TY - JOUR AU - Bonnell, Tyler Jarvis AU - Revere, Debra AU - Baseman, Janet AU - Hills, Rebecca AU - Karras, Bryant Thomas PY - 2022 DA - 2022/8/3 TI -华盛顿州COVID-19数字暴露通知工具(WA Notify)的公平和可及性:JO - JMIR Form Res SP - e38193 VL - 6is - 8kw - COVID-19暴露通知KW -数字公共卫生KW -卫生公平KW -移动卫生KW -移动卫生KW -数字卫生工具KW -公共卫生KW -监测KW - COVID-19 KW -智能手机KW -卫生不平等KW -社会人口因素KW -流行病学AB -背景:2020年11月,华盛顿州在全州启动了WA Notify(华盛顿州COVID-19数字暴露通知工具),以缓解当前的COVID-19传播。WA Notify使用蓝牙近端触发,谷歌/Apple Exposure Notification Express框架向在智能手机上添加或激活该工具的用户分发通知。这种基于智能手机的工具依赖于足够的人群级别激活才能有效;然而,人们对其在受COVID-19大流行影响不成比例的社区中的采用情况知之甚少,也不知道有什么障碍可能限制其在不同人群中的采用和使用。目标:我们试图(1)根据受2019冠状病毒病大流行严重影响的人群的社区领导人的看法,对可能影响《WA Notify》获取、采用和使用的平等相关问题进行形成性探索;(2)提出建议,促进这些社区公平获得这种新型干预措施并产生影响。方法:我们采用两步数据收集过程,收集华盛顿各地社区领导人关于在其社区启动和实施WA Notify的观点。一项基于网络的简短信息调查衡量了社区层面对WA Notify在减缓COVID-19传播方面的熟悉程度和有效性的感知,并确定了获取和采用WA Notify的潜在障碍和担忧(n=17)。 Semistructured listening sessions were conducted to expand upon survey findings and explore the community-level awareness, barriers, facilitators, and concerns related to activating WA Notify in greater depth (n=13). Results: Our findings overlap considerably with those from previous mobile health equity studies. Digital literacy, trust, information accessibility, and misinformation were highlighted as key determinants of the adoption and use of WA Notify. Although WA Notify does not track users or share data, community leaders expressed concerns about security, data sharing, and personal privacy, which were cited as outweighing the potential benefits to adoption. Both the survey and informational sessions indicated low community-level awareness of WA Notify. Community leaders recommended the following approaches to improve engagement: tailoring informational materials for low-literacy levels, providing technology navigation, describing more clearly that WA Notify can help the community, and using trusted messengers who are already engaged with the communities to communicate about WA Notify. Conclusions: As digital public health tools, such as WA Notify, emerge to address public health problems, understanding the key determinants of adoption and incorporating equity-focused recommendations into the development, implementation, and communication efforts around these tools will be instrumental to their adoption, use, and retention. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/8/e38193 UR - https://doi.org/10.2196/38193 UR - http://www.ncbi.nlm.nih.gov/pubmed/35787520 DO - 10.2196/38193 ID - info:doi/10.2196/38193 ER -
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