School of Nursing, Yale University, Orange, CT 06477, USA.
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
Int J Environ Res Public Health. 2021 Nov 12;18(22):11881. doi: 10.3390/ijerph182211881.
Health communication is a key health promotion approach for translating research findings into actionable information. The purpose of this study was to use participatory design to create and then test the usability and comprehension of an HIV self-testing infographic in a sample of 322 emerging adult, sexual minority men of color. Our study objectives addressed three challenges to HIV self-testing: (1) correct usage of the test stick, (2) understanding the number of minutes to wait before reading the result, and (3) how to correctly interpret a negative or a positive HIV result. This study was a two-phase, sequential, mixed methods, pilot, online, randomized controlled trial. Results suggested a significant mean difference between the control and intervention groups on HIV self-testing knowledge, with the control group outperforming the intervention group. However, two-thirds or better of the participants in the intervention group were able to comprehend the three critical steps to HIV self-testing. This was a promising finding that has resulted in the authors' development of additional recommendations for using participatory design for visual aid development in HIV prevention research. Participatory design of an HIV self-testing infographic is a rigorous approach, as a health communication strategy, to address public health priorities.
健康传播是将研究结果转化为可操作信息的重要健康促进方法。本研究旨在使用参与式设计，在 322 名新兴成年、性少数族裔男性中创建并测试 HIV 自我检测信息图的可用性和理解性。我们的研究目标针对 HIV 自我检测的三个挑战：（1）正确使用检测棒，（2）理解等待读取结果的分钟数，以及（3）如何正确解释阴性或阳性 HIV 结果。本研究是一项两阶段、顺序、混合方法、试点、在线、随机对照试验。结果表明，在 HIV 自我检测知识方面，对照组和干预组之间存在显著的平均差异，对照组的表现优于干预组。然而，干预组中有三分之二或更多的参与者能够理解 HIV 自我检测的三个关键步骤。这是一个有希望的发现，促使作者为在 HIV 预防研究中使用参与式设计开发视觉辅助工具提出了额外的建议。作为一种健康传播策略，参与式设计 HIV 自我检测信息图是一种严格的方法，可用于解决公共卫生重点。
