Mobile Health App for Self-Learning on HIV Prevention Knowledge and Services Among a Young Indonesian Key Population: Cohort Study
| Autor: | Priyanka Garg, Devika Mehra, Sunil Mehra, Leena Uppal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Population Psychological intervention Health Informatics HIV Infections Information technology law.invention Men who have sex with men Cohort Studies 03 medical and health sciences Sexual and Gender Minorities Young Adult 0302 clinical medicine Condom law Medicine key populations Humans 030212 general & internal medicine Prospective Studies Homosexuality Male education mHealth Response rate (survey) education.field_of_study Original Paper 030505 public health business.industry Incidence (epidemiology) HIV T58.5-58.64 Mobile Applications Telemedicine Indonesia Female Public aspects of medicine RA1-1270 0305 other medical science business Cohort study Demography |
| Zdroj: | JMIR mHealth and uHealth, Vol 8, Iss 9, p e17646 (2020) JMIR mHealth and uHealth |
| ISSN: | 2291-5222 |
| Popis: | Background Indonesia is the only country in the Asia Pacific region where the incidence of HIV is still on the rise, and its prevalence is extremely high among the key populations such as men who have sex with men, transgender women, and people who inject/use drugs. Mobile health (mHealth) apps provide an innovative platform for delivering tailored HIV prevention and care among these populations more efficiently than possible through the direct face-to-face approach. Objective The aim of this study was to assess the role of a peer-customized mobile app based on the principle of self-learning for improving HIV prevention knowledge and access to health services among men who have sex with men, transgender women (known as Waria in Indonesia), and people who use drugs in Indonesia. Methods A prospective intervention cohort study was conducted among the key populations in five provinces of Indonesia (Jakarata, West Java, East Java, Special Region of Yogyakarta, and Bali). The data were evaluated using a pre-post assessment survey conducted on a sample of 200 unique users, including 50 men who have sex with men and transgender women each, and 100 people who use drugs, with a follow-up response rate of 98% and 70%, respectively. An mHealth app named RUMAH SELA was developed and implemented among the key populations. Results From baseline to the endpoint of the study, there was a significant increase in comprehensive HIV-related knowledge from 20% (10/49) to 60% (29/49), 22% (11/49) to 57% (28/49), and 49% (34/70) to 74% (52/70) among men who have sex with men (P=.004), transgender women (P Conclusions This one-of-a-kind mHealth intervention with an mHealth app as a self-learning tool is effective in increasing HIV-related knowledge and behavior, and access to services with strong acceptability by the community. There is a need to scale up such interventions for efficacy testing in a larger population to provide evidence for national-level mHealth programs addressing HIV. |
| Databáze: | OpenAIRE |
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