Bond Keosha T, Ramos S Raquel
Department of Public Health, New York Medical College, Valhalla, NY, United States.
Rory Meyers College of Nursing, New York University, New York, NY, United States.
JMIR Form Res. 2019 May 29;3(2):e9995. doi: 10.2196/formative.9995.
Despite renewed focus on biomedical prevention strategies since the publication of several clinical trials highlighting the efficacy of pre-exposure prophylaxis (PrEP), knowledge of postexposure prophylaxis (PEP) and PrEP continues to remain scarce among women, especially among African American women who are disproportionally affected by HIV. In an effort to address this barrier and encourage uptake of PEP and PrEP, an electronic health (eHealth) video was created using an entertainment-education format.
The study aimed to explore the feasibility, acceptability, and preference of an avatar-led, eHealth video, PEP and PrEP for Women, to increase awareness and knowledge of PEP and PrEP for HIV in a sample of African American women.
A cross-sectional, Web-based study was conducted with 116 African American women aged 18 to 61 years to measure participants' perceived acceptability of the video on a 5-point scale: poor, fair, good, very good, and excellent. Backward stepwise regression was used to the find the outcome variable of a higher rating of the PEP and PrEP for Women video. Thematic analysis was conducted to explore the reasons for recommending the video to others after watching the eHealth video.
Overall, 89% of the participants rated the video as good or higher. A higher rating of the educational video was significantly predicted by: no current use of drugs/alcohol (beta=-.814; P=.004), not having unprotected sex in the last 3 months (beta=-.488; P=.03), higher income (beta=.149; P=.03), lower level of education (beta=-.267; P=.005), and lower exposure to sexual assault since the age of 18 years (beta=-.313; P=.004). After watching the eHealth video, reasons for recommending the video included the video being educational, entertaining, and suitable for women.
Utilization of an avatar-led eHealth video fostered education about PEP and PrEP among African American women who have experienced insufficient outreach for biomedical HIV strategies. This approach can be leveraged to increase awareness and usage among African American women.
尽管自多项临床试验发表以来，人们重新关注生物医学预防策略，这些试验突出了暴露前预防（PrEP）的有效性，但女性对暴露后预防（PEP）和PrEP的了解仍然很少，尤其是在受艾滋病毒影响不成比例的非裔美国女性中。为了克服这一障碍并鼓励采用PEP和PrEP，制作了一个采用娱乐教育形式的电子健康（eHealth）视频。
本研究旨在探讨以虚拟形象为主导的电子健康视频《女性的PEP和PrEP》在非裔美国女性样本中的可行性、可接受性和偏好，以提高她们对艾滋病毒PEP和PrEP的认识和了解。
对116名年龄在18至61岁之间的非裔美国女性进行了一项基于网络的横断面研究，以5分制衡量参与者对该视频的感知可接受性：差、一般、好、非常好和优秀。采用向后逐步回归来找出对《女性的PEP和PrEP》视频评分较高的结果变量。进行主题分析以探讨在观看电子健康视频后向他人推荐该视频的原因。
总体而言，89%的参与者将该视频评为好或更高。教育视频评分较高的显著预测因素包括：目前不使用毒品/酒精（β=-0.814；P=0.004）、在过去3个月内没有无保护性行为（β=-0.488；P=0.03）、收入较高（β=0.149；P=0.03）、教育程度较低（β=-0.267；P=0.005）以及自18岁以来遭受性侵犯的经历较少（β=-0.313；P=0.004）。观看电子健康视频后，推荐该视频的原因包括视频具有教育性、趣味性且适合女性。
利用以虚拟形象为主导的电子健康视频促进了对生物医学艾滋病毒策略宣传不足的非裔美国女性对PEP和PrEP的了解。这种方法可用于提高非裔美国女性的认识和使用率。
