背景:酷儿个体在南非继续被边缘化;他们经历了各种医疗保健挑战(例如,污名,歧视,偏见,骚扰,和屈辱),心理健康问题(例如,自杀和抑郁),艾滋病毒或艾滋病和性传播疾病(性传播感染;衣原体,淋病,和梅毒)。移动健康(mHealth)应用程序有可能解决医疗保健提供者在管理酷儿个人时以及在获得性生殖健康护理服务和需求时,酷儿个人所经历的医疗保健缺陷。从而确保包容性和促进健康和福祉。研究证明,名义组技术(NGT)可用于解决不同的社会和健康问题,并开发创新的解决方案。该技术确保在决策过程中表示不同的语音,并产生可靠的结果。
目的:本研究旨在确定开发mHealth应用程序的重要内容,以满足同性恋者的性生殖健康护理服务和需求。
方法:我们邀请了来自不同领域的13名专家组成的小组,比如研究人员,同性恋积极分子,性健康和生殖健康专家,私人执业医疗保健提供者,创新者,和私人医疗保健利益相关者,参加面对面的NGT。NGT以研讨会的形式进行,有1名主持人,2个研究助理,1个主要调查员研讨会持续了大约2小时46分55秒。我们在研讨会上遵循并应用了5个NGT步骤,以便专家达成共识。预计专家将回答的主要问题如下:mHealth应用程序应包含哪些内容,以解决同性恋个人的性生殖健康护理服务和需求?这个问题是由用户人口统计和背景指导的,健康教育和信息,隐私和安全,可达性和包容性,功能和菜单选项,个性化和用户参与度,服务集成和伙伴关系,反馈和改进,文化敏感性和伦理考虑,法律和法规遵从性,连接和数据使用。
结果:总体而言,专家投票并排名以下主要图标:菜单选项(66分),隐私和安全(39分),用户参与度(27分),信息中心(26分),用户人口统计(20分),连通性(16分),服务整合和伙伴关系(10分),功能(10分),以及可达性和包容性(7分)。
结论:与来自不同领域的专家进行NGT,拥有丰富的技能,知识,和专业知识,使我们能够获得有关mHealth应用程序开发的有针对性的数据,以解决同性恋个人的性生殖健康护理服务和需求。这种方法强调了多学科视角为我们的mHealth应用程序的开发提供信息的有用性,并证明了将这种方法用于其他数字医疗保健创新和干预措施的连续性的未来需求。
BACKGROUND: Queer individuals continue to be marginalized in South Africa; they experience various health care challenges (eg, stigma, discrimination, prejudice, harassment, and humiliation), mental health issues (eg, suicide and depression), and an increased spread of HIV or AIDS and sexually transmitted illnesses (STIs; chlamydia, gonorrhea, and syphilis). Mobile health (mHealth) apps have the potential to resolve the health care deficits experienced by health care providers when managing queer individuals and by queer individuals when accessing sexual-reproductive health care services and needs, thus ensuring inclusivity and the promotion of health and well-being. Studies have proven that the nominal group technique (NGT) could be used to solve different social and health problems and develop innovative solutions. This technique ensures that different voices are represented during decision-making processes and leads to robust results.
OBJECTIVE: This study aims to identify important contents to include in the development of an mHealth app for addressing the sexual-reproductive health care services and needs of queer individuals.
METHODS: We invited a group of 13 experts from different fields, such as researchers, queer activists, sexual and reproductive health experts, private practicing health care providers, innovators, and private health care stakeholders, to take part in a face-to-face NGT. The NGT was conducted in the form of a workshop with 1 moderator, 2 research assistants, and 1 principal investigator. The workshop lasted approximately 2 hours 46 minutes and 55 seconds. We followed and applied 5 NGT steps in the workshop for experts to reach consensus. The main question that experts were expected to answer was as follows: Which content should be included in the mHealth app for addressing sexual-reproductive health care services and needs for queer individuals? This question was guided by user demographics and background, health education and information, privacy and security, accessibility and inclusivity, functionality and menu options, personalization and user engagement, service integration and partnerships, feedback and improvement, cultural sensitivity and ethical considerations, legal and regulatory compliance, and connectivity and data use.
RESULTS: Overall, experts voted and ranked the following main icons: menu options (66 points), privacy and security (39 points), user engagement (27 points), information hub (26 points), user demographics (20 points), connectivity (16 points), service integration and partnerships (10 points), functionalities (10 points), and accessibility and inclusivity (7 points).
CONCLUSIONS: Conducting an NGT with experts from different fields, possessing vast skill sets, knowledge, and expertise, enabled us to obtain targeted data on the development of an mHealth app to address sexual-reproductive health care services and needs for queer individuals. This approach emphasized the usefulness of a multidisciplinary perspective to inform the development of our mHealth app and demonstrated the future need for continuity in using this approach for other digital health care innovations and interventions.