HIV Central America Regional Program, Center for Health Studies, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
AIDS Care. 2021 Apr;33(4):462-467. doi: 10.1080/09540121.2020.1734173. Epub 2020 Mar 4.
Health navigation is increasingly being used to support people living with HIV, but timely monitoring of navigation is challenging due to the burden of reporting a high volume of diverse activities. We designed a mobile application (app) for navigators to report their interactions with men who have sex with men living with HIV (= 374), including: (1) mode of support; (2) content; and (3) duration. We assessed sociodemographic and behavioral characteristics of the study sample and calculated monitoring system indicators. We also conducted qualitative interviews with navigators ( = 7) and used thematic analysis to assess app acceptability and usability. From January 2017 to June 2018, 95.3% of participants interacted with their navigator at least one time and 4281 reports were recorded by nine navigators. The median number of interactions per participant was 10 (range: 1-46). The majority of interactions (71.6%) occurred remotely. Most frequently covered topics included: appointment reminders (36.9%), employment (19.9%), and family (15.5%). Navigators indicated that the system was easy to use, but some did not use it in real time as intended. Timely access to navigator data enabled feedback and continuous training. These data can also facilitate analysis of intensity and content of interactions to improve tailoring and sustainability.
健康导航越来越多地被用于支持艾滋病毒感染者，但由于报告大量不同活动的负担过重，对导航的及时监测具有挑战性。我们为导航员设计了一个移动应用程序（app），用于报告他们与艾滋病毒感染者（=374 名）的男性发生性行为者之间的互动，包括：（1）支持方式；（2）内容；和（3）持续时间。我们评估了研究样本的社会人口统计学和行为特征，并计算了监测系统指标。我们还对导航员（=7 名）进行了定性访谈，并使用主题分析来评估应用程序的可接受性和可用性。从 2017 年 1 月至 2018 年 6 月，95.3%的参与者至少与他们的导航员互动过一次，9 名导航员记录了 4281 份报告。每名参与者的互动中位数为 10 次（范围：1-46 次）。大多数互动（71.6%）是远程进行的。最常涵盖的主题包括：预约提醒（36.9%）、就业（19.9%）和家庭（15.5%）。导航员表示该系统易于使用，但有些人并未按预期实时使用。及时访问导航员数据可以提供反馈和持续培训。这些数据还可以促进对互动强度和内容的分析，以提高针对性和可持续性。
