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在资源匮乏的环境中,针对感染 HIV 的被监禁和刑满释放人员的移动医疗调查应用的可行性。

Feasibility of a mHealth survey application for incarcerated and postrelease people living with HIV in a low-resource setting.

机构信息

University of Iowa, Iowa City, Iowa, USA.

Harvard University, Cambridge, Massachusetts, USA.

出版信息

Res Nurs Health. 2021 Feb;44(1):201-212. doi: 10.1002/nur.22098. Epub 2020 Dec 20.

Abstract

Mobile health (mHealth) holds considerable promise as a way to give people greater control of their health information, privacy, and sharing in the context of HIV research and clinical services. The purpose of this study was to determine the feasibility of an mHealth research application from the perspective of three stakeholder groups involved in an HIV clinical trial in Jakarta, Indonesia: (a) incarcerated people living with HIV (PLWH), (b) research assistants (RAs), and (c) research investigators. Incarcerated PLWH (n = 150) recruited from two large all-male prisons completed questionnaires, including questions about mHealth acceptability, on an mHealth survey application using a proprietary data collection software development platform. RAs who administered questionnaires (n = 8) rated the usability of the software application using the system usability scale (SUS) and open-ended questions. Research investigators (n = 2) completed in-depth interviews, that were coded and analyzed using the technology acceptance model (TAM) as a conceptual framework. Over 90% of incarcerated PLWH felt the mHealth application offered adequate comfort, privacy, and accuracy in recording their responses. RAs' SUS scores ranged from 60% to 90% (M = 76.25) and they found the mHealth survey application challenging to learn, but highly satisfying. Compared with paper-based data collection, researchers felt that electronic data collection led to improved accuracy and efficiency of data collection and the ability to monitor data collection remotely and in real time. The researchers perceived the learnability of the application as acceptable but required self-instruction.

摘要

移动医疗(mHealth)在赋予人们更大的自主权来管理自身健康信息、保护隐私并参与 HIV 研究和临床服务方面具有巨大潜力。本研究旨在从参与印度尼西亚雅加达一项 HIV 临床试验的三个利益相关者群体的角度,确定 mHealth 研究应用的可行性:(a)感染 HIV 的囚犯(PLWH),(b)研究助理(RA),以及(c)研究调查员。从两所大型全男性监狱招募的 150 名感染 HIV 的囚犯(PLWH)使用专有数据收集软件开发平台完成了 mHealth 调查应用程序上的问卷调查,其中包括有关 mHealth 可接受性的问题。负责发放问卷的 RA(n=8)使用系统可用性量表(SUS)和开放性问题对软件应用程序的可用性进行了评估。研究调查员(n=2)完成了深入访谈,这些访谈使用技术接受模型(TAM)作为概念框架进行了编码和分析。超过 90%的感染 HIV 的囚犯认为 mHealth 应用程序在记录他们的回答时提供了足够的舒适度、隐私和准确性。RA 的 SUS 分数在 60%到 90%之间(M=76.25),他们发现 mHealth 调查应用程序难以学习,但非常令人满意。与基于纸张的数据收集相比,研究人员认为电子数据收集提高了数据收集的准确性和效率,以及远程和实时监测数据收集的能力。研究人员认为应用程序的易学性是可以接受的,但需要自学。

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