为肯尼亚内罗毕艾滋病毒感染者青年提供WhatsApp支持小组:单臂试点干预研究
Keshet Ronen1, Cyrus Mugo2,3, Anne Kaggiah3
1Department of Global Health, University of Washington, Seattle, WA, United States.
JMIR formative research
|November 13, 2023
概括
在WhatsApp群组中,有望支持艾滋病毒感染的年轻人,提高治疗知识和技能. 然而,人们观察到耻辱感增加和恢复力下降,这需要在更大规模的研究中进一步调查.
科学领域:
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
- 青少年健康 青少年健康
背景情况:
- 关于移动技术在支持艾滋病毒感染的年轻人中的作用的研究有限.
- 肯尼亚的年轻人自发地利用WhatsApp获得艾滋病毒护理中的同行支持.
- 移动平台为可扩展的艾滋病毒支持干预提供了潜力.
研究的目的:
- 评估为艾滋病毒感染者青少年提供便利的WhatsApp社会支持干预措施的可接受性.
- 评估艾滋病毒治疗结果和心理社会福祉的前后变化.
- 探索使用WhatsApp提供超出临床环境的支持的可行性.
主要方法:
- 一个为期6个月的试点干预,使用方便的WhatsApp小组为55名艾滋病毒感染的年轻人 (14-24岁) 提供帮助.
- 鼓励每周发送结构化消息和非结构化点对点沟通.
- 通过自我报告问卷评估的结果包括可接受性,ART IMB,抑郁症,社会支持,耻辱感,弹性和ART坚持.
主要成果:
- 所有参与者报告的干预接受度高; 73%发送消息.
- 在ART信息,动机和行为技能 (IMB) 评分上显著增加.
- 观察到耻辱评分的增加和弹性评分的下降;在坚持或抑郁方面没有显著变化.
结论:
- WhatsApp 群组是向艾滋病毒感染的青年提供社会支持干预措施的可接受和有前途的模式.
- 增加的IMB分数表明可能改善艾滋病毒的结果.
- 在未来的研究和干预中,无意增加的耻辱和减少的弹性值得注意.
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