在战时乌克兰优化HIV指数测试的mHealth工具以人为本的设计:形成性研究案例研究
Nancy Puttkammer1, Elizabeth Dunbar1,2, Myroslava Germanovych3
1Digital Initiatives Group at I-TECH, Department of Global Health, University of Washington, Seattle, WA, United States.
JMIR formative research
|January 30, 2025
概括
一个移动健康工具,计算机辅助自我访谈 (CASI) -Plus,是为了改善乌克兰的艾滋病毒伴侣诱导而开发的. 该工具是根据客户和医疗保健工作人员的意见设计的,即使在战时环境中,它也被证明是可以接受和可行的.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 辅助合作伙伴服务 (APS) 或索引测试对于艾滋病毒测试至关重要,但往往面临较低的合作伙伴诱导率.
- 一个移动健康 (mHealth) 工具,计算机辅助自我访谈 (CASI) -Plus,是为了应对新诊断为艾滋病毒的个人之间的这一挑战而开发的.
- 该工具旨在增加对艾滋病毒检测的性伴侣和共用针的识别.
研究的目的:
- 在CASI-Plus研究的形成性研究阶段收集客户和医疗保健工作者 (HCW) 的意见.
- 在设计过程中确保移动健康工具的可接受性,可行性和可用性.
- 适应以人为中心的设计 (HCD) 原则,以在具有挑战性的环境中开发工具.
主要方法:
- 采用了以人为中心的设计 (HCD) 的方法,包括与客户进行深入采访和与乌克兰的HCW进行设计研讨会.
- 进行了软件平台评估和对潜在的移动健康平台的启发性评估.
- 使用模拟案例的可用性步行,涉及HCW和客户端,以测试REDCap原型.
主要成果:
- 简化HCD方法成功地为工具设计收集了丰富的投入,优先考虑文化敏感和适合上下文的功能.
- 主要优先考虑的功能包括有关HIV指数测试益处的信息,一个不判断性的自我指导问卷,客户故事和视觉辅助工具.
- 由于隐私问题,法规和HCW工作量,双向SMS短信被认为是不切实际的.
结论:
- 人为中心的设计研究在乌克兰是可行的,尽管在战时设置.
- 在医疗保健工作者和客户之间,CASI-Plus mHealth 工具表现出了可接受性.
- 计划进行一项随机临床试验,以评估基于REDCap的CASI-Plus工具对合作伙伴命名和测试率的影响.
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