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首页> 外文期刊>JMIR mHealth and uHealth >A Realistic Talking Human Embodied Agent Mobile Phone Intervention to Promote HIV Medication Adherence and Retention in Care in Young HIV-Positive African American Men Who Have Sex With Men: Qualitative Study
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A Realistic Talking Human Embodied Agent Mobile Phone Intervention to Promote HIV Medication Adherence and Retention in Care in Young HIV-Positive African American Men Who Have Sex With Men: Qualitative Study

机译：一个现实的会说话的人类体现剂移动电话干预措施，以促进与男男性接触艾滋病毒的年轻非洲裔美国男性中艾滋病毒药物的依从性和护理中的保留：定性研究

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Background Avatars and embodied agents are a promising innovation for human health intervention because they may serve as a relational agent that might augment user engagement in a behavioral change intervention and motivate behavioral change such as antiretroviral adherence and retention in care. Objective This study aimed to develop a theory-driven talking avatar-like embodied agent mobile phone intervention guided by the information-motivation-behavioral skills model to promote HIV medication adherence and retention in care in young African American men who have sex with men (MSM). Methods We performed 5 iterative focus groups in Chicago with HIV-positive African American MSM aged 18-34 years to inform the ongoing development of a mobile phone app. Participants for the focus groups were recruited from 4 University of Illinois at Chicago Community Outreach Intervention Project sites located in different high HIV incidence areas of the city and the University of Illinois at Chicago HIV clinic using fliers and word of mouth. The focus group data analysis included developing an ongoing list of priorities for app changes and discussion between two of the investigators based on the project timeline, resources, and to what extent they served the app’s objectives. Results In this study, 16 men participated, including 3 who participated in two groups. The acceptability for an embodied agent app was universal in all 5 focus groups. The app included the embodied agent response to questions and antiretroviral regimen information, adherence tracking, CD4 count and viral load tracking, motivational spoken messages, and customizability. Concerns that were identified and responded to in the development process included privacy, stigma, avoiding the harsh or commanding tone of voice, avoiding negative motivational statements, and making reminder functions for a variety of health care interactions. Conclusions An avatar-like embodied agent mHealth approach was acceptable to young HIV-positive African American MSM. Its relational nature may make it an effective method of informing, motivating, and promoting health behavioral skills. Furthermore, the app’s ease of access, stigma-free environment, and audiovisual format may help overcome some adherence barriers reported in this population.
机译：背景技术化身和具体化的试剂对于人类健康干预是一种有前途的创新，因为它们可以充当关系性试剂，可以增加用户对行为改变干预的参与，并激发行为变化，例如抗逆转录病毒的依从性和护理的保留。目的这项研究旨在开发一种以信息动机-行为-行为技能模型为指导的，理论驱动的说话化身样的体现剂移动电话干预措施，以促进与男男性接触的年轻非洲裔美国男性中艾滋病毒药物的依从性和在护理中的保留（MSM） ）。方法我们在芝加哥进行了5次迭代焦点小组研究，他们对HIV阳性的18-34岁的非洲裔美国人MSM进行了调查，以告知正在进行的手机应用程序开发。焦点小组的参与者是使用传单和口口相传从位于伊利诺伊州芝加哥市社区外展干预项目的4个伊利诺伊大学的艾滋病高发地区以及伊利诺伊大学芝加哥HIV诊所招募的。焦点小组数据分析包括根据应用程序的时间表，资源以及他们在多大程度上满足了应用程序的目标，为应用程序的更改和两个研究者之间的讨论制定了持续的优先事项列表。结果本研究共有16名男性参加，其中3名参加了两组。在所有5个焦点组中，对于嵌入式代理应用程序的可接受性是普遍的。该应用程序包括对问题和抗逆转录病毒治疗方案信息的具体代理响应，依从性跟踪，CD4计数和病毒载量跟踪，激励性口语消息以及可定制性。在开发过程中确定并响应的问题包括隐私，污名，避免发出刺耳或命令性的语气，避免出现负面动机陈述以及为各种医疗保健互动提供提醒功能。结论对于年轻的HIV阳性非洲裔美国人MSM，可以使用化身般的体现剂mHealth方法。它的关系性质可能使其成为通知，激励和促进健康行为技能的有效方法。此外，该应用程序的易用性，无污点的环境和视听格式可能有助于克服这一人群中的一些依从性障碍。

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