boyd, C
通讯作者：
Barnes-Boyd, C
DOI：
10.1073/pnas.0908800106
发表时间：
2009-12-22
影响因子：
11.1
作者：
Aral, Sinan;Muchnik, Lev;Sundararajan, Arun
通讯作者：
Sundararajan, Arun