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“为支持者提供支持”:对英国感染艾滋病毒的指导母亲使用WhatsApp的情况进行的定性研究

"Support for the supporters": a qualitative study of the use of WhatsApp by and for mentor mothers with HIV in the UK.

作者信息

Hay Kiersten, Kwardem L, Welbourn A, Namiba A, Tariq S, Coventry L, Dhairyawan R, Durrant A

机构信息

School of Design, Northumbria University, Newcastle upon Tyne, UK.

4MNetwork, London, UK.

出版信息

AIDS Care. 2020 May;32(sup2):127-135. doi: 10.1080/09540121.2020.1739220. Epub 2020 Mar 15.

Abstract

Third-sector organizations, an important support for people living with HIV, increasingly use digital technology to improve service efficiency and reach. However, there is limited empirical evidence on this use by women living with HIV. The 4M Network (4MNet) is a peer-run UK-wide network of trained Mentor Mothers (MMs) living with HIV; it uses the WhatsApp platform as its primary digital communication tool. We report on a qualitative study about 4MNet MMs' experiences of using WhatsApp, to inform the design of future digital support services. Seven telephone interviews were conducted with five MMs and two project management team (PMT) members in February 2019. Interviews were analyzed using Interpretive Phenomenological Analysis (IPA). WhatsApp was found to have several key features that provided both positive and negative use considerations. WhatsApp eased communication among MMs and supported participation in group activities despite differing schedules and geographic locations. Challenges encountered with WhatsApp included: financial restrictions to data storage and continual access; self-confidence using technology; and security and privacy concerns. Peer-led digital communication is found to be acceptable and effective for women living with HIV. Understanding barriers and valued features of existing digital platforms increasingly used among potentially marginalized groups is vital for informing inclusive innovation.

摘要

第三部门组织是对艾滋病毒感染者的一项重要支持,它们越来越多地使用数字技术来提高服务效率和覆盖面。然而,关于感染艾滋病毒的女性使用这种技术的实证证据有限。4M网络(4MNet)是一个由感染艾滋病毒的受过培训的指导母亲(MM)在全英国范围内运营的同伴网络;它使用WhatsApp平台作为其主要的数字通信工具。我们报告了一项关于4MNet指导母亲使用WhatsApp的经历的定性研究,以为未来数字支持服务的设计提供参考。2019年2月,对五名指导母亲和两名项目管理团队(PMT)成员进行了七次电话访谈。访谈采用解释现象学分析(IPA)进行分析。发现WhatsApp有几个关键特性,这些特性带来了积极和消极的使用考量。尽管日程安排和地理位置不同,WhatsApp仍便于指导母亲之间的沟通,并支持她们参与团体活动。使用WhatsApp遇到的挑战包括:数据存储和持续访问的经济限制;使用技术的自信心;以及安全和隐私问题。同伴主导的数字通信被发现对感染艾滋病毒的女性是可以接受且有效的。了解潜在边缘化群体中越来越多地使用的现有数字平台的障碍和有价值的特性,对于推动包容性创新至关重要。

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