'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.

Autor:	Pienaar J; Implementation Science Division, The Aurum Institute, Johannesburg, South Africa., Day S; Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa., Setswe G; Implementation Science Division, The Aurum Institute, Johannesburg, South Africa.; Department of Health Studies, University of South Africa (UNISA), Pretoria, South Africa., Wasunna B; Medic, Nairobi, Kenya., Ncube V; Implementation Science Division, The Aurum Institute, Johannesburg, South Africa., Ndebele F; Implementation Science Division, The Aurum Institute, Johannesburg, South Africa., Oni F; Medic, Nairobi, Kenya., Waweru E; Medic, Nairobi, Kenya., Khumalo C; Implementation Science Division, The Aurum Institute, Johannesburg, South Africa., Tweya H; International Training and Education Center for Health (I-TECH), Seattle, WA, USA.; Department of Global Health, University of Washington, Seattle, WA, USA., Sherr K; Department of Global Health, University of Washington, Seattle, WA, USA., Su Y; International Training and Education Center for Health (I-TECH), Seattle, WA, USA.; Department of Global Health, University of Washington, Seattle, WA, USA., Feldacker C; International Training and Education Center for Health (I-TECH), Seattle, WA, USA.; Department of Global Health, University of Washington, Seattle, WA, USA.
Jazyk:	angličtina
Zdroj:	Digital health [Digit Health] 2023 Aug 27; Vol. 9, pp. 20552076231194924. Date of Electronic Publication: 2023 Aug 27 (Print Publication: 2023).
DOI:	10.1177/20552076231194924
Abstrakt:	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. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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