A Participatory Approach to Human Interface Design and Persuasive Communication Messages in Development of a Mobile Web-Text Message Intervention to Promote HIV/STI Testing and Sexual Health among Young Adults
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Abstract
Background: Young people of color bear a disproportionate burden of HIV/AIDS in the US, particularly in urban settings such as New York City. Young people of color from the poorest communities in metropolitan New York City also have among the highest rates of sexually transmitted infections (STI) in the US. Rates of STI are even higher among HIV positive young people, increasing vulnerability to infection with other STI as well as transmission of HIV. Despite disproportionate risk, HIV and STI testing among young people of color is not common. Though HIV testing is recommended for all young people 13 and older, many do not seek available services and face barriers to accessing healthcare.
Objectives: In this presentation we will describe the formative research process conducted with representative end-users and community clinic providers to inform development of a mobile web/text message intervention to promote HIV/STI testing and condom use among young adults, called STAYConnected. The service-to-care intervention was developed to augment an existing community-based outreach program, Project STAY (Services to Assist Youth). A collaboration between Harlem Health Promotion Center, Mailman School of Public Health at Columbia University, and New York Presbyterian Hospital, Project STAY reaches underserved young people with HIV/STI prevention education through community-based workshops. STAYConnected was developed to maintain contact with participants to reinforce workshop material and promote testing and sexual health.
Methods: Guided by motivational and social learning theoretical models of behavior change, we will present data from focus groups with representative end-users, interviews with clinic clientele, and interviews with community clinic providers and administrators that informed development of the intervention. We will also describe the iterative development process used between the research, technology, and young person advisory board teams to optimize the human interface design and create persuasive messages for the intervention. The process resulted in an intervention that is engaging for young people, and that can be readily integrated into a system of care infrastructure to maximize sustainability of implementation.
Results: Components of program will be presented, and initial end-user acceptance data and feasibility of the intervention for promoting testing and condom use will be discussed.
Conclusion: The formative research and development process of STAYConnected will be discussed in light of the potential for serving as a model for Web 2.0 behavioral health intervention development. The mobile intervention approach may also serve as an innovative model for linking community outreach with direct health care more broadly.
Objectives: In this presentation we will describe the formative research process conducted with representative end-users and community clinic providers to inform development of a mobile web/text message intervention to promote HIV/STI testing and condom use among young adults, called STAYConnected. The service-to-care intervention was developed to augment an existing community-based outreach program, Project STAY (Services to Assist Youth). A collaboration between Harlem Health Promotion Center, Mailman School of Public Health at Columbia University, and New York Presbyterian Hospital, Project STAY reaches underserved young people with HIV/STI prevention education through community-based workshops. STAYConnected was developed to maintain contact with participants to reinforce workshop material and promote testing and sexual health.
Methods: Guided by motivational and social learning theoretical models of behavior change, we will present data from focus groups with representative end-users, interviews with clinic clientele, and interviews with community clinic providers and administrators that informed development of the intervention. We will also describe the iterative development process used between the research, technology, and young person advisory board teams to optimize the human interface design and create persuasive messages for the intervention. The process resulted in an intervention that is engaging for young people, and that can be readily integrated into a system of care infrastructure to maximize sustainability of implementation.
Results: Components of program will be presented, and initial end-user acceptance data and feasibility of the intervention for promoting testing and condom use will be discussed.
Conclusion: The formative research and development process of STAYConnected will be discussed in light of the potential for serving as a model for Web 2.0 behavioral health intervention development. The mobile intervention approach may also serve as an innovative model for linking community outreach with direct health care more broadly.
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