A Uniquely Targeted, Mobile App-Based HIV Prevention Intervention for Young Transgender Women: Adaptation and Usability Study

Bibliographic Details
Title: A Uniquely Targeted, Mobile App-Based HIV Prevention Intervention for Young Transgender Women: Adaptation and Usability Study
Authors: Kuhns, Lisa M, Hereth, Jane, Garofalo, Robert, Hidalgo, Marco, Johnson, Amy K, Schnall, Rebecca, Reisner, Sari L, Belzer, Marvin, Mimiaga, Matthew J
Source: Journal of Medical Internet Research, Vol 23, Iss 3, p e21839 (2021)
Publisher Information: JMIR Publications, 2021.
Publication Year: 2021
Collection: LCC:Computer applications to medicine. Medical informatics
LCC:Public aspects of medicine
Subject Terms: Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
More Details: BackgroundYoung transgender women (YTW) are a key population for HIV-related risk reduction, yet very few interventions have been developed to meet their needs. Mobile health interventions with the potential for both efficacy and wide reach are a promising strategy to reduce HIV risk among YTW. ObjectiveThis study aims to adapt an efficacious group-based intervention to a mobile app, Project LifeSkills, to reduce HIV risk among YTW, and to test its acceptability and usability. MethodsThe group-based intervention was adapted to a mobile app, LifeSkills Mobile, with input from an expert advisory group and feedback from YTW collected during user-centered design sessions. A beta version of the app was then tested in a usability evaluation using a think-aloud protocol with debriefing interviews, recordings of screen activity, and assessments of usability via the Post-Study System Usability Questionnaire (PSSUQ) and the Health Information Technology Usability Evaluation Scale (Health-ITUES). ResultsYTW (n=8; age: mean 24 years, SD 3 years; racial or ethnic minority: 7/8, 88%) provided feedback on the app prototype in design sessions and then tested a beta version of the app in a usability trial (n=10; age: mean 24 years, SD 3 years; racial or ethnic minority: 8/10, 80%). Both usability ratings (Health-ITUES: mean 4.59, SD 0.86; scale range: 1-5) and ratings for satisfaction and accessibility (PSSUQ: mean 4.64, SD 0.90; scale range 1-5) were in the good to excellent range. No functional bugs were identified, and all mobile activities were deployed as expected. Participant feedback from the usability interviews indicated very good salience of the intervention content among the focal population. Participants’ suggestions to further increase app engagement included adding animation, adding audio, and reducing the amount text. ConclusionsWe conclude that the LifeSkills Mobile app is a highly usable and engaging mobile app for HIV prevention among YTW.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1438-8871
Relation: https://www.jmir.org/2021/3/e21839; https://doaj.org/toc/1438-8871
DOI: 10.2196/21839
Access URL: https://doaj.org/article/25574bbfeabe4788a23f0e62907fcdc5
Accession Number: edsdoj.25574bbfeabe4788a23f0e62907fcdc5
Database: Directory of Open Access Journals
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More Details
ISSN:14388871
DOI:10.2196/21839
Published in:Journal of Medical Internet Research
Language:English