Green Shana M, Lockhart Elizabeth, Marhefka Stephanie L
a Department of Community and Family Health , University of South Florida College of Public Health , 13201 Bruce B. Downs Boulevard, Tampa , FL 33612 , USA.
AIDS Care. 2015;27(10):1304-8. doi: 10.1080/09540121.2015.1051503. Epub 2015 Sep 11.
Within recent years, public health interventions have become technology based to reflect the digital age we currently live in and appeal to the public in innovative and novel ways. The Internet breaks down boundaries distance imposes and increases our ability to reach and connect with people. Internet-based interventions have the potential to expand access to effective behavioral interventions (EBIs). The US National HIV/AIDS Strategy states that people living with HIV should have access to EBIs such as healthy relationships (HR) to help them develop safe sex and disclosure skills. However, access to HR is limited across the country, especially for people in remote or rural areas. Internet-based healthy relationships video groups (HR-VG) delivered at home or community-based organizations (CBOs) can possibly expand access. This study assesses the preferences of women living with HIV (WLH) for participation in HR-VG among 21 WLH who participated in a randomized control trial (RCT) testing HR-VG and completed open-ended semi-structured telephone interviews. Transcripts were thematically analyzed to determine advantages and disadvantages of home or CBO delivery of HR-VG. Themes relating to convenience, technology access, privacy, distractions, HIV serostatus disclosure, and social opportunities were identified as advantages or disadvantages to participating in HR-VG at each location. Overall, privacy was the most salient concern of accessing HR-VG at home or at a CBO. Considering the concerns expressed by WLH, further studies are needed to assess how an Internet-based intervention delivered at home for WLH can maintain privacy while being cost effective.
近年来,公共卫生干预措施已变得以技术为基础,以反映我们当前生活的数字时代,并以创新和新颖的方式吸引公众。互联网打破了距离带来的界限,增强了我们接触人们并与之建立联系的能力。基于互联网的干预措施有潜力扩大获得有效行为干预措施(EBIs)的机会。美国国家艾滋病毒/艾滋病战略指出,艾滋病毒感染者应能够获得诸如健康关系(HR)等EBIs,以帮助他们培养安全性行为和信息披露技能。然而,全国各地获得HR的机会有限,尤其是偏远或农村地区的人们。在家中或社区组织(CBOs)开展的基于互联网的健康关系视频小组(HR-VG)可能会扩大获得机会。本研究评估了21名参与艾滋病毒感染者健康关系视频小组(HR-VG)随机对照试验(RCT)并完成开放式半结构化电话访谈的艾滋病毒感染女性(WLH)对参与HR-VG的偏好。对访谈记录进行了主题分析,以确定在家中或CBOs开展HR-VG的优缺点。与便利性、技术获取、隐私、干扰因素、艾滋病毒血清学状态披露和社交机会相关的主题被确定为在每个地点参与HR-VG的优缺点。总体而言,隐私是在家中或CBOs参与HR-VG最突出的问题。考虑到WLH表达的担忧,需要进一步研究来评估在家中为WLH提供的基于互联网的干预措施如何在保持成本效益的同时维护隐私。
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