Ditmore Melissa, El Karouaoui Amal, Florez-Arango Jose Fernando
Clear-Eyed Consulting, P.O.Box 20853, New York, NY, 10009, United States, 1 3475609159.
Nawara Women's Network for the Middle East and North Africa, Casablanca, Morocco.
JMIR Form Res. 2025 Aug 22;9:e65210. doi: 10.2196/65210.
Sex workers face an epidemic of violence around the world. However, violence against sex workers (VASW) is underreported, and sex workers hesitate to report to the police because they are frequently punished; therefore, an alternative for reporting is needed. Sex workers also face stigmatization from health care workers, further discouraging help-seeking behavior or reporting in health care facilities. Sex workers have been recipients of services from nongovernmental organizations, typically related to HIV and sexual transmission of infections, but violence remains underaddressed.
This study aims to apply human-centered design methods to adapt ReportVASW for use in the Middle East and North Africa and to evaluate the usability of the prototype interface and identify opportunities for improvement.
Evaluation methods included cognitive walkthrough and System Usability Scale by 9 potential end users, and heuristic evaluation by 2 informatics professionals and 2 service providers.
This study explores ways to improve the trilingual prototype of ReportVASW, with particular attention to ways to improve the data collection tool. Multiple methods identified multiple issues to address. Heuristic analysis revealed 2 serious issues to address, with scores over 2.5 out of 4 in the tool used. The most serious problems identified in heuristic analysis were related to language, particularly the Arabic version. Translation issues were addressed before end user testing. End users were enthusiastic about the idea of a mobile tool to document VASW, provided it led to change. They gave ReportVASW a System Usability Scale of 91.4, above the 68 considered good. Even as end users were enthusiastic, they offered suggestions for improvement.
Many opportunities to improve the interface were identified. Most changes are not overly complex, and the majority involve adapting the language used and improving the translation. Development of the trilingual ReportVASW data collection tool for the Middle East and North Africa region is worth pursuing.
在全球范围内，性工作者面临着暴力泛滥的问题。然而，针对性工作者的暴力行为（VASW）报告不足，性工作者因常受惩处而不愿向警方报案，因此需要一种替代的报案方式。性工作者还面临来自医护人员的污名化，这进一步阻碍了他们在医疗机构寻求帮助或报案的行为。性工作者一直是非政府组织服务的对象，这些服务通常与艾滋病毒及感染的性传播有关，但暴力问题仍未得到充分解决。
本研究旨在应用以人为本的设计方法，使“报告性工作者暴力行为”（ReportVASW）适用于中东和北非地区，并评估原型界面的可用性，找出改进的机会。
评估方法包括9名潜在最终用户进行的认知走查和系统可用性量表评估，以及2名信息学专业人员和2名服务提供者进行的启发式评估。
本研究探索了改进ReportVASW三语原型的方法，尤其关注改进数据收集工具的方法。多种方法发现了多个需要解决的问题。启发式分析揭示了2个需要解决的严重问题，在所使用的工具中得分超过4分制的2.5分。启发式分析中发现的最严重问题与语言有关，尤其是阿拉伯语版本。在最终用户测试之前解决了翻译问题。最终用户对使用移动工具记录性工作者暴力行为的想法很感兴趣，前提是这能带来改变。他们给ReportVASW的系统可用性量表评分为91.4，高于68分的良好标准。即使最终用户很感兴趣，他们也提出了改进建议。
确定了许多改进界面的机会。大多数更改并不过于复杂，且大多数涉及调整使用的语言和改进翻译。为中东和北非地区开发三语ReportVASW数据收集工具值得推行。
