The feasibility of cell phone based electronic diaries for STI/HIV research.

The feasibility of cell phone based electronic diaries for STI/HIV research.
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DOI:
10.1186/1471-2288-12-75
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发表时间:
2012-06-12
影响因子:
4
通讯作者:
Craig D
Craig D
中科院分区:
医学3区
文献类型:
--
作者:
Hensel DJ;Fortenberry JD;Harezlak J;Craig D

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在性传播感染/艾滋病毒研究中,自我报告敏感、社会污名化或非法行为是常见的,但可能会在数据可靠性和有效性方面提出挑战。使用电子数据收集工具,包括生态瞬时评估(EMA),可以通过允许参与者在自己的环境中尽可能接近行为发生的情况下自行管理调查或日记条目来提高此信息的准确性。在本文中,我们评估的可行性,使用手机为基础的EMA作为一种工具,了解性风险和性传播疾病的成年男性和女性。作为临床招募的成年男性和女性中性风险行为和STI事件的更大前瞻性临床研究的一部分,使用研究提供的手机,参与者(N = 243)每天完成三次EMA日记,监测个人和伴侣特定的情感属性,非性活动,非性交或性交性行为和避孕行为。使用这些数据,我们评估了参与者依从性、行为反应性、一般方法可接受性和捕获行为的方法功效方面的可行性。参与者对日记录入方案和时间表的依从性很高:在整个12周的研究中,参与者提交了89.7%(54,914/61,236)的预期日记条目,平均每周提交21篇预期日记中的18.86篇(85.7%)。不同性别、人种/种族和基线性传播感染状态的提交资料无显著差异。收集了足够数量和范围的性行为,不同法律的和非法行为的报告趋势随时间变化很小。参与者认为这种方法是可以接受的,喜欢并感到舒适的参与研究。获得正确的数据收集媒介可以大大提高或降低个人自我报告的性风险行为的及时性和质量,这反过来又是依赖于此信息的干预或教育计划成功的关键因素。我们的研究结果表明,通过手机完成电子日记是可行的方式来描述性病/艾滋病毒的风险在临床招募的成年男性和女性。
Self-reports of sensitive, socially stigmatized or illegal behavior are common in STI/HIV research, but can raise challenges in terms of data reliability and validity. The use of electronic data collection tools, including ecological momentary assessment (EMA), can increase the accuracy of this information by allowing a participant to self-administer a survey or diary entry, in their own environment, as close to the occurrence of the behavior as possible. In this paper, we evaluate the feasibility of using cell phone-based EMA as a tool for understanding sexual risk and STI among adult men and women. As part of a larger prospective clinical study on sexual risk behavior and incident STI in clinically recruited adult men and women, using study-provided cell phones, participants (N = 243) completed thrice–daily EMA diaries monitoring individual and partner-specific emotional attributes, non-sexual activities, non-coital or coital sexual behaviors, and contraceptive behaviors. Using these data, we assess feasibility in terms of participant compliance, behavior reactivity, general method acceptability and method efficacy for capturing behaviors. Participants were highly compliant with diary entry protocol and schedule: over the entire 12 study weeks, participants submitted 89.7% (54,914/61,236) of the expected diary entries, with an average of 18.86 of the 21 expected diaries (85.7%) each week. Submission did not differ substantially across gender, race/ethnicity and baseline sexually transmitted infection status. A sufficient volume and range of sexual behaviors were captured, with reporting trends in different legal and illegal behaviors showing small variation over time. Participants found the methodology to be acceptable, enjoyed and felt comfortable participating in the study. Achieving the correct medium of data collection can drastically improve, or degrade, the timeliness and quality of an individual’s self-reported sexual risk behavior, which in turn, is a key factor in the success of intervention or education programs relying on this information. Our findings demonstrate that completion of electronic diaries via cellular phone is feasible way to describe STI/HIV risk among clinically recruited adult men and women.
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