Fan L R, Gu Y Z, Luo Y F, Chen Y C, Du Y Y, Han Z G, Cai Y S, He W Y, Liang Q E, Yao Z L, Liu F H, Xu H F
Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Nov 10;42(11):1942-1947. doi: 10.3760/cma.j.cn112338-20210712-00544.
To summarize the design and analysis of testing results of a WeChat applet, which is called "Detective Bear", for sexual health and HIV infection risk assessment in young students, and evaluate its feasibility and effectiveness. Based on self-categorization theory, by using cluster analysis and Delphi expert consulting method, the framework of WeChat applet, risk assessment index system and preventive intervention content were determined. Young students were recruited by student associations for the application test, the results of the repeated tests and the satisfaction survey were collected and analyzed. The study included 393 participants who repeated the test twice and 750 participants who volunteered to participate in the satisfaction questionnaire survey. The applet contains five modules: self-role judgment, self-test, risk assessment, assessment report generation and background management. The risk assessment module contains 6 first-level indicators and 55 second-level indicators. Assessment report generation module includes role diagnosis type, radar chart of HIV sexual health KAP and intervention prescription. In 393 students who repeated the test, the awareness of AIDS to be a serious sexually transmitted disease, the epidemic trend in young students in China, with active seeking HIV testing services and caring the infected improved. The satisfaction survey showed that 75.7% of students (568/750) accepted the applet, 86.5% (649/750) agreed the evaluation report, 83.1%(623/750) thought that there were some problems, but it was easy to use, 93.3% (700/750) said they can learn something from the applet and 84.1% (631/750) satisfied with the page design. Some students thought the questionnaire was too long and somewhat difficult to complete (<0.05), and some reported that more can be learned (<0.05). The applet integrates AIDS prevention related knowledge and practice into a challenging, interesting, interactive game and provide individualized, concrete risk assessment and self-intervention for young students, which can effectively help students to improve the awareness of AIDS related knowledge and get links for access to condoms, testing and other intervention services. However, its large-scale application and long-term effect need to be further tested.
总结一款名为“侦探熊”的微信小程序在青年学生性健康和HIV感染风险评估方面的测试结果的设计与分析，并评估其可行性和有效性。基于自我分类理论，运用聚类分析和德尔菲专家咨询法，确定了微信小程序的框架、风险评估指标体系和预防性干预内容。通过学生社团招募青年学生进行应用测试，收集并分析重复测试结果和满意度调查结果。该研究包括393名重复测试两次的参与者和750名自愿参与满意度问卷调查的参与者。该小程序包含五个模块：自我角色判断、自我测试、风险评估、评估报告生成和后台管理。风险评估模块包含6个一级指标和55个二级指标。评估报告生成模块包括角色诊断类型、HIV性健康KAP雷达图和干预处方。在393名重复测试的学生中，对艾滋病是一种严重性传播疾病的认识、中国青年学生中的流行趋势、主动寻求HIV检测服务以及关爱感染者等方面有所提高。满意度调查显示，75.7%的学生（568/750）接受该小程序，86.5%（649/750）认可评估报告，83.1%（623/750）认为虽存在一些问题但易于使用，93.3%（700/750）表示能从该小程序中学到东西，84.1%（631/750）对页面设计满意。一些学生认为问卷过长且完成起来有些困难（<0.05），还有一些学生表示能学到的内容还可以更多（<0.05）。该小程序将艾滋病预防相关知识与实践融入一款具有挑战性、趣味性和互动性的游戏中，为青年学生提供个性化、具体的风险评估和自我干预，能有效帮助学生提高艾滋病相关知识的知晓率，并获取避孕套、检测及其他干预服务的链接。然而，其大规模应用和长期效果有待进一步检验。
