Africa Health Research Institute, KwaZulu-Natal, South Africa.
University College London, London, UK.
AIDS Care. 2021 Apr;33(4):494-501. doi: 10.1080/09540121.2020.1742867. Epub 2020 Mar 15.
Uptake of HIV testing remains low among men in South Africa. As part of a trial, we assessed the acceptability of a theoretically derived and adapted tablet-based-application (EPIC-HIV1) in rural South Africa. We conducted 20 in-depth interviews with men aged ≥18 years and offered a tablet-based survey to all men aged ≥15 years who received EPIC-HIV1 (Sep-Dec 2018). We conducted a descriptive analysis of the survey and used Self-Determination Theory (SDT) to guide our thematic analysis. A total of 232/307 (75%) completed the survey, 55% of whom were aged 15-24 years. 96%[ CI: 92.8-98.2%; = 223] found EPIC-HIV1 acceptable and 77% [95% CI: 71.8-82.6%; = 179] found it user-friendly. 222 [96%] reported that EPIC-HIV1 motivated them to test; 83% (192/232) tested for HIV, of which 33% (64/192) were first time testers. Those who did not consent (= 40) were more likely to have had an HIV-positive test result. Participants reported that the app boosted their confidence to test. However, they were unsure that the app would help them overcome barriers to test in local clinics. Given reach and usability, an adapted SDT male-tailored app was found to be acceptable and could encourage positive health-seeking behavioural change among men.
在南非，男性接受艾滋病毒检测的比例仍然很低。作为一项试验的一部分，我们评估了一种基于理论并经过改编的平板电脑应用程序（EPIC-HIV1）在南非农村地区的可接受性。我们对 18 岁及以上的男性进行了 20 次深入访谈，并向所有接受 EPIC-HIV1 的 15 岁及以上男性提供了基于平板电脑的调查（2018 年 9 月至 12 月）。我们对调查进行了描述性分析，并使用自我决定理论（SDT）指导我们的主题分析。共有 232/307（75%）名男性完成了调查，其中 55%的人年龄在 15-24 岁之间。96%[CI：92.8-98.2%； = 223]的人认为 EPIC-HIV1 是可以接受的，77%[95% CI：71.8-82.6%； = 179]的人认为它易于使用。222[96%]的人报告称，EPIC-HIV1 促使他们进行了检测；83%（192/232）接受了艾滋病毒检测，其中 33%（64/192）是首次检测者。那些不同意（ = 40）的人更有可能有艾滋病毒阳性检测结果。参与者报告称，该应用程序增强了他们进行检测的信心。然而，他们不确定该应用程序是否有助于他们克服在当地诊所进行检测的障碍。鉴于可及性和可用性，一种经过改编的符合 SDT 原则的男性定制应用程序被认为是可以接受的，并可以鼓励男性寻求积极的健康行为改变。
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