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评估移动健康干预措施对提高性少数和性别少数男性艾滋病毒知识的有效性。

Evaluating the Effectiveness of a Mobile Health Intervention on Enhancing HIV Knowledge in Sexual and Gender Minority Men.

作者信息

Dos Santos Fabiana Cristina, Garofalo Robert, Kuhns Lisa M, Scherr Thomas, Schnall Rebecca

机构信息

Columbia University School of Nursing, New York, NY.

Ann and Robert H. Lurie Children's Hospital, Division of Adolescent and Young Adult Medicine and Feinberg School of Medicine, Northwestern University, Department of Pediatrics, Chicago, IL; and.

出版信息

J Acquir Immune Defic Syndr. 2025 Mar 1;98(3):217-223. doi: 10.1097/QAI.0000000000003562.

Abstract

BACKGROUND

In the United States, young men who have sex with men (YMSM) and young transgender women (YTGW) are disproportionately affected by HIV infection. Adequate HIV knowledge is critical for protecting adolescents and young adults at risk for HIV. This study aimed to evaluate the effectiveness of the mLab App intervention in enhancing HIV knowledge among YMSM and YTGW.

METHODS

This study was a secondary analysis of data collected from a randomized controlled trial (RCT) evaluating the effect of the mLab App on HIV knowledge. We calculated interactions between groups (mLab App intervention, standard of care, at-home testing) over time (6 and 12 months) following the baseline observation, indicating a difference in the outcome scores from baseline to each time across groups.

RESULTS

Although the mLab App group initially had lower HIV knowledge than those in other groups, access to the App demonstrated a progressive impact on HIV knowledge over time. Despite the absence of a statistically significant effect at the 6-month follow-up, the long-term evaluation suggests improvements in HIV knowledge during the 12-month intervention follow-up.

CONCLUSIONS

Our study suggests the potential of the mLab App as a valuable tool for long-term HIV education and awareness for YMSM and YTGW. Further research is needed to understand the factors influencing the short-term effect on HIV knowledge. The mLab App may be a useful intervention for improving HIV knowledge.

摘要

背景

在美国,男男性行为的年轻男性(YMSM)和年轻的跨性别女性(YTGW)受艾滋病毒感染的影响尤为严重。足够的艾滋病毒知识对于保护有感染艾滋病毒风险的青少年和年轻人至关重要。本研究旨在评估mLab应用程序干预措施在提高YMSM和YTGW的艾滋病毒知识方面的有效性。

方法

本研究是对一项随机对照试验(RCT)收集的数据进行的二次分析,该试验评估了mLab应用程序对艾滋病毒知识的影响。我们计算了基线观察后不同时间点(6个月和12个月)各分组(mLab应用程序干预组、标准护理组、家庭检测组)之间的交互作用,这表明了从基线到各时间点不同组在结果得分上的差异。

结果

尽管mLab应用程序组最初的艾滋病毒知识水平低于其他组,但随着时间的推移,使用该应用程序对艾滋病毒知识产生了渐进的影响。尽管在6个月的随访中没有统计学上的显著效果,但长期评估表明在12个月的干预随访期间艾滋病毒知识有所改善。

结论

我们的研究表明,mLab应用程序有潜力成为对YMSM和YTGW进行长期艾滋病毒教育和提高认识的宝贵工具。需要进一步研究以了解影响艾滋病毒知识短期效果的因素。mLab应用程序可能是提高艾滋病毒知识的一项有用干预措施。

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