School of Nursing, Columbia University, New York, NY 10032, USA.
School of Nursing, Columbia University, New York, NY 10032, USA.
Int J Med Inform. 2021 Sep;153:104529. doi: 10.1016/j.ijmedinf.2021.104529. Epub 2021 Jul 22.
OBJECTIVE: The widespread and frequent use of mobile technology among adolescents, including sexual minority adolescents, presents an opportunity for the development of mobile health (mHealth) technology to combat the continuing HIV epidemic among young men who have sex with men (YMSM). We analyzed perceptions of the quality and impact of an HIV prevention mobile app on sexual risk reduction among YMSM. METHODS: Participants were recruited from a larger randomized controlled trial of the MyPEEPS Mobile app among YMSM aged 13-18 years. Data were collected via semi-structured interviews to assess quality and user satisfaction with MyPEEPS Mobile app using analysis informed by the Information Systems Success framework. Interview data were transcribed verbatim and analyzed using six themes: information quality, net benefit, user satisfaction, product quality, service quality, and health care barriers. RESULTS: Interviews were conducted with 40 YMSM (45% Hispanic; 80% non-White; 88% non-rural resident; 28% aged 17 years). Participants' responses indicated that information quality was high, reporting that the app information was concise, easy to understand, useful, and relevant to their life. The net benefits were stated as improvements in their decision-making skills, health behaviors, communication skills with partner(s), and increased knowledge of HIV risk. There was general user satisfaction and enjoyment when using the app, although most of the participants did not intend to reuse the app unless new activities were added. Participants expressed that the product quality of the app was good due to its personalization, representation of the LGBTQIA + community, and user-friendly interface. Although no major technical issues were reported, participants suggested that adaption to a native app, rather than a web app, would improve service quality through faster loading speed. Participants also identified some health care barriers that were minimized by app use. CONCLUSIONS: The MyPEEPS Mobile app is a well received, functional, and entertaining mHealth HIV prevention tool that may improve HIV prevention skills and reduce HIV risk among YMSM.
目的：青少年（包括性少数青少年）广泛且频繁地使用移动技术，这为开发移动健康（mHealth）技术提供了机会，以应对男男性行为者（MSM）中的持续艾滋病毒流行。我们分析了对 HIV 预防移动应用程序在减少 MSM 性风险方面的质量和影响的看法。
方法：参与者是从一项针对年龄在 13-18 岁的 MSM 的 MyPEEPS 移动应用程序的更大规模随机对照试验中招募的。通过半结构化访谈收集数据，使用信息系统成功框架提供的分析方法评估 MyPEEPS 移动应用程序的质量和用户满意度。访谈数据逐字转录，并使用六个主题进行分析：信息质量、净收益、用户满意度、产品质量、服务质量和医疗保健障碍。
结果：对 40 名 MSM 进行了访谈（45%西班牙裔；80%非白人；88%非农村居民；28%年龄为 17 岁）。参与者的回答表明信息质量很高，报告称该应用程序的信息简洁、易懂、有用且与他们的生活相关。净收益被陈述为改善他们的决策技能、健康行为、与伴侣的沟通技巧以及增加对 HIV 风险的了解。当使用该应用程序时，大多数参与者表示普遍满意和享受，尽管除非添加新活动，否则他们不打算再次使用该应用程序。参与者表示，该应用程序的产品质量很好，因为它具有个性化、代表 LGBTQIA+ 社区和用户友好的界面。尽管没有报告重大技术问题，但参与者建议适应原生应用程序而不是网络应用程序可以通过更快的加载速度提高服务质量。参与者还确定了一些医疗保健障碍，这些障碍通过应用程序的使用得到了最小化。
结论：MyPEEPS 移动应用程序是一款广受好评、功能齐全且有趣的 mHealth HIV 预防工具，它可以提高 MSM 的 HIV 预防技能并降低 HIV 风险。
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