Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States of America.
Center for Infectious Disease and Nursing Innovation, School of Nursing, Johns Hopkins University, Baltimore, MD, United States of America.
PLoS One. 2023 Oct 18;18(10):e0289884. doi: 10.1371/journal.pone.0289884. eCollection 2023.
Black women experience higher rates of adverse sexual and reproductive health and HIV outcomes, however the use of mHealth to address these health disparities in this population has been inadequate. This study involved a one-month pre-test with Black women living in metro-Atlanta to evaluate the usability, acceptability, and engagement of an HIV prevention app SavvyHER.
An explanatory mixed-methods design was employed in which quantitative data was collected through weekly cross-sectional surveys, and qualitative data was collected through semi-structured in-depth interviews. Descriptive and ANOVA analysis was conducted for the quantitative data using STATA software. Qualitative data was analyzed through qualitative descriptive methods on Atlas.ti.
Participants had high levels of acceptability towards the app and used SavvyHER moderately. The most frequently used features were live groups (2.96 ±0.22, 95% CI 2.51,3.41), viewing resources and educational information (2.77 ± 0.21, 95% CI 2.33,3.20), and mental health monitoring (2.73 ±0.21, 95% CI 2.29,3.12). The least used features were pregnancy symptom monitoring (1.92 ±0.27, 95% CI 1.38,2.47) and STI symptom monitoring (2.0 ±0.25, 95% CI 1.48,2.52). In qualitative interviews, several women discussed how the ability to engage in active discussions and join live sessions with other end-users was a favorable aspect of SavvyHER. Although the app's primary focus was on sexual and reproductive health and HIV prevention, women were more likely to access mental health monitoring and physical activity monitoring features. Women expressed their fondness of the app design and interface as it was reflective of the diversity of Black women.
Further research is needed to explore the efficacy in using SavvyHER and additional mHealth interventions to enhance Black women's sexual and reproductive health and overall wellness.
黑人女性在性健康和生殖健康以及艾滋病毒方面的不良结局发生率更高，然而，在该人群中使用移动医疗来解决这些健康差距的应用还不够充分。本研究对居住在亚特兰大都会区的黑人女性进行了为期一个月的预测试，以评估 SavvyHER 艾滋病预防应用程序的可用性、可接受性和参与度。
采用解释性混合方法设计，通过每周的横断面调查收集定量数据，通过半结构化深入访谈收集定性数据。使用 STATA 软件对定量数据进行描述性和方差分析。使用 Atlas.ti 对定性数据进行定性描述分析。
参与者对该应用程序的接受程度较高，且使用频率适中。最常使用的功能是实时群组（2.96 ±0.22，95%CI 2.51，3.41）、查看资源和教育信息（2.77 ± 0.21，95%CI 2.33，3.20）和心理健康监测（2.73 ±0.21，95%CI 2.29，3.12）。使用频率最低的功能是妊娠症状监测（1.92 ±0.27，95%CI 1.38，2.47）和性传播感染症状监测（2.0 ±0.25，95%CI 1.48，2.52）。在定性访谈中，几位女性讨论了与其他最终用户进行积极讨论和参加实时会话的能力是 SavvyHER 的一个有利方面。尽管该应用程序的主要重点是性健康和生殖健康以及艾滋病毒预防，但女性更有可能访问心理健康监测和身体活动监测功能。女性对应用程序的设计和界面表示喜爱，因为它反映了黑人女性的多样性。
需要进一步研究探索使用 SavvyHER 和其他移动医疗干预措施来增强黑人女性性健康和生殖健康以及整体健康的效果。
