@文章{信息:doi/10.2196/35015，作者="Emenyonu, Nneka和Kekibiina, Allen和Woolf-King, Sarah和Kyampire, Catherine和Fatch, Robin和daw森- rose, Carol和Muyindike, Winnie和Hahn, Judith"，标题="乌干达艾滋病毒感染者的数字健康筛查以增加酒精使用报告:《自我管理数字健康筛查仪研制与测试的定性研究》，期刊="JMIR Form Res"，年="2022"，月="Sep"，日="1"，卷="6"，数="9"，页数="e35015"，关键词="不健康饮酒;艾滋病毒;数字放映;乌干达;背景:酒精消费是全球艾滋病毒流行的一个关键驱动因素，特别是在撒哈拉以南非洲，不健康的酒精使用和艾滋病毒普遍存在。简短的酒精干预可有效减少酒精使用;然而，它们依赖于对不健康饮酒的有效筛查，而这往往被低估。因此，有必要制定改进不健康饮酒报告的方法，作为转诊到简短酒精干预的重要步骤。自我管理的数字健康筛查可能会改善报告。 Objective: This study aimed to develop and test a digital, easy-to-use self-administered health screener. The health screener was designed to be implemented in a busy, underresourced HIV treatment setting and used by patients with varying levels of literacy. Methods: We conducted a qualitative study at the Immune Suppression Syndrome (ISS) Clinic of Mbarara Regional Referral Hospital in Uganda to develop and test a digital self-administered health screener. The health screener included a training module and assessed behaviors regarding general health, HIV care, and mental health as well as sensitive topics such as alcohol use and sexual health. We conducted focus group discussions with clinicians and patients with HIV of the Mbarara ISS Clinic who consumed alcohol to obtain input on the need for and content, format, and feasibility of the proposed screener. We iteratively revised a tablet-based screener with a subset of these participants, piloted the revised screener, and conducted individual semistructured in-depth interviews with 20 participants who had taken part in our previous studies on alcohol and HIV, including those who had previously underreported alcohol use and with low literacy. Results: A total of 45 people (n=5, 11{\%} clinicians and n=40, 89{\%} Mbarara ISS Clinic patients) participated in the study. Of the patient participants, 65{\%} (26/40) were male, 43{\%} (17/40) had low literacy, and all (40/40, 100{\%}) had self-reported alcohol use in previous studies. Clinicians and patients cited benefits such as time savings, easing of staff burden, mitigation of patient-provider tension around sensitive issues, and information communication, but also identified areas of training required, issues of security of the device, and confidentiality concerns. Patients also stated fear of forgetting how to use the tablet, making mistakes, and losing information as barriers to uptake. In pilot tests of the prototype, patients liked the feature of a recorded voice in the local language and found the screener easy to use, although many required additional help and training from the study staff to complete the screener. Conclusions: We found a self-administered digital health screener to be appealing to patients and clinicians and usable in a busy HIV clinic setting, albeit with concerns about confidentiality and training. Such a screener may be useful in improving reporting of unhealthy alcohol use for referral to interventions. ", issn="2561-326X", doi="10.2196/35015", url="https://formative.www.mybigtv.com/2022/9/e35015", url="https://doi.org/10.2196/35015", url="http://www.ncbi.nlm.nih.gov/pubmed/36048519" }