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肯尼亚一项按需移动健康性与生殖健康短信干预措施的使用情况:定性研究 。

Young People's Experiences Using an On-Demand Mobile Health Sexual and Reproductive Health Text Message Intervention in Kenya: Qualitative Study.

机构信息

International Centre for Reproductive Health, Kenya, Mombasa, Kenya.

Department of Population Family and Reproductive Health, College of Health Sciences, University of Ghana, Accra, Ghana.

出版信息

JMIR Mhealth Uhealth. 2021 Jan 15;9(1):e19109. doi: 10.2196/19109.


DOI:10.2196/19109
PMID:33448930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7846443/
Abstract

BACKGROUND: Digital health usability assessments can help explain how well mobile health (mHealth) apps targeting young people with sexual and reproductive health (SRH) information performed and whether the intended purpose was achieved. However, few digital health assessments have been conducted to evaluate young people's perceptions regarding mHealth system interactions and content relevance on a wide range of SRH topics. In addition, the majority of randomized controlled trials (RCTs) have focused on push messaging platforms; therefore, the mHealth field lacks sufficient RCTs investigating on-demand mHealth SRH platforms. OBJECTIVE: The objective of this study was to explore young people's experiences using an on-demand SRH mHealth platform in Kenya. METHODS: We used qualitative data related to the usability of an mHealth platform, Adolescent/Youth Reproductive Mobile Access and Delivery Initiatives for Love and Life Outcome (ARMADILLO), collected at the end of the intervention period. A total of 30 in-depth interviews (IDIs) were held with the intervention participants (15 women and 15 men) to elicit their experiences, opinions, and perspectives on the design and content of the ARMADILLO platform. The study participants were randomly selected from a list of intervention arm participants to participate in the IDIs. The interviews were later transcribed verbatim, translated into English, and coded and analyzed thematically using NVivo version 12 software (QSR International). RESULTS: Respondents reported varied user experiences and levels of satisfaction, ranging from ease of use by the majority of the respondents to systematic frustrations that prevented some participants from progressing to other stages. Interesting features of the mHealth platform included the immediate response participants received when requesting messages, weekly remunerated quizzes, and perceived ability of educative and informative content and messages to change behaviors. Proposed enhancements to the platform included revising some concepts and words for easy understanding and increasing the interactivity of the platform, whereby young people could seek clarity when they came across difficult terms or had additional questions about the information they received. CONCLUSIONS: The importance of understanding the range of health literacy and technological variations when dealing with young people cannot be overemphasized. Young people, as mHealth end users, must be considered throughout intervention development to achieve optimum functionality. In addition, young people targeted with mHealth SRH interventions must be sensitized to the interactions on mHealth platforms or any other digital health apps if implemented in a nonresearch setting for optimal use by the targeted audience.

摘要

背景:数字健康可用性评估可以帮助解释针对有性生殖健康(SRH)信息的年轻人的移动健康(mHealth)应用程序的运行情况,以及是否达到了预期目的。然而,很少有数字健康评估来评估年轻人对 mHealth 系统交互和广泛的 SRH 主题内容相关性的看法。此外,大多数随机对照试验(RCT)都集中在推送消息传递平台上;因此,mHealth 领域缺乏足够的 RCT 来调查按需 mHealth SRH 平台。

目的:本研究旨在探讨肯尼亚年轻人使用按需 SRH mHealth 平台的体验。

方法:我们使用了与干预结束时收集的 mHealth 平台(青少年/青年生殖移动获取和交付倡议,以获得爱与生命结果(ARMADILLO))可用性相关的定性数据。对 30 名干预参与者(15 名女性和 15 名男性)进行了 30 次深入访谈(IDIs),以了解他们对 ARMADILLO 平台的设计和内容的体验、意见和看法。研究参与者是从干预组参与者名单中随机选择参加 IDI 的。访谈后来被逐字转录、翻译成英文,并使用 NVivo 版本 12 软件(QSR International)进行主题编码和分析。

结果:受访者报告了不同的用户体验和满意度水平,从大多数受访者的易用性到系统性的挫折感,这些挫折感阻止了一些参与者进入其他阶段。mHealth 平台的一些有趣功能包括参与者在请求消息时立即收到的回复、每周有酬测验,以及教育性和信息性内容和消息改变行为的感知能力。对平台的改进建议包括修改一些概念和词汇,以便于理解,并增加平台的互动性,以便年轻人在遇到困难的术语或对他们收到的信息有其他问题时,可以寻求澄清。

结论:在处理年轻人时,强调理解健康素养和技术差异的范围非常重要。年轻人作为 mHealth 的最终用户,在干预措施的制定过程中必须得到考虑,以实现最佳功能。此外,如果在非研究环境中实施 mHealth SRH 干预措施,针对 mHealth 平台或任何其他数字健康应用程序的交互作用,必须对目标受众进行敏感性教育,以实现目标受众的最佳使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/62ebc2877cb0/mhealth_v9i1e19109_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/02a20d6d989a/mhealth_v9i1e19109_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/f2d33c21b630/mhealth_v9i1e19109_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/62ebc2877cb0/mhealth_v9i1e19109_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/02a20d6d989a/mhealth_v9i1e19109_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/f2d33c21b630/mhealth_v9i1e19109_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c64d/7846443/62ebc2877cb0/mhealth_v9i1e19109_fig3.jpg

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[7]
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本文引用的文献

[1]
The Effect of the Interactive Mobile Health and Rehabilitation System on Health and Psychosocial Outcomes in Spinal Cord Injury: Randomized Controlled Trial.

J Med Internet Res. 2019-8-28

[2]
Evaluation of the ELIMIKA Pilot Project: Improving ART Adherence among HIV Positive Youth Using an eHealth Intervention in Mombasa, Kenya.

Afr J Reprod Health. 2019-3

[3]
Protocol of an open, three-arm, individually randomized trial assessing the effect of delivering sexual and reproductive health information to young people (aged 13-24) in Kenya and Peru via mobile phones: adolescent/youth reproductive mobile access and delivery initiative for love and life outcomes (ARMADILLO) study stage 2.

Reprod Health. 2018-7-11

[4]
Interactive Two-Way mHealth Interventions for Improving Medication Adherence: An Evaluation Using The Behaviour Change Wheel Framework.

JMIR Mhealth Uhealth. 2018-4-12

[5]
Methods for Evaluating the Content, Usability, and Efficacy of Commercial Mobile Health Apps.

JMIR Mhealth Uhealth. 2017-12-18

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BMC Res Notes. 2017-2-10

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Reprod Health. 2017-1-17

[8]
Evaluating an Adaptive and Interactive mHealth Smoking Cessation and Medication Adherence Program: A Randomized Pilot Feasibility Study.

JMIR Mhealth Uhealth. 2016-8-3

[9]
The Usability and Acceptability of an Adolescent mHealth HIV/STI and Drug Abuse Preventive Intervention in Primary Care.

Behav Med. 2018

[10]
Adolescent/Youth Reproductive Mobile Access and Delivery Initiative for Love and Life Outcomes (ARMADILLO) Study: formative protocol for mHealth platform development and piloting.

Reprod Health. 2015-8-7

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