TY - JOUR AU - Trang, Kathy AU - Le, Lam X AU - Brown, Carolyn A AU - To, Margaret Q AU - Sullivan, Patrick S AU - Jovanovic, Tanja AU - Worthman, Carol M AU - Giang, Le Minh PY - 2022 DA - 2022/1/27 TI -河内男性性行为高危人群动态生态评价的可行性、可接受性及设计:定性研究JO - JMIR Form Res SP - e30360 VL - 6 IS - 1 KW -男男性行为者KW -艾滋病毒KW -精神障碍KW -生态瞬时评估KW -移动电话KW -移动健康KW -性少数群体KW -试点项目AB -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障碍的风险过高。在艾滋病毒的背景下，常见的精神障碍很重要，并且经常导致预防和治疗结果不理想。移动生态瞬时评估(EMAs)，或使用手机对人们日常生活中的行为和心理状态进行重复采样，可以阐明抑郁焦虑症状的触发因素和艾滋病毒相关后遗症，并有助于设计生态瞬时干预(EMIs)，以满足个体不同的环境需求，以优化预防和治疗结果。目的:本研究旨在描述越南河内高危男男性行为者移动EMA的可行性和可接受性。它旨在评估这一群体对移动EMA的内容和交付的感知相关性、可用性和关注，以及在未来利用这些平台交付EMIs的潜力。方法:2018年1月至4月，共招募46名参与者。参与者每天完成6至8次移动EMA调查，持续7天。调查在醒来时进行一次，在一天中进行4到6次，在睡觉前进行一次。所有调查都询问了参与者的安全感、社会互动、心理状态和心理健康症状。 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. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/1/e30360 UR - https://doi.org/10.2196/30360 UR - http://www.ncbi.nlm.nih.gov/pubmed/35084340 DO - 10.2196/30360 ID - info:doi/10.2196/30360 ER -