@文章{信息:doi/10.2196/30360,作者=“Trang, Kathy和Le, Lam X和Brown, Carolyn A和To, Margaret Q和Sullivan, Patrick S和Jovanovic, Tanja和Worthman, Carol M和Giang, Le Minh”,标题=“越南河内与男性发生性行为的高危男性的可行性、可接受性和移动生态瞬时评估的设计:定性研究”,期刊=“JMIR Form Res”,年=“2022”,月=“1”,日=“27”,卷=“6”,数=“1”,页=“e30360”,关键词=“男男性行为者;艾滋病毒;精神障碍;生态瞬时评价;移动电话;移动健康;性的少数民族;背景:在世界范围内,男男性行为者(MSM)感染艾滋病毒和常见精神疾病的风险不成比例。在艾滋病毒的背景下,常见的精神障碍很重要,经常是预防和治疗结果不理想的驱动因素。 Mobile ecological momentary assessments (EMAs), or the repeated sampling of people's behaviors and psychological states in their daily lives using mobile phones, can clarify the triggers and HIV-related sequelae of depressive-anxious symptoms and contribute toward the design of ecological momentary interventions (EMIs) that cater to the contextually varying needs of individuals to optimize prevention and treatment outcomes. Objective: This study aims to characterize the feasibility and acceptability of mobile EMA among high-risk MSM in Hanoi, Vietnam. It aims to evaluate the perceived relevance, usability, and concerns of this group with regard to the content and delivery of mobile EMA and the potential of leveraging such platforms in the future to deliver EMIs. Methods: Between January and April 2018, a total of 46 participants were recruited. The participants completed 6 to 8 mobile EMA surveys daily for 7 days. Surveys occurred once upon waking, 4 to 6 times throughout the day, and once before sleeping. All surveys queried participants' perceived safety, social interactions, psychological state, and mental health symptoms. The morning survey further queried on sleep and medication use within the past 24 hours, whereas the night survey queried on sexual activity and substance use and allowed participants to share an audio recording of a stressful experience they had that day. At the end of the week, participants were interviewed about their experiences with using the app. Results: Participants completed an average of 21.7 (SD 12.7) prompts over the 7-day period. Excluding nonresponders, the average compliance rate was 61.8{\%} (SD 26.6{\%}). A thematic analysis of qualitative interviews suggested an overall positive reception of the app and 5 recurring themes, which were centered on the relevance of psychological and behavioral items to daily experiences (eg, mental health symptoms and audio recording), benefits of using the app (eg, increased self-understanding), worries and concerns (eg, privacy), usability (eg, confusion about the interface), and recommendations for future design (eg, integrating more open-ended questions). Conclusions: Mobile EMA is feasible and acceptable among young MSM in Vietnam; however, more research is needed to adapt EMA protocols to this context and enhance compliance. Most participants eagerly provided information about their mental health status and daily activities. As several participants looked toward the app for further mental health and psychosocial support, EMIs have the potential to reduce HIV and mental health comorbidity among MSM. ", issn="2561-326X", doi="10.2196/30360", url="https://formative.www.mybigtv.com/2022/1/e30360", url="https://doi.org/10.2196/30360", url="http://www.ncbi.nlm.nih.gov/pubmed/35084340" }
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