'I understood the texting process well'. Participant perspectives on usability and acceptability of SMS-based telehealth follow-up after voluntary medical male circumcision in South Africa

被引：8

作者：

Pienaar, Jacqueline ^{[1
]}

Day, Sarah ^{[2
]}

Setswe, Geoffrey ^{[1
,3
]}

Wasunna, Beatrice ^{[4
]}

Ncube, Vuyolwethu ^{[1
]}

Ndebele, Felex ^{[1
]}

Oni, Femi ^{[4
]}

Waweru, Evelyn ^{[4
]}

Khumalo, Calsile ^{[1
]}

Tweya, Hannock ^{[5
,6
]}

Sherr, Kenneth ^{[6
]}

Su, Yanfang ^{[5
,6
]}

Feldacker, Caryl ^{[5
,6
]}

机构：

[1] Aurum Inst, Implementat Res Div, Parktown, South Africa

[2] Univ Cape Town, Fac Hlth Sci, Cape Town, South Africa

[3] Univ South Africa UNISA, Dept Hlth Studies, Pretoria, South Africa

[4] Medic, Nairobi, Kenya

[5] Int Training & Educ Ctr Hlth I TECH, Seattle, WA USA

[6] Univ Washington, Dept Global Hlth, Seattle, WA USA

来源：

DIGITAL HEALTH | 2023年 / 9卷

关键词：

telehealth; usability assessment; two-way texting; voluntary medical male circumcision; quality care; male engagement in care; HEALTH; MEN;

D O I：

10.1177/20552076231194924

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Voluntary medical male circumcision (MC) is a biomedical HIV prevention method that requires post-operative follow-up for healing confirmation. Recent research found that a two-way texting (2wT) app providing SMS-based telehealth for MC patients was safe and reduced provider workload. We evaluated 2wT usability among MC clients in South Africa assigned the 2wT intervention within a larger randomized controlled trial (RCT) of 2wT safety and workload. Methods: This quantitative usability study is within an RCT where 547 men used 2wT to interact with an MC provider via SMS. The sub-study involved the first 100 men assigned to 2wT who completed a usability survey 14 days after surgery. Acceptability was assessed through 2wT response rates of the 547 men. Regression models analyzed associations between age, wage, location, potential adverse events (AEs), and 2wT responses. Results: Men assigned to 2wT found it safe, comfortable, and convenient, reporting time and cost savings. High response rates (88%) to daily messages indicated acceptability. Age, wage, and location didn't affect text responses or potential AEs. Conclusion: 2wT for post-MC follow-up was highly usable and acceptable, suggesting its viability as an alternative to in-person visits. It enhanced confidence in wound self-management. This SMS-based telehealth can enhance MC care quality and be adapted to similar contexts for independent healing support, particularly for men.

引用

页数：10

共 34 条

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