Informing the Development of Mobile Apps for HIV Prevention, Treatment and Care

描述（由申请人提供）：为艾滋病毒预防、治疗和护理的移动的应用程序开发提供信息：美国人类免疫缺陷病毒（HIV）流行继续造成巨大损失，特别是在少数种族和少数民族以及男男性行为者（MSM）中。纽约市，我们的研究背景，有全国最大的艾滋病毒/艾滋病流行，使其成为形成性研究的理想环境。本研究的目的是进行形成性研究，以了解使用移动的手机应用程序（应用程序）进行艾滋病毒预防，检测，治疗和护理的需求，障碍和促进因素。 移动的保健技术显示出作为管理和预防艾滋病毒等慢性病的一种非常宝贵的工具的潜力。移动的技术，即智能手机，在日常生活中无处不在的性质为以前不可能的应用创造了机会。使用移动的技术来更快速、更准确地评估和修改与健康相关的行为和生物状态可以改变患者关于其健康的决策。 定性人种学方法和以用户为中心的人机交互研究方法将用于确定用户的移动的技术需求，移动的应用程序（app）设计偏好，以及阻止用户使用移动设备的障碍和促进因素。 或鼓励采用和持续使用移动的应用程序来预防艾滋病毒。我们的样本将包括50名艾滋病毒感染者（PLWH），25名艾滋病毒医疗服务提供者和50名高危MSM。在我们研究的每个阶段，我们将使用定性人种学方法和以用户为中心的人机交互研究方法，以确保应用程序满足最终用户的目标。我们将利用信息科学研究框架，其中采用了各种设计过程，以创建一个设计文档。设计文档将指定两个不同应用程序的功能要求：1）满足艾滋病毒感染者的艾滋病毒预防和医疗保健需求，包括坚持使用艾滋病毒药物、继续护理和治疗管理，以及2）通过确定检测地点和定期提醒高危男男性行为者进行检测来鼓励艾滋病毒检测。 这项研究的结果将为未来的艾滋病毒预防、检测、治疗和护理应用程序提供信息，并为艾滋病毒预防提供其他新媒体技术，并将确定技术偏好和功能、艾滋病毒相关内容要求、设计规范以及与高危或受影响人群中应用程序的长期吸引力和维护相关的问题。利用这项研究开发的工具有可能扩大艾滋病毒检测计划对高危男男性接触者和艾滋病毒预防和艾滋病感染者的影响。

DESCRIPTION (provided by applicant): Informing the Development of Mobile Apps for HIV Prevention, Treatment and Care: The United States Human Immunodeficiency Virus (HIV) epidemic continues to exact a huge toll, especially among racial and ethnic minorities, and men who have sex with men (MSM). New York City, the setting of our study, has the largest HIV/AIDS epidemic in the nation, making it the ideal setting for the formative research study. The purpose of this study is to conduct formative research to understand the needs, barriers, and facilitators of using mobile phone applications (apps) for HIV prevention, testing, treatment and care. Mobile health technology shows potential as a highly valuable tool in the management and prevention of chronic illnesses such as HIV. The ubiquitous nature of mobile technologies, namely smartphones, in daily life has created opportunities for applications that were not previously possible. Using mobile technologies to more rapidly and accurately assess and modify health-related behavior and biological states can transform patient decision making about their health. Qualitative ethnographic methods and user-centered human-computer interaction research methods will be used to identify the mobile technology needs of users, mobile application (app) design preferences, as well as the barriers and facilitators that prohibit or encourage the uptake and sustained use of mobile apps for HIV prevention. Our sample will include 50 persons living with HIV (PLWH), 25 HIV healthcare providers and 50 high-risk MSM. At each phase of our study, we will use qualitative ethnographic methods and user-centered human-computer interaction research methods to ensure that the app meets the end-user's goals. We will utilize the Information Science Research Framework in which various design processes are employed in order create a design document. The design document will specify the functional requirements for two distinct apps for: 1) meeting the HIV prevention and health care needs of PLWH, including adherence to HIV medications, retention in care, and treatment management, and 2) encouraging HIV testing by identifying testing sites and providing periodic reminders for testing among high- risk MSM. Findings from this study will inform future HIV prevention, testing, treatment and care apps for Smartphones and other new media technologies for HIV prevention and will identify technology preferences and features, HIV-related content requirements, design specifications, and issues related to long-term appeal and maintenance of apps in at-risk or affected populations. Tools developed using this research have the potential to extend the impact and reach of HIV testing programs for high-risk MSM and HIV prevention and health care for PLWH.