JMIR出版公司:社区参与的初级保健移动医疗艾滋病毒/性传播感染和药物卡塔尔世界杯8强波胆分析滥用预防干预方法:定性研究%A Cordova,David %A Bauermeister,Jose %A Fessler,Kathryn %A Delva,Jorge %A Nelson,Annabelle %A Nurenberg,Rachel %A Mendoza Lua,Frania %A Alers-Rojas,Francheska %A Salas-Wright,Christopher P %A， %+密歇根大学社会工作学院，密西根州安娜堡S大学大街1080号，48109，美国，1 (734)763 6201，cordovad@umich.edu %K青少年%K初级预防%K艾滋病毒%K性传播感染%K移动健康%K远程医疗%K初级卫生保健%K吸毒者%K性传播感染%D 2015 %7 18.12 2015 %9背景:尽管正在进行预防工作，但艾滋病毒和其他性传播感染(艾滋病毒/性传播感染)和吸毒仍然是公共卫生问题。城市青少年受到的影响不成比例，其中许多人得不到充分的服务，而且是少数族裔。最近的政策变化，包括《负担得起的医疗法案》，以及技术进步，为预防艾滋病毒/性传播感染和药物滥用的科学家提供了独特的机会，在初级保健中提供移动保健(mHealth)预防性干预措施。目的:本社区参与研究的目的是为初级保健(以下简称“S4E”)开发一种移动健康版本的赋权预防干预。方法:从密歇根州东南部一家以青少年为中心的初级保健诊所招募29名青少年进行定性访谈。参与者主要是非裔美国人(n=19, 65.5%)和女性(n=21, 72.4%)，平均年龄为16.23岁(SD 2.09)。在S4E开发过程中，采用了基于社区的参与式研究(CBPR)原则，结合敏捷软件开发和国家药物滥用研究所(NIDA)推荐的核心预防原则。CBPR原则旨在通过解决与当地有关的卫生问题、与社区力量合作以及将基础科学转化为应用研究来提高研究的效力。 Complementing this approach, the NIDA prevention principles are derived from decades of drug abuse prevention research aimed at increasing the effectiveness and uptake of programs, through the development of culturally specific interventions and ensuring the structure, content, and delivery of the intervention fit the needs of the community. Data were analyzed using thematic analysis. Results: A total of 5 themes emerged from the data: (1) acceptability of the mHealth app to adolescents in primary care, (2) inclusion of a risk assessment to improve clinician-adolescent HIV/STI and drug use communication, (3) incorporation of culturally specific HIV/STI and drug use content, (4) incorporation of interactive aspects in the app to engage youth, and (5) perspectives on the appearance of the app. Conclusions: There is a dearth of mHealth HIV/STI and drug abuse preventive interventions for primary care. Incorporating the principles of CBPR in conjunction with agile software development and NIDA-recommended core prevention principles may be helpful in developing culturally specific mHealth interventions. An important next step in this program of research is to examine the feasibility, acceptability, and efficacy of S4E on adolescent sexual risk and drug use behaviors, and HIV/STI testing. Implications for prevention research and primary care practice are discussed in the context of the Affordable Care Act and technological advances. %M 26685288 %R 10.2196/mhealth.4620 %U http://mhealth.www.mybigtv.com/2015/4/e106/ %U https://doi.org/10.2196/mhealth.4620 %U http://www.ncbi.nlm.nih.gov/pubmed/26685288