Adedoja Dorcas, Kuhns Lisa M, Radix Asa, Garofalo Robert, Brin Maeve, Schnall Rebecca
Columbia University School of Nursing, New York City, NY, United States.
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
JMIR Form Res. 2024 May 30;8:e56561. doi: 10.2196/56561.
Transgender men and transmasculine youth are at high risk for acquiring HIV. Growing research on transgender men demonstrates increased HIV risk and burden compared with the general US population. Despite biomedical advancements in HIV prevention, there remains a dearth of evidence-based, sexual health HIV prevention interventions for young transgender men. MyPEEPS (Male Youth Pursuing Empowerment, Education, and Prevention around Sexuality) Mobile is a web-based app that builds on extensive formative community-informed work to develop an evidence-based HIV prevention intervention. Our study team developed and tested the MyPEEPS Mobile intervention for 13- to 18-year-old cisgender young men in a national randomized controlled trial, which demonstrated efficacy to reduce sexual risk in the short term-at 3-month follow-up. Trans men and transmasculine youth resonated with basic HIV educational information and sexual scenarios of the original MyPEEPS app for cisgender men, but recognized the app's lack of transmasculine specificity.
The purpose of this study is to detail the user-centered design methods to adapt, improve the user interface, and enhance the usability of the MyPEEPS Mobile app for young transgender men and transmasculine youth.
The MyPEEPS Mobile app for young transgender men was adapted through a user-centered design approach, which included an iterative review of the adapted prototype by expert advisors and a youth advisory board. The app was then evaluated through a rigorous usability evaluation.
MyPEEPS Mobile is among the first mobile health interventions developed to meet the specific needs of young transgender men and transmasculine youth to reduce HIV risk behaviors. While many of the activities in the original MyPEEPS Mobile were rigorously developed and tested, there was a need to adapt our intervention to meet the specific needs and risk factors among young transgender men and transmasculine youth. The findings from this study describe the adaptation of these activities through feedback from a youth advisory board and expert advisors. Following adaptation of the content, the app underwent a rigorous usability assessment through an evaluation with experts in human-computer interaction (n=5) and targeted end users (n=20).
Usability and adaptation findings demonstrate that the MyPEEPS Mobile app is highly usable and perceived as potentially useful for targeting HIV risk behaviors in young transgender men and transmasculine youth.
跨性别男性和跨性别男性青少年感染艾滋病毒的风险很高。对跨性别男性的研究不断增加，表明与美国普通人群相比，他们感染艾滋病毒的风险和负担更高。尽管在艾滋病毒预防方面取得了生物医学进展，但针对年轻跨性别男性的循证性性健康艾滋病毒预防干预措施仍然匮乏。MyPEEPS（围绕性取向追求赋权、教育和预防的男性青年）移动应用程序是一款基于网络的应用程序，它建立在广泛的、以社区为导向的前期工作基础上，以开发一种循证性艾滋病毒预防干预措施。我们的研究团队在一项全国随机对照试验中为13至18岁的顺性别年轻男性开发并测试了MyPEEPS移动干预措施，该试验证明了其在3个月随访时短期内降低性风险的有效性。跨性别男性和跨性别男性青少年对原始MyPEEPS应用程序中面向顺性别男性的基本艾滋病毒教育信息和性场景产生了共鸣，但也意识到该应用程序缺乏针对跨性别男性的特异性。
本研究的目的是详细介绍以用户为中心的设计方法，以调整、改进用户界面，并提高MyPEEPS移动应用程序对年轻跨性别男性和跨性别男性青少年的可用性。
针对年轻跨性别男性的MyPEEPS移动应用程序通过以用户为中心的设计方法进行了调整，其中包括由专家顾问和青年顾问委员会对调整后的原型进行迭代审查。然后通过严格的可用性评估对该应用程序进行评估。
MyPEEPS移动应用程序是为满足年轻跨性别男性和跨性别男性青少年减少艾滋病毒风险行为的特定需求而开发的首批移动健康干预措施之一。虽然原始MyPEEPS移动应用程序中的许多活动经过了严格的开发和测试，但仍需要调整我们的干预措施，以满足年轻跨性别男性和跨性别男性青少年的特定需求和风险因素。本研究的结果描述了通过青年顾问委员会和专家顾问的反馈对这些活动进行的调整。在内容调整之后，该应用程序通过与人机交互专家（n = 5）和目标最终用户（n = 20）进行评估，接受了严格的可用性评估。
可用性和调整结果表明，MyPEEPS移动应用程序具有很高的可用性，并且被认为可能有助于针对年轻跨性别男性和跨性别男性青少年的艾滋病毒风险行为。
