The Experiences of Newly Diagnosed Men Who Have Sex with Men Entering the HIV Care Cascade in Lima, Peru, 2015-2016: A Qualitative Analysis of Counselor-Participant Text Message Exchanges
The Experiences of Newly Diagnosed Men Who Have Sex with Men Entering the HIV Care Cascade in Lima, Peru, 2015-2016: A Qualitative Analysis of Counselor-Participant Text Message Exchanges
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DOI：
10.1089/cyber.2016.0435
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发表时间：
2017-06-01
影响因子：
6.6
通讯作者：
Cabello, Robinson
中科院分区：
文献类型：
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作者：
Bayona, Erik;Menacho, Luis;Cabello, Robinson
移动的电话技术（mHealth）是一种很有前途的工具，已被用于改善全球高危人群的艾滋病毒护理。了解秘鲁利马新诊断的男男性行为者（MSM）在艾滋病毒护理连续体的联系和参与期间的患者观点，有助于缩小艾滋病毒初步诊断后的护理差距，并确保继续护理。从2015年6月到2016年3月，作为随机对照试验的一部分，40名MSM参与者在Via Libre诊所诊断艾滋病毒后3个月内与mHealth干预措施联系起来。在12周的时间里，参与者同意每周从指定的艾滋病毒顾问那里接收预定的标准化短信服务（SMS）、WhatsApp（c）和/或Facebook（c）消息。短信是双向的，这意味着参与者也可以随时向他们的顾问发送信息。在这项定性研究中，我们对947条短信、918条WhatsApp和2,694条Facebook双向消息进行了编码和主题分析。参与者的平均年龄为29.8岁（20-50岁）; 70%的人报告了高中后的教育，73%的人自我认同为同性恋。我们从数据中确定了六个反复出现的主题：（a）心理健康症状;（B）应对行为;（c）人际支持;（d）身体症状;（e）艾滋病毒知识;（f）护理协调。参与者发送短信描述抑郁症状，并在艾滋病毒护理的初始阶段寻求心理健康服务。对于新诊断的进入艾滋病毒护理连续体的男男性行为者，双向移动健康干预提供了支持，以促进护理，同时引发深刻的个人心理和情绪状态。未来的干预措施可以受益于使用mHealth干预措施作为临床医生的辅助支持。
Mobile phone technology (mHealth) is a promising tool that has been used to improve HIV care in high-risk populations worldwide. Understanding patient perspectives of newly diagnosed men who have sex with men (MSM) in Lima, Peru during linkage and engagement in the HIV care continuum can help close the gaps in care following initial HIV diagnosis and ensure retention in continuous care. From June 2015 to March 2016, as part of a randomized controlled trial, 40 MSM participants were linked to care with an mHealth intervention within 3 months of HIV diagnosis at Via Libre clinic. For 12 weeks, participants agreed to receive weekly predetermined, standardized short message service (SMS), WhatsApp (c), and/or Facebook (c) messages from an assigned HIV counselor. Text messaging was bi-directional, meaning participants could also send messages to their counselor at any time. In this qualitative study, we coded and thematically analyzed 947 SMS, 918 WhatsApp, and 2,694 Facebook bi-directional messages. Mean age of participants was 29.8 years (20-50); with 70 percent reporting some post-high school education and 73 percent self-identifying as homosexual. We identified six recurring themes that emerged from the data: (a) mental health symptoms; (b) coping behaviors; (c) interpersonal support; (d) physical symptoms; (e) HIV knowledge; and (f) care coordination. Participants sent text messages describing depressive symptoms and seeking mental health services during this initial stage of HIV care. For newly diagnosed MSM entering the HIV care continuum, a bi-directional mHealth intervention provided support to facilitate care while eliciting deeply personal mental and emotional states. Future interventions could benefit from using mHealth interventions as ancillary support for clinicians.