Young Anna Marie, Fruhauf Timothee, Okonkwo Obianuju, Gingher Erin, Coleman Jenell
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
JMIR Form Res. 2022 Jul 8;6(7):e33978. doi: 10.2196/33978.
Despite experiencing the second-highest rate of HIV incidence in the United States, pre-exposure prophylaxis (PrEP) use remains low among Black women due, in part, to a lack of patients' awareness and providers' knowledge.
Our goal was to design animated educational tools informed by patients and women's health providers to address these barriers, specifically for women at risk for HIV.
Two animation storyboards about PrEP for women were created by academic stakeholders (eg, HIV clinical experts, educators, and HIV peer counselors), one for patients and one for providers. Four focus groups with community members from Baltimore, Maryland and four with women's health providers (eg, obstetrician/gynecologists, midwives, nurse practitioners, and peer counselors) at an academic center were conducted to discuss the storyboards. Transcripts were analyzed using conventional content analysis, and themes were incorporated into the final versions of the animations.
Academic stakeholders and 30 focus group participants (n=16 female community members and n=14 women's health providers) described important themes regarding PrEP. The themes most commonly discussed about the patient animation were understandability of side effects, HIV risk factors, messaging, PrEP access, and use confidence. Provider animation themes were indications for PrEP, side effects, and prescribing confidence.
We created two PrEP animations focused on women. Stakeholder feedback highlighted the importance of ensuring the understandability and applicability of PrEP educational materials while including necessary information to facilitate use or prescribing confidence. Both community members and women's health providers reported greater use confidence after viewing the animations.
尽管美国黑人女性的艾滋病毒感染率位居第二，但暴露前预防（PrEP）的使用率仍然很低，部分原因是患者缺乏认识以及医疗服务提供者缺乏相关知识。
我们的目标是设计由患者和女性健康服务提供者提供信息的动画教育工具，以消除这些障碍，特别是针对有感染艾滋病毒风险的女性。
学术利益相关者（如艾滋病毒临床专家、教育工作者和艾滋病毒同伴咨询员）制作了两个关于女性PrEP的动画故事板，一个面向患者，一个面向医疗服务提供者。在马里兰州巴尔的摩对社区成员进行了四个焦点小组访谈，并在一个学术中心对女性健康服务提供者（如妇产科医生、助产士、执业护士和同伴咨询员）进行了四个焦点小组访谈，以讨论这些故事板。使用传统内容分析法对访谈记录进行分析，并将主题纳入动画的最终版本。
学术利益相关者和30名焦点小组参与者（n = 16名女性社区成员和n = 14名女性健康服务提供者）描述了关于PrEP的重要主题。关于患者动画最常讨论的主题是副作用的可理解性、艾滋病毒风险因素、信息传达、PrEP的可及性和使用信心。医疗服务提供者动画的主题是PrEP的适应症、副作用和开处方的信心。
我们制作了两个针对女性的PrEP动画。利益相关者的反馈强调了确保PrEP教育材料的可理解性和适用性的重要性，同时包括必要信息以促进使用或开处方的信心。社区成员和女性健康服务提供者在观看动画后都表示使用信心增强。
