MyHealthEd, Inc, Chapel Hill, USA.
Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, USA.
Prev Sci. 2023 Dec;24(Suppl 2):174-184. doi: 10.1007/s11121-023-01559-5. Epub 2023 Jun 23.
This paper describes a human-centered design approach to investigate unmet adolescent sexual health wants and needs among youth of color in low-income and rural communities in Texas, North Carolina, and Connecticut (n = 149). The approach involved gathering qualitative data through in-depth interviews and other human-centered design activities between April 2016 and August 2016. Data were analyzed using thematic content analysis after each round of data collection. Themes were triangulated across multiple data sources to identify key insights. Results highlighted several important unmet wants and needs. Participants shared that schools were not the preferred place to learn about sexual health and healthy relationships, due to uncomfortable and sometimes even hostile environments. When discussing the potential to use internet- and technology-based sexual health resources, participants expressed concerns over privacy, safety, and credibility of information available. Similarly, participants preferred mobile apps over websites due to the privacy of the experience. Most importantly, key emotions impacting adolescents' access to and use of sexual health resources were identified. Results indicated a preference for consuming story-based information in a text message format that described diverse experiences related to sexual health topics. Together, these findings led to the development of an innovative, mobile health intervention for adolescents, the Real Talk mobile app. This human-centered approach can support researchers and practitioners in strengthening intervention development efforts to improve the reach, adoption, and implementation of sexual health interventions.
本文描述了一种以人为中心的设计方法，旨在调查德克萨斯州、北卡罗来纳州和康涅狄格州（n = 149）低收入和农村社区中有色人种青少年未满足的性健康需求和期望。该方法涉及通过深入访谈和其他以人为中心的设计活动在 2016 年 4 月至 2016 年 8 月之间收集定性数据。在每轮数据收集后，使用主题内容分析对数据进行分析。通过跨多个数据源对主题进行三角剖分，以确定关键见解。结果突出了一些重要的未满足的需求和期望。参与者表示，由于环境不舒适甚至有时敌对，学校不是学习性健康和健康关系的首选场所。当讨论利用基于互联网和技术的性健康资源的潜力时，参与者对隐私、安全和可用信息的可信度表示担忧。同样，由于体验的隐私性，参与者更喜欢移动应用程序而不是网站。最重要的是，确定了影响青少年获取和使用性健康资源的关键情绪。结果表明，他们更愿意以描述与性健康主题相关的各种经验的短信格式来消费基于故事的信息。总之，这些发现促成了一种创新的、面向青少年的移动健康干预措施——“坦诚说”（Real Talk）移动应用程序的开发。这种以人为中心的方法可以为研究人员和从业者提供支持，以加强干预措施的开发工作，从而提高性健康干预措施的覆盖面、采用率和实施率。
