TY - JOUR AU - Emenyonu, Nneka AU - Kekibiina, Allen AU - Woolf-King, Sarah AU - Kyampire, Catherine AU - Fatch, Robin AU - Dawson-Rose, Carol AU - Muyindike, Winnie AU - Hahn, Judith PY - 2022 DA - 2022/9/1 TI -乌干达艾滋病毒感染者的数字健康筛查以增加酒精使用报告:自我管理的健康数字筛查器的开发和测试定性研究JO - JMIR Form Res SP - e35015 VL - 6 IS - 9 KW -不健康的酒精使用KW -艾滋病毒KW -数字筛查KW -乌干达KW -手机AB -背景:酒精消费是全球艾滋病毒流行的关键驱动因素，特别是在撒哈拉以南非洲，不健康的酒精使用和艾滋病毒流行。简短的酒精干预可有效减少酒精使用;然而，它们依赖于对不健康饮酒的有效筛查，而这往往被低估。因此，有必要制定改进不健康饮酒报告的方法，作为转诊到简短酒精干预的重要步骤。自我管理的数字健康筛查可能会改善报告。目的:本研究旨在开发和测试一种易于使用的数字自我管理健康筛查。健康筛查器的设计目的是在繁忙、资源不足的艾滋病毒治疗环境中实施，供不同文化水平的患者使用。方法:我们在乌干达Mbarara区域转诊医院的免疫抑制综合征(ISS)诊所进行了一项定性研究，以开发和测试一种数字自我管理的健康筛查器。健康筛查包括一个培训模块，评估有关一般健康、艾滋病毒护理和心理健康以及饮酒和性健康等敏感话题的行为。 We conducted focus group discussions with clinicians and patients with HIV of the Mbarara ISS Clinic who consumed alcohol to obtain input on the need for and content, format, and feasibility of the proposed screener. We iteratively revised a tablet-based screener with a subset of these participants, piloted the revised screener, and conducted individual semistructured in-depth interviews with 20 participants who had taken part in our previous studies on alcohol and HIV, including those who had previously underreported alcohol use and with low literacy. Results: A total of 45 people (n=5, 11% clinicians and n=40, 89% Mbarara ISS Clinic patients) participated in the study. Of the patient participants, 65% (26/40) were male, 43% (17/40) had low literacy, and all (40/40, 100%) had self-reported alcohol use in previous studies. Clinicians and patients cited benefits such as time savings, easing of staff burden, mitigation of patient-provider tension around sensitive issues, and information communication, but also identified areas of training required, issues of security of the device, and confidentiality concerns. Patients also stated fear of forgetting how to use the tablet, making mistakes, and losing information as barriers to uptake. In pilot tests of the prototype, patients liked the feature of a recorded voice in the local language and found the screener easy to use, although many required additional help and training from the study staff to complete the screener. Conclusions: We found a self-administered digital health screener to be appealing to patients and clinicians and usable in a busy HIV clinic setting, albeit with concerns about confidentiality and training. Such a screener may be useful in improving reporting of unhealthy alcohol use for referral to interventions. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/9/e35015 UR - https://doi.org/10.2196/35015 UR - http://www.ncbi.nlm.nih.gov/pubmed/36048519 DO - 10.2196/35015 ID - info:doi/10.2196/35015 ER -