British Columbia Centre for Disease Control, Vancouver, Canada.
University of British Columbia, Vancouver, Canada.
AIDS Educ Prev. 2020 Dec;32(6):528-542. doi: 10.1521/aeap.2020.32.6.528.
A wide variety of risk calculators estimate individuals' risk for HIV/sexually transmitted infections (STI) online. These tools can help target HIV/STI screening and optimize clinical decision-making. Yet, little evidence exists on suitable features for these tools to be acceptable to end-users. We investigated the desirable characteristics of risk calculators among STI clinic clients and testing service providers. Participants interacted with online HIV/STI risk calculators featuring varied target audiences, completion lengths, and message outputs. Thematic analysis of focus groups identified six qualities that would make risk calculators more appealing for online client use: providing personalized risk assessments based on users' specific sexual behaviors and HIV/STI-related concerns; incorporating nuanced risk assessment and tailored educational information; supplying quantifiable risk estimates; using non-stigmatizing and inclusive framing; including explanations and next steps; and developing effective and appropriate branding. Incorporating these features in the design of online HIV/STI risk calculators may improve their acceptability among end-users.
各种风险计算器可在线估算个人感染艾滋病毒/性传播感染（STI）的风险。这些工具有助于确定艾滋病毒/STI 筛查的目标人群，并优化临床决策。然而，针对这些工具应具备哪些合适的功能才能被最终用户接受，目前还没有太多的证据。我们调查了性传播疾病诊所客户和检测服务提供者对风险计算器的期望特征。参与者与具有不同目标受众、完成长度和信息输出的在线艾滋病毒/性传播感染风险计算器进行了互动。焦点小组的主题分析确定了使风险计算器更吸引在线客户使用的六个质量：根据用户特定的性行为和艾滋病毒/性传播感染相关问题提供个性化的风险评估；纳入细致的风险评估和针对性的教育信息；提供可量化的风险估计；使用非污名化和包容性的框架；包括解释和下一步措施；并开发有效和适当的品牌。在设计在线艾滋病毒/性传播感染风险计算器时纳入这些功能，可能会提高最终用户对其的接受程度。
