@Article{信息:doi/10.2196/17549，作者=“Mathenjwa, Thulile和Adeagbo, Oluwafemi和Zuma, Thembelihle和Dikgale, Keabetswe和Zeitlin, Anya和Matthews, Philippa和Seeley, Janet和Wyke, Sally和Tanser, Frank和Shahmanesh, Maryam和Blandford, Ann”，标题=“开发和接受基于平板电脑的应用程序以支持男性与艾滋病毒护理联系起来:混合方法方法”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“11”，日=“24”，卷=“8”，号=“11”，页=“e17549”，关键词=“HIV;与艾滋病毒护理的联系;数字技术;男性;背景:男性参与艾滋病毒护理的程度较低是由以下几个因素造成的:害怕污名化、男性化的表现、对保密问题的担忧以及前往公共卫生诊所所需的时间。数字技术正在成为一种支持男性参与护理的方法。目的:本研究旨在提供一款可用且引人入胜的平板电脑应用程序，名为EPIC-HIV 2(赋权于人们通过知情选择艾滋病毒2)，以支持南非夸祖鲁纳塔尔省农村地区的男性在参与艾滋病毒护理方面做出知情决定。方法:采用自我决定理论(SDT)、以人为本的方法和人机交互技术为指导的混合方法、迭代和三期设计。我们回顾了相关文献，并对现有数据进行了二次分析，以确定链接的障碍和促进因素，以关注和告知内容开发和设计原则，并与社区顾问委员会和一般社区成员进行焦点小组讨论，以评估应用程序的PowerPoint原型; used observations and guided questions with a convenience sample of potential users from the intervention community to iteratively test and refine a functioning interactive app; and conducted qualitative interviews and satisfaction surveys with actual users to evaluate acceptability. Results: Phase 1 identified supply- and demand-side barriers to linkage to care. Specifically, clinics were feminized spaces unattractive to men with high social costs of attendance. Men did not feel vulnerable to HIV, preferred traditional medicine, and were afraid of the consequences of being HIV positive. Thus, the app needed to allow men to identify the long-term health benefits to themselves and their families of starting antiretroviral therapy early and remaining on it, and these benefits typically outweigh the social costs of attending and being seen at a clinic. SDT led to content design that emphasized long-term benefits but at the same time supported the need for autonomy, competence, and relatedness and informed decision making. Phase 2 indicated that we needed to use simpler text and more images to help users understand and navigate the app. Phase 3 indicated that the app was acceptable and likely to encourage men to link to care. Conclusions: We found that iteratively developing the app with potential users using local narratives ensured that EPIC-HIV 2 is usable, engaging, and acceptable. Although the app encouraged men to link to HIV care, it was insufficient as a stand-alone intervention for men in our sample to exercise their full autonomy to link to HIV care without other factors such as it being convenient to initiate treatment, individual experiences of HIV, and support. Combining tailored digital interventions with other interventions to address a range of barriers to HIV care, especially supply-side barriers, should be considered in the future to close the present linkage gap in the HIV treatment cascade. ", issn="2291-5222", doi="10.2196/17549", url="http://mhealth.www.mybigtv.com/2020/11/e17549/", url="https://doi.org/10.2196/17549", url="http://www.ncbi.nlm.nih.gov/pubmed/33231558" }