School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, United States.
The Fenway Institute, Boston, MA, United States.
J Med Internet Res. 2020 Nov 4;22(11):e22878. doi: 10.2196/22878.
Mobile app-based interventions have been identified as potential facilitators for vaccination among young men who have sex with men (MSM).
This pilot study aimed to test the feasibility of a theoretically informed mobile health (mHealth) tool designed to reduce health disparities and facilitate human papillomavirus (HPV) vaccination among a sample of young MSM.
The development of the mHealth tool was guided by previous research, implementation intention theory, and design thinking. We recruited MSM aged 18-26 years through a popular online dating app and linked participants to our mHealth tool, which provided HPV vaccine information and fostered access to care.
A total of 42 young MSM participated in this pilot study in Boston, Massachusetts. Participants reported variable HPV knowledge (ie, high knowledge of HPV risk factors and low knowledge of HPV-related cancer risks for men) and positive vaccine beliefs and attitudes. Of those who were either unvaccinated, not up to date, or did not report vaccine status, 23% (8/35) utilized the mHealth tool to obtain HPV vaccination. Participants primarily utilized the tool's (1) educational components and (2) capabilities facilitating concrete vaccine action plans.
We recruited an underserved at-risk population of youth via an online dating app for our mHealth intervention that resulted in in-person health care delivery. This study was limited by enrollment challenges, including low willingness to download the mHealth tool to mobile devices.
移动应用程序为基础的干预措施已被确定为促进男男性行为者(MSM)接种疫苗的潜在因素。
本试点研究旨在测试一种基于理论的移动健康(mHealth)工具的可行性,该工具旨在减少健康差距并促进年轻 MSM 人群中人类乳头瘤病毒(HPV)疫苗的接种。
mHealth 工具的开发由先前的研究、实施意图理论和设计思维指导。我们通过一个流行的在线约会应用程序招募了 18-26 岁的 MSM,将参与者与我们的 mHealth 工具联系起来,该工具提供 HPV 疫苗信息并促进获得医疗服务。
共有 42 名年轻 MSM 参与了马萨诸塞州波士顿的这项试点研究。参与者报告了不同的 HPV 知识(即,对 HPV 风险因素的了解较高,而对男性 HPV 相关癌症风险的了解较低)以及对疫苗的积极信念和态度。在那些未接种、未及时接种或未报告疫苗接种状况的人中,23%(8/35)利用 mHealth 工具获得 HPV 疫苗接种。参与者主要利用该工具的(1)教育部分和(2)促进具体疫苗行动计划的功能。
我们通过在线约会应用程序招募了一个服务不足的高危青年人群作为我们的 mHealth 干预措施的对象,该措施导致了现场医疗保健的提供。本研究受到招募挑战的限制,包括下载 mHealth 工具到移动设备的意愿较低。