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Digital Health Tools Embedded in a Cancer Genetics Clinic: Observational Study. 嵌入癌症遗传学诊所的数字健康工具：观察性研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-02-02 DOI: 10.2196/74375
Sujay Nagaraj, Ron Rabinowicz, Sarah Goodday, Ledia Brunga, Chana Korenblum, Anita Villani, Raymond Kim, Emma Karlin, Robert William Greer, Hadrian Balaci, Meis Omran, Anna Goldenberg, David Malkin, Stephen Friend
<p><strong>Background: </strong>Digital Health Tools (DHTs), including wearables and mobile apps, offer promising avenues for personalized care and real-time monitoring, but user engagement and clinical utility-especially in pediatric populations-remain unclear. Li-Fraumeni syndrome (LFS) is a genetic mutation in the TP53 tumor suppressor gene, predisposing individuals to cancer, requiring lifelong surveillance and associated psychological stress.</p><p><strong>Objective: </strong>We evaluated engagement with DHTs in a cancer genetics clinic for families affected by LFS and explored their utility for patients and clinicians. Our goal was to identify insights that could inform future integration of DHTs in chronic disease populations and contribute to research.</p><p><strong>Methods: </strong>We conducted an observational study (January-December 2022) involving patients with LFS and family members aged 5 years and older. Participants received an Empatica EmbracePlus smartwatch and a suite of self-report surveys assessing psychosocial well-being at varying frequencies (ie, daily, weekly, etc). We used survival analysis to characterize engagement over time across age, TP53 status, and previous cancer history. Generalized additive models were used to explore physiological patterns relative to cancer surveillance events. Semistructured interviews provided qualitative insight into user experiences and preferences.</p><p><strong>Results: </strong>We enrolled 9 children and 36 adults. Adults wore their smartwatches more often than children (mean 81%, SD 19% vs mean 56%, SD 26%; t<sub>10</sub><sub>.</sub><sub>1</sub>=2.72; P=.02) and were engaged in the study for a longer duration (median retention 153, IQR 119-179; 95% CI 133-177 vs median 77, IQR 36-151; 95% CI 17-171 days; log-rank χ<sup>2</sup><sub>1</sub>=4.4; P=.04). Daily wear time was similar between the 2 groups (mean 17.6, SD 3.1 hours vs mean 15.7, SD 2.9 hours; t<sub>13</sub><sub>.</sub><sub>2</sub>=1.70; P=.11). There were no differences in survey engagement between adults and children, nor were there differences in engagement across TP53 status or previous cancer history. Children reported greater psychosocial burden, with more depressive symptoms (PHQ-9 [Patient Health Questionnaire-9] score mean 10.0, SD 5.2 vs mean 4.2, SD 4.4; t<sub>7</sub><sub>.</sub><sub>8</sub>=2.8; P=.03), worse sleep (PROMIS SRI [patient-reported outcomes measurement information system sleep-related impairment] score mean 22.7, SD 5.9 vs mean 16.5, SD 5.5; t<sub>8</sub><sub>.</sub><sub>1</sub>=-2.58; P=.03), and increased frequency of stress (mean 36.3%, SD 19.9% vs mean 14.3%, SD 19.2%; t<sub>8</sub><sub>.</sub><sub>3</sub>=-2.7; P=.03) than adults. A suicide alert system was triggered in 5 participants (11%) and prompted timely clinical intervention. Generalized additive model analysis showed individualized yet consistent physiological patterns of stress associated with cancer surveillance. Qualitative feedback fr
背景：数字健康工具（dht），包括可穿戴设备和移动应用程序，为个性化护理和实时监测提供了有希望的途径，但用户参与度和临床效用——特别是在儿科人群中——仍不清楚。Li-Fraumeni综合征（LFS）是一种肿瘤抑制基因TP53的基因突变，使个体易患癌症，需要终身监测和相关的心理压力。目的：我们评估了一家癌症遗传学诊所对受LFS影响的家庭的dht参与情况，并探讨了它们对患者和临床医生的效用。我们的目标是确定可以为慢性病人群中dht的未来整合提供信息并有助于研究的见解。方法：我们进行了一项观察性研究（2022年1月至12月），涉及LFS患者及其5岁及以上的家庭成员。参与者收到Empatica恩布拉eplus智能手表和一套以不同频率（即每天、每周等）评估心理社会健康的自我报告调查。我们使用生存分析来描述不同年龄、TP53状态和既往癌症史的参与情况。使用广义加性模型来探索与癌症监测事件相关的生理模式。半结构化访谈提供了对用户体验和偏好的定性洞察。结果：我们招募了9名儿童和36名成人。成年人佩戴智能手表的频率高于儿童（平均81%，标准差19% vs平均值56%，标准差26%；t10.1=2.72； P= 0.02），并且参与研究的时间更长（中位保留时间153，IQR 119-179； 95% CI 133-177 vs中位77，IQR 36-151； 95% CI 17-171天；log-rank χ21=4.4； P= 0.04）。两组患者的日磨损时间相似（平均17.6小时，SD 3.1小时vs平均15.7小时，SD 2.9小时；t13.2=1.70； P= 0.11）。成人和儿童的调查参与度没有差异，TP53状态或既往癌症史的调查参与度也没有差异。儿童报告了更大的心理社会负担，抑郁症状更多（PHQ-9[患者健康问卷-9]评分平均10.0,SD 5.2 vs平均4.2,SD 4.4; t7.8=2.8； P= 0.03），睡眠更差（PROMIS SRI[患者报告的结局测量信息系统睡眠相关障碍]评分平均22.7,SD 5.9 vs平均16.5,SD 5.5; t8.1=-2.58； P= 0.03），压力频率比成人增加（平均36.3%,SD 19.9% vs平均14.3%,SD 19.2%; t8.3=-2.7； P= 0.03）。5名参与者（11%）触发了自杀警报系统，并及时进行了临床干预。广义加性模型分析显示个体化但一致的生理应激模式与癌症监测相关。参与者的定性反馈确定了压力意识的感知价值，但强调了设备舒适度、功能和个性化方面的挑战。结论：dht在LFS高危儿童和家庭人群中是可行的，可以获取有临床意义的心理和生理数据。它们能够及时发现痛苦并促进有针对性的干预。我们的研究结果可以为以患者为中心的DHT整合到临床护理的最佳实践提供信息，与儿科肿瘤学和更广泛的数字健康背景相关。
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引用次数: 0
Designing a Case Management Mobile Health App for Violence Intervention Programs: Mixed Methods Human-Centered Design Study. 为暴力干预项目设计一个案例管理移动健康应用程序：混合方法，以人为本的设计研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-02-02 DOI: 10.2196/79533
Marianna G Salvatori, Devika Patel, Adrienne Paige Baer, Christiana Dagmar von Hippel, Jerome Wang, Daniel Goldberg, Michael Texada, Amanda Sammann
<p><strong>Background: </strong>Hospital-based violence intervention programs have shown promise in mitigating the effects of violence, but their impact is limited by time constraints and inefficient practices faced by the violence prevention professionals (VPPs) who function as case managers. Mobile health (mHealth) apps offer the potential to enhance communication and service delivery between VPPs and clients, but few have been specifically designed for vulnerable populations.</p><p><strong>Objective: </strong>This study aims to design an mHealth app to improve communication and access to resources between survivors of violence and their VPPs using human-centered design (HCD) and iterative prototyping methods.</p><p><strong>Methods: </strong>HCD methodology was used, including rounds of Participatory Design, Low-fidelity Prototype Testing, and High-fidelity Prototype Testing. The Participatory Design phase included in-depth interviews and co-design, followed by inductive qualitative analysis to inform the mHealth app's initial low-fidelity design. The Low-fidelity Prototype Testing phase included in-depth interviews with probing questions about the low-fidelity design, followed by inductive qualitative analysis to inform the mHealth app's initial high-fidelity design. The High-fidelity Prototype Testing phase used the Rapid Iterative Testing and Evaluation (RITE) method and inductive qualitative analysis to rapidly collect and integrate VPP feedback into the mHealth app's final design approved for implementation.</p><p><strong>Results: </strong>Nine VPPs participated in 3 rounds of testing and feedback. Participatory Design identified four key themes: (1) trust, (2) personal connection, (3) tailored resource curation, and (4) management of administrative burdens. Low-fidelity Prototype Testing identified three additional key themes: (5) intuitive and comprehensive design, (6) dynamic journey and sense of progress, and (7) standardization of verbiage and design choices. High-fidelity Prototype Testing through RITE identified 181 actionable issues, with 133 addressed, achieving a 73% impact ratio (used to measure the effectiveness of usability improvements). High-fidelity Prototype Testing identified 9 key themes, reaffirming 5 themes from prior testing sessions (themes 2, 3, 5, 6, and 7) and uncovering four novel themes: (8) control over boundaries, (9) celebration of client successes, (10) client empowerment, and (11) warm handoff. The final mHealth app version adapted from 3 low-fidelity digital representations (wireframes) to 25 high-fidelity wireframes of a mHealth app to support case management.</p><p><strong>Conclusions: </strong>The combination of HCD and RITE methodologies resulted in an mHealth app tailored to the needs of VPPs working with survivors of violence. This approach may be transferable to the development of other mHealth apps for specialized populations, although further research with larger samples would be needed to establi
背景：以医院为基础的暴力干预方案已显示出减轻暴力影响的希望，但其影响受到时间限制和作为案件管理人员的暴力预防专业人员（vpp）所面临的低效做法的限制。移动医疗（mHealth）应用程序有可能加强副总裁和客户之间的沟通和服务提供，但很少有专门为弱势群体设计的应用程序。目的：本研究旨在设计一款移动健康应用程序，利用以人为本的设计（HCD）和迭代原型设计方法，改善暴力幸存者与他们的副总统之间的沟通和资源获取。方法：采用HCD方法，包括参与式设计、低保真原型测试和高保真原型测试。参与式设计阶段包括深度访谈和共同设计，随后进行归纳定性分析，为移动健康应用程序最初的低保真度设计提供信息。低保真原型测试阶段包括深度访谈，探讨低保真设计的探索性问题，然后进行归纳定性分析，为移动健康应用程序最初的高保真设计提供信息。高保真原型测试阶段使用快速迭代测试和评估（RITE）方法和归纳定性分析，快速收集VPP反馈并将其集成到移动健康应用程序批准实施的最终设计中。结果：9位vp参与了3轮测试和反馈。参与式设计确定了四个关键主题：(1)信任，(2)人际关系，(3)量身定制的资源管理，以及(4)管理行政负担。低保真原型测试确定了三个额外的关键主题：(5)直观和全面的设计；(6)动态旅程和进步感；(7)用词和设计选择的标准化。通过RITE进行的高保真原型测试确定了181个可操作的问题，其中133个得到了解决，影响率达到73%（用于衡量可用性改进的有效性）。高保真原型测试确定了9个关键主题，重申了先前测试阶段的5个主题（主题2、3、5、6和7），并揭示了4个新主题：(8)边界控制，(9)庆祝客户成功，（10）客户授权，（11）热情交接。移动健康应用程序的最终版本由3个低保真数字表示（线框图）改编为25个高保真移动健康应用程序的线框图，以支持病例管理。结论：HCD和RITE方法的结合产生了一款适合与暴力幸存者一起工作的副总裁需求的移动健康应用程序。这种方法可以转移到针对特定人群的其他移动健康应用程序的开发中，尽管需要进一步研究更大的样本来建立普遍性。
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引用次数: 0
Development and Validation of the Kazakhstan Version of the Questionnaire Based on the Telehealth Usability Questionnaire and Model for Assessment of Telemedicine Models for Evaluating the Usability and Effectiveness of Telemedicine Services Among Physicians: Multiphase Cross-Sectional Study. 基于远程医疗可用性问卷的哈萨克斯坦版问卷的开发和验证以及用于评估医生远程医疗服务可用性和有效性的远程医疗模型的评估模型：多阶段横断面研究
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-02-02 DOI: 10.2196/80693
Kulzhamila Kenessova, Saule Tuktibayeva, Myrzabek Rysbekov, Abay Baigenzhin, Aigul Sultangaziyeva, Bakhytzhan Alimov

Background: Kazakhstan has lacked validated tools to comprehensively assess physicians' perceptions, usability, and perceived effectiveness of telemedicine services. International frameworks such as the Telehealth Usability Questionnaire (TUQ) and the Model for Assessment of Telemedicine (MAST) have not previously been adapted to the national clinical and organizational context.

Objective: This study aims to develop and validate TUQ-MAST-KZ, a Kazakhstan-adapted questionnaire integrating components of the TUQ and MAST models to assess physicians' perceptions, usability, and effectiveness of telemedicine services.

Methods: A multiphase study was conducted, including literature review, questionnaire development, linguistic and cultural adaptation, expert content validity assessment, and pilot testing. An online survey (Google Forms) was administered to 156 physicians representing different regions and levels of health care delivery in Kazakhstan. Internal consistency (Cronbach α) and content validity indices were calculated. Additional evaluations covered clarity, structure, and practical applicability.

Results: The final TUQ-MAST-KZ instrument contains 27 items capturing technological, clinical, organizational, and behavioral dimensions of telemedicine use. The scale demonstrated high content validity (scale-level content validity index=0.94). Internal consistency was excellent, with an overall Cronbach α of 0.924. Respondents reported that the questionnaire was clearly structured, easy to complete, and relevant to clinical practice. Organizational items identified key barriers to telemedicine adoption, including limited infrastructure, insufficient managerial support, and the need for additional training.

Conclusions: TUQ-MAST-KZ is a valid, reliable, and practice-oriented instrument for assessing physicians' perceptions of telemedicine services in Kazakhstan. It can support digital health monitoring, implementation analysis, educational planning, and policy development. Future studies should evaluate its applicability across broader samples and diverse clinical specialties.

背景：哈萨克斯坦缺乏经过验证的工具来全面评估医生对远程医疗服务的看法、可用性和感知有效性。诸如远程保健可用性调查表和远程医疗评估模型等国际框架以前没有适应国家临床和组织情况。目的：本研究旨在开发和验证TUQ-MAST- kz，这是一份哈萨克斯坦适应的问卷，整合了TUQ和MAST模型的组成部分，以评估医生对远程医疗服务的感知、可用性和有效性。方法：采用文献综述、问卷编制、语言文化适应、专家内容效度评估、试点测试等多阶段研究方法。对代表哈萨克斯坦不同地区和卫生保健服务水平的156名医生进行了在线调查（谷歌表格）。计算内部一致性（Cronbach α）和内容效度指数。额外的评估包括清晰度、结构和实用性。结果：最终的TUQ-MAST-KZ仪器包含27个项目，涵盖远程医疗使用的技术、临床、组织和行为维度。量表具有较高的内容效度（量表级内容效度指数=0.94）。内部一致性极好，总体Cronbach α为0.924。受访者反映问卷结构清晰，易于填写，与临床实践相关。组织项目确定了采用远程医疗的主要障碍，包括基础设施有限、管理支持不足以及需要额外培训。结论：TUQ-MAST-KZ是一种有效、可靠、以实践为导向的工具，用于评估哈萨克斯坦医生对远程医疗服务的看法。它可以支持数字健康监测、实施分析、教育规划和政策制定。未来的研究应该评估其在更广泛的样本和不同的临床专业中的适用性。
{"title":"Development and Validation of the Kazakhstan Version of the Questionnaire Based on the Telehealth Usability Questionnaire and Model for Assessment of Telemedicine Models for Evaluating the Usability and Effectiveness of Telemedicine Services Among Physicians: Multiphase Cross-Sectional Study.","authors":"Kulzhamila Kenessova, Saule Tuktibayeva, Myrzabek Rysbekov, Abay Baigenzhin, Aigul Sultangaziyeva, Bakhytzhan Alimov","doi":"10.2196/80693","DOIUrl":"10.2196/80693","url":null,"abstract":"<p><strong>Background: </strong>Kazakhstan has lacked validated tools to comprehensively assess physicians' perceptions, usability, and perceived effectiveness of telemedicine services. International frameworks such as the Telehealth Usability Questionnaire (TUQ) and the Model for Assessment of Telemedicine (MAST) have not previously been adapted to the national clinical and organizational context.</p><p><strong>Objective: </strong>This study aims to develop and validate TUQ-MAST-KZ, a Kazakhstan-adapted questionnaire integrating components of the TUQ and MAST models to assess physicians' perceptions, usability, and effectiveness of telemedicine services.</p><p><strong>Methods: </strong>A multiphase study was conducted, including literature review, questionnaire development, linguistic and cultural adaptation, expert content validity assessment, and pilot testing. An online survey (Google Forms) was administered to 156 physicians representing different regions and levels of health care delivery in Kazakhstan. Internal consistency (Cronbach α) and content validity indices were calculated. Additional evaluations covered clarity, structure, and practical applicability.</p><p><strong>Results: </strong>The final TUQ-MAST-KZ instrument contains 27 items capturing technological, clinical, organizational, and behavioral dimensions of telemedicine use. The scale demonstrated high content validity (scale-level content validity index=0.94). Internal consistency was excellent, with an overall Cronbach α of 0.924. Respondents reported that the questionnaire was clearly structured, easy to complete, and relevant to clinical practice. Organizational items identified key barriers to telemedicine adoption, including limited infrastructure, insufficient managerial support, and the need for additional training.</p><p><strong>Conclusions: </strong>TUQ-MAST-KZ is a valid, reliable, and practice-oriented instrument for assessing physicians' perceptions of telemedicine services in Kazakhstan. It can support digital health monitoring, implementation analysis, educational planning, and policy development. Future studies should evaluate its applicability across broader samples and diverse clinical specialties.</p>","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"10 ","pages":"e80693"},"PeriodicalIF":2.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pet Ownership, Depression, Anxiety, Well-Being, and Cognitive Functioning in Older Adults: Cross-Sectional Study. 养宠物、抑郁、焦虑、幸福感和老年人的认知功能：横断面研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-02-02 DOI: 10.2196/76289
Nathália Saraiva de Albuquerque, Isabela Schmitz Klain, Luisa Sigaran Machado, Wagner de Lara Machado, Carmen Moret-Tatay, Tatiana Quarti Irigaray

Background: Depression, anxiety, and cognitive decline are prevalent concerns among older adults and can negatively affect their well-being. Pet ownership has been proposed as a potential protective factor, but inconsistencies remain in the current literature.

Objective: The study aims to compare symptoms of depression, anxiety, and levels of psychological well-being between older pet owners and non-pet owners. Additionally, we compared the cognitive functioning and cognitive reserve between these 2 groups of older individuals.

Methods: This cross-sectional study included 215 community-dwelling older adults aged ≥59 years (mean 69.13, SD 6.89). Participants completed a sociodemographic questionnaire, the Modified Telephone Interview for Cognitive Status, Cognitive Reserve Index Questionnaire, Mental Health Continuum-Short Form, Geriatric Depression Scale-15, and Geriatric Anxiety Inventory. The data were collected via video calls through WhatsApp and analyzed using the JASP software. Group comparisons (pet owners vs nonowners) were conducted using the Mann-Whitney U test, followed by rank-biserial correlation for effect sizes (α=.05).

Results: The sample consisted of 114 (53.0%) older adults pet owners and 101 (46.9%) older adults who did not own pets. Among the pet owners, 77.2% (n=88) were female, and 57.9% (n=66) were married or in common-law marriages. In the non-pet owners' group, 71.3% (n=72) were female, and 46.5% (n=47) were married or in common-law marriages. Pet owners showed lower depression symptoms (Geriatric Depression Scale-15: mean 2.33 vs 3.00 non-owners; U=4714, P=.02; rb=-0.18, 95% CI -0.326 to -0.028), indicating a small effect. No significant group differences were observed for anxiety (Geriatric Anxiety Inventory: mean 5.33 vs 4.92, P=.52), psychological well-being (Mental Health Continuum-Short Form: mean 68.21 vs 67.46, P=.43), cognitive performance (Modified Telephone Interview for Cognitive Status: mean 24.74 vs 24.30, P=.60), or cognitive reserve (Cognitive Reserve Index Questionnaire: mean 123.82 vs 123.28, P=.95).

Conclusions: The pet owner group presents fewer symptoms of depression in comparison to the non-pet owner group. Although no differences were observed in anxiety, well-being, cognitive functioning, or cognitive reserve, these findings suggest that pet companionship correlates with better emotional outcomes in later life. Future longitudinal studies are needed to clarify causal pathways and examine whether the frequency and quality of interactions with pets influence these outcomes.

背景：抑郁、焦虑和认知能力下降是老年人普遍关注的问题，并可能对他们的健康产生负面影响。养宠物被认为是一种潜在的保护因素，但目前的文献中仍存在不一致的地方。目的：本研究旨在比较老年宠物主人和非宠物主人的抑郁、焦虑症状和心理健康水平。此外，我们比较了两组老年人的认知功能和认知储备。方法：本横断面研究纳入215名≥59岁的社区老年人（平均69.13岁，标准差6.89）。参与者完成了社会人口学问卷、认知状况修正电话访谈、认知储备指数问卷、心理健康连续简表、老年抑郁量表-15和老年焦虑量表。数据通过WhatsApp的视频通话收集，并使用JASP软件进行分析。采用Mann-Whitney U检验进行组间比较（养宠物者与不养宠物者），然后采用秩-双列相关来确定效应量（α= 0.05）。结果：样本包括114名（53.0%）养宠物的老年人和101名（46.9%）不养宠物的老年人。77.2% （n=88）为女性，57.9% （n=66）已婚或同居。在不养宠物的人群中，71.3% （n=72）是女性，46.5% （n=47）已婚或同居。养宠物的人表现出较低的抑郁症状（老年抑郁量表-15：平均2.33 vs 3.00； U=4714， P= 0.02; rb=-0.18, 95% CI -0.326至-0.028），表明影响较小。在焦虑（老年焦虑量表：平均5.33 vs 4.92， P= 0.52）、心理健康（心理健康连续简表：平均68.21 vs 67.46， P= 0.43）、认知表现（改进的认知状态电话访谈：平均24.74 vs 24.30， P= 0.60）或认知储备（认知储备指数问卷：平均123.82 vs 123.28， P= 0.95）方面，组间无显著差异。结论：养宠物组比不养宠物组表现出较少的抑郁症状。虽然在焦虑、幸福感、认知功能或认知储备方面没有观察到差异，但这些发现表明，宠物陪伴与以后生活中更好的情感结果相关。未来的纵向研究需要澄清因果关系，并检查与宠物互动的频率和质量是否会影响这些结果。
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引用次数: 0
Features of mobile health apps for tobacco cessation important to Black adults: A discrete choice experiment. 戒烟的移动健康应用程序的功能对黑人成年人很重要：一个离散选择实验。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-30 DOI: 10.2196/83919
Chineme Enyioha, Lauren Gorstein, Sonia Clark, Adam O Goldstein, Roger Vilardaga, Lisa B Hightow-Weidman, Christine E Kistler

Background: : Although mobile health (mHealth) apps for tobacco cessation augment traditional cessation methods and have contributed to increases in cessation rates, Black adults are under-represented in mHealth app studies for tobacco cessation. As a result, their mHealth app preferences are not well known.

Objective: Our goal was to identify features of mHealth apps for cessation that are important to Black adults who use tobacco products.

Methods: We developed an online discrete choice experiment with 12 pairs of hypothetical mHealth apps for tobacco cessation. Participants included: age > 21 years, current use of any tobacco product, and identifying as Black or African American. Participants had to be interested in tobacco cessation and have a history of mHealth app usage or be willing to use one in the future. From each pair of hypothetical apps within the survey, participants had to choose the app they preferred. Each hypothetical app was made up of seven features developed from existing mHealth literature and prior qualitative work: graphics, marketing, strategies for quitting, connection with others, personalization, benefits of quitting, and health information. Each feature had up to 4 -5 levels (i.e., variations of that attribute), and each hypothetical mHealth app was comprised of a random assortment of levels of features. Hierarchical Bayes estimation was used to determine the part-worth utility for each level within each feature for each participant, which was then used to calculate the importance score. Average.

Results: We had 901 adults participants. The mean age was 41 (SD 14.02), and 377 (42%) were female. Two thirds of participants (549/901, 61%) had used an mHealth app in the past, and the great majority (786/901, 87%) indicated a willingness to use an app for health purposes in the future. The features had the following importance: graphics (16.5%); marketing (15.1%); strategies for quitting (15.0%); connection with others (14.3%); personalization (13.4%); benefits of quitting (13.1%) and health information (12.6%). Within features, strategies for quitting had the highest and third-highest levels of "making a step-by-step quit plan" and "recommendations to manage relapse or withdrawal" respectively. Marketing had the second highest level of "HBCU-endorsed app." Graphics had the fourth highest level of " short video testimonials from people who successfully quit" while connection with others had the fifth highest level of "quit buddy program for support and accountability."

Conclusions: This study identified features of mHealth apps important to Black adult tobacco users. To enhance the appeal of mHealth apps to such adults, prioritizing inclusion of highly preferred levels in apps may lead to higher usage and improved cessation.

Clinicaltrial:

背景：尽管用于戒烟的移动健康（mHealth）应用程序增强了传统的戒烟方法，并促进了戒烟率的提高，但在用于戒烟的移动健康应用程序研究中，黑人成年人的代表性不足。因此，他们对移动健康应用程序的偏好并不为人所知。目的：我们的目标是确定移动健康应用程序的戒烟功能，这些功能对使用烟草产品的黑人成年人很重要。方法：我们开发了一个在线离散选择实验，其中有12对假想的戒烟移动健康应用程序。参与者包括：年龄0 - 21岁，目前使用任何烟草产品，并确定为黑人或非裔美国人。参与者必须对戒烟感兴趣，并且有使用移动健康应用程序的历史，或者愿意在未来使用移动健康应用程序。从调查中的每一对假想应用程序中，参与者必须选择他们喜欢的应用程序。每个假设的应用程序都由七个功能组成，这些功能是从现有的移动健康文献和先前的定性工作中开发出来的：图形、营销、戒烟策略、与他人的联系、个性化、戒烟的好处和健康信息。每个功能最多有4 -5个级别（即该属性的变体），每个假想的移动健康应用程序都由随机分类的功能级别组成。分层贝叶斯估计用于确定每个参与者的每个特征内每个级别的部分价值效用，然后用于计算重要性得分。平均水平。结果：我们有901名成人参与者。平均年龄41岁（SD 14.02），女性377例（42%）。三分之二的参与者（549/ 901,61%）过去使用过移动健康应用程序，绝大多数（786/ 901,87%）表示愿意在未来使用移动健康应用程序。这些特征的重要性如下：图形（16.5%）；市场营销(15.1%);戒烟策略（15.0%）；与他人的联系（14.3%）；个性化(13.4%);戒烟的好处（13.1%）和健康信息（12.6%）。在特征中，戒烟策略的最高和第三高级别分别是“制定逐步戒烟计划”和“管理复发或戒断的建议”。营销部门的“hbcu支持的应用程序”排名第二，图形部门的“成功戒烟者的短视频推荐”排名第四，而与他人的联系排名第五，“戒烟伙伴计划的支持和责任”排名第五。结论：本研究确定了移动健康应用程序对黑人成年烟草使用者的重要特征。为了增强移动健康应用程序对这些成年人的吸引力，优先在应用程序中包含高度偏好的级别可能会导致更高的使用率和更好的戒烟效果。临床试验:
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引用次数: 0
First Implementation of a Point-of-Care Ultrasound Course in Undergraduate Medical Students in Peru: Mixed Methods Study. 秘鲁本科医学生首次实施即时超声课程：混合方法研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-30 DOI: 10.2196/82717
Otto Barnaby Guillén-López
<p><strong>Background: </strong>Point-of-care ultrasound (POCUS) is a test performed by physicians, as an adjunct to physical examination, to identify the presence or absence of specific clinical findings. This skill is not currently included in undergraduate medical education in Peru.</p><p><strong>Objective: </strong>This study aims to describe and evaluate the implementation of a POCUS course in undergraduate medical students.</p><p><strong>Methods: </strong>A pre-experimental study, without a control or comparison group, in which a pretest and posttest were used to evaluate the same group of students. A theoretical-practical POCUS course was designed and implemented for fifth-year medical students at the Universidad Peruana Cayetano Heredia in Lima (Peru) during late 2019 and early 2020. Their prior knowledge was assessed using a pretest consisting of 10 short-answer questions. At the end of the course, a posttest consisting of 9 different questions on ultrasound image analysis and recognition was administered, and the same 10 pretest questions were also re-evaluated. Satisfaction and perception of learning were also assessed through a survey. A descriptive analysis was performed, obtaining absolute and relative frequencies. The Wilcoxon test for related samples was used to evaluate the differences between the pretest and posttest.</p><p><strong>Results: </strong>A total of 26 students participated in the course, although only 19 completed the post-test (10 women and 9 men). The average pretest score before the course started was 4.8 (SD 2.2) points, indicating poor prior knowledge. This average increased to 18.5 (SD 1.6) points when they retested the pretest at the end of the course. The average posttest score was 12.2 (SD 3.3) points, which differed significantly from the initial pretest average (P<.001). Only 15 students responded to the satisfaction survey, with more than 50% reporting that they had fully acquired the ability to assess the inferior vena cava, bladder, free fluid in the thorax and abdomen, and right kidney. They also reported that the course met 97.5% of their prior expectations, but all considered the practical sessions with the ultrasound equipment to be essential. Although they considered that the best aspects of the course were learning how to use the ultrasound equipment and the small size of the groups, they suggested that the course could be improved by increasing its duration and the number of practical sessions, as well as by conducting the practical sessions with real patients presenting some type of pathology.</p><p><strong>Conclusions: </strong>We have successfully created a short theoretical and practical course on POCUS and have applied it for the first time to undergraduate medical students after their clinical rotations. This course has enabled them to perceive a significant improvement in their ability to recognize certain abdominal and pelvic organs and anatomical structures using ultrasound. This course
背景：即时超声（POCUS）是一种由医生进行的检查，作为身体检查的辅助，以确定是否存在特定的临床表现。秘鲁的本科医学教育目前不包括这项技能。目的：本研究旨在描述和评估医学本科生POCUS课程的实施情况。方法：实验前研究，不设对照组或对照组，采用前测和后测对同一组学生进行评价。2019年底至2020年初，秘鲁利马的卡耶塔诺埃雷迪亚大学为五年级医学生设计并实施了一门理论-实践POCUS课程。他们的先验知识是通过一个由10个简短回答问题组成的预测试来评估的。在课程结束时，进行了一个由9个不同的超声图像分析和识别问题组成的后测，并重新评估了相同的10个前测问题。通过问卷调查，对学习的满意度和感知进行了评估。进行描述性分析，获得绝对频率和相对频率。使用相关样本的Wilcoxon检验来评估前测和后测之间的差异。结果：共有26名学生参加了课程，尽管只有19名学生完成了后测（10名女性和9名男性）。课程开始前的平均前测分数为4.8分（SD 2.2），表明先验知识较差。当他们在课程结束时重新测试预测时，这个平均值增加到18.5（标准差1.6）分。后测平均分为12.2 （SD 3.3）分，与前测平均分差异显著(p)。结论：我们成功开设了一门关于POCUS的短期理论与实践课程，并首次应用于临床轮转后的本科医学生。这门课程使他们意识到使用超声波识别某些腹部和盆腔器官和解剖结构的能力有了显著的提高。本课程可作为在全国医学院校复制POCUS教学的起点。
{"title":"First Implementation of a Point-of-Care Ultrasound Course in Undergraduate Medical Students in Peru: Mixed Methods Study.","authors":"Otto Barnaby Guillén-López","doi":"10.2196/82717","DOIUrl":"10.2196/82717","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Point-of-care ultrasound (POCUS) is a test performed by physicians, as an adjunct to physical examination, to identify the presence or absence of specific clinical findings. This skill is not currently included in undergraduate medical education in Peru.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to describe and evaluate the implementation of a POCUS course in undergraduate medical students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A pre-experimental study, without a control or comparison group, in which a pretest and posttest were used to evaluate the same group of students. A theoretical-practical POCUS course was designed and implemented for fifth-year medical students at the Universidad Peruana Cayetano Heredia in Lima (Peru) during late 2019 and early 2020. Their prior knowledge was assessed using a pretest consisting of 10 short-answer questions. At the end of the course, a posttest consisting of 9 different questions on ultrasound image analysis and recognition was administered, and the same 10 pretest questions were also re-evaluated. Satisfaction and perception of learning were also assessed through a survey. A descriptive analysis was performed, obtaining absolute and relative frequencies. The Wilcoxon test for related samples was used to evaluate the differences between the pretest and posttest.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 26 students participated in the course, although only 19 completed the post-test (10 women and 9 men). The average pretest score before the course started was 4.8 (SD 2.2) points, indicating poor prior knowledge. This average increased to 18.5 (SD 1.6) points when they retested the pretest at the end of the course. The average posttest score was 12.2 (SD 3.3) points, which differed significantly from the initial pretest average (P&lt;.001). Only 15 students responded to the satisfaction survey, with more than 50% reporting that they had fully acquired the ability to assess the inferior vena cava, bladder, free fluid in the thorax and abdomen, and right kidney. They also reported that the course met 97.5% of their prior expectations, but all considered the practical sessions with the ultrasound equipment to be essential. Although they considered that the best aspects of the course were learning how to use the ultrasound equipment and the small size of the groups, they suggested that the course could be improved by increasing its duration and the number of practical sessions, as well as by conducting the practical sessions with real patients presenting some type of pathology.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;We have successfully created a short theoretical and practical course on POCUS and have applied it for the first time to undergraduate medical students after their clinical rotations. This course has enabled them to perceive a significant improvement in their ability to recognize certain abdominal and pelvic organs and anatomical structures using ultrasound. This course ","PeriodicalId":14841,"journal":{"name":"JMIR Formative Research","volume":"10 ","pages":"e82717"},"PeriodicalIF":2.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caffeine Consumption Patterns Among Medical Students: Survey Study. 医学院学生的咖啡因消费模式：调查研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-29 DOI: 10.2196/79077
Brenton Phung, Jonathan Shaw, Seung Rim Yoo, Ashley Lai, Archana Rao, Brian Nguyen, Eileen Ly, James Hagerty, Ryan Chen, Deborah Wright

Unlabelled: This cross-sectional survey of a California medical school found that caffeine consumption increases across medical training, with third-year students consuming more caffeine, particularly from coffee, energy drinks, and over-the-counter stimulants, than first- and second-year students, and higher intake being associated with elevated modified CAGE scores, suggesting stress-related stimulant use.

未标注：加州一所医学院的横断面调查发现，在医学培训期间，咖啡因的摄入量增加，三年级学生比一年级和二年级的学生摄入更多的咖啡因，尤其是咖啡、能量饮料和非处方兴奋剂，而高摄入量与修改后的CAGE分数升高有关，这表明咖啡因的使用与压力有关。
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引用次数: 0
A Telehealth-Based Behavioral Intervention for Cancer-Related Cognitive Decline in Older Adults Undergoing Systemic Therapy for Breast Cancer: Development and Usability Testing. 基于远程医疗的行为干预对接受乳腺癌全身治疗的老年人癌症相关认知能力下降：开发和可用性测试。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-28 DOI: 10.2196/85140
J MacLaren Kelly, Lucia Berkhof, Oscar Y Franco-Rocha, Lewis Mustian, Valerie Targia, Jessica Bauer, Jessica Mortimer, Grace DiGiovanni, Daniel Millstein, Kassandra Scioli, Heidi DAurizio, Lauren DeCaporale-Ryan, Supriya Mohile, Michelle Janelsins, Robert J Ferguson, Alissa Huston, Allison Magnuson

Background: Cancer-related cognitive decline (CRCD) is a significant problem; interventions are needed to mitigate CRCD for older adults (aged ≥65 years).

Objective: Our objective was to develop and evaluate the usability of Memory and Attention Adaptation Training-Geriatrics (MAAT-G), a CRCD intervention for older adults with breast cancer undergoing systemic treatment.

Methods: We conducted an intervention adaptation study to develop MAAT-G. MAAT-G is a cognitive behavioral therapy-based intervention delivered by a health professional over the course of 10 weekly individual workshops via videoconferencing. To develop MAAT-G, the contextual, cohort-based, maturity, and specific challenge framework was used for preliminary adaptations. Patient advocate collaborators guided further refinement, reviewing MAAT-G workshop content, the participant workbook, and intervention delivery via videoconferencing to optimize relevance and usability for older adults. The usability of MAAT-G and its videoconferencing delivery were subsequently evaluated in 4 older adults with breast cancer using the System Usability Scale (score range 0-100; >67 being above average) and through semistructured qualitative interviews.

Results: Numerous adaptations were made to address the unique needs of older patients using the contextual, cohort-based, maturity, and specific challenge framework and patient advocate feedback. Usability testing included 4 female patients with breast cancer (mean age 73.3, SD 3.77; range 67-77 years). Patients were receiving systemic therapy (2 receiving adjuvant therapy and 2 receiving advanced-stage disease therapy). One patient had an educational level lower than high school; 3 had some college education or higher. All 4 patients completed study procedures, including 10 MAAT-G workshop sessions (100% intervention adherence). The mean System Usability Scale score was 90.6 (SD 13.51), indicating good usability.

Conclusions: MAAT-G is a behavioral intervention developed to mitigate CRCD. It is designed specifically for older adults and showed above-average usability in this population.

背景：癌症相关认知衰退（CRCD）是一个重大问题；需要采取干预措施来减轻老年人（≥65岁）的CRCD。目的：我们的目的是开发和评估记忆和注意力适应训练-老年病学（MAAT-G）的可用性，这是一种针对接受全身治疗的老年乳腺癌患者的CRCD干预措施。方法：开展干预适应研究，开发MAAT-G。MAAT-G是一种基于认知行为疗法的干预，由健康专业人员通过视频会议提供，为期10周的个人研讨会。为了开发MAAT-G，使用了上下文、基于队列、成熟度和特定挑战框架进行初步适应。患者倡导合作者指导进一步改进，审查MAAT-G研讨会内容，参与者工作簿，并通过视频会议进行干预，以优化老年人的相关性和可用性。随后，通过半结构化定性访谈，对4名老年乳腺癌患者使用系统可用性量表（评分范围0-100；bbb67高于平均水平）评估MAAT-G及其视频会议的可用性。结果：通过使用上下文、基于队列、成熟度和特定挑战框架以及患者倡导反馈，进行了许多调整以解决老年患者的独特需求。可用性测试包括4例女性乳腺癌患者（平均年龄73.3岁，SD 3.77，范围67-77岁）。患者接受全身治疗（2例接受辅助治疗，2例接受晚期疾病治疗）。一名患者的受教育程度低于高中；大专以上学历。所有4例患者均完成了研究程序，包括10次MAAT-G研讨会（100%干预依从性）。系统可用性量表平均得分为90.6（标准差13.51），可用性较好。结论：MAAT-G是一种缓解CRCD的行为干预。它是专门为老年人设计的，在这个人群中显示出高于平均水平的可用性。
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引用次数: 0
Capturing Optimal Mobile 2D Facial Images in Remote Aesthetics Medicine Clinical Trials: Technical Considerations for Facial Severity Analysis. 在远程美学医学临床试验中获取最佳移动二维面部图像：面部严重程度分析的技术考虑。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-28 DOI: 10.2196/64764
Damon Caiazza, Scott Kreutzkamp
<p><strong>Background: </strong>In aesthetic clinical trials, image self-capture using mobile devices may help reduce burden on clinic resources, increase data quality, and lower barriers to study participation.</p><p><strong>Objective: </strong>This study aimed to develop a mobile device app to help participants self-capture clinically usable images.</p><p><strong>Methods: </strong>The Allergan Aesthetic (an AbbVie Company) mobile image app was designed to auto-capture images while directing study participants on distance, head position, and expression to capture a high-quality clinical image. To assess resolution and optimal lighting conditions, images captured using the app in office, at home, and in outdoor settings were compared with those from a Canfield VISIA-CR system (Canfield Scientific). Objective image quality assessment of facial images captured using the app with an iPhone XR (Apple Inc) and iPhone 12 (Apple Inc), compared with images captured using the Canfield VISIA-CR with a digital single-lens reflex camera and the Canfield mobile image capture app with a variety of Android (Google) and iOS (Apple Inc) devices, was conducted using the Blind/Referenceless Image Spatial Quality Evaluator (BRISQUE). Clinical utility was assessed by calculating inter- and intrarater variability for severity ratings of participants' lateral canthal lines (LCL) or forehead lines (FHL) obtained from app-captured images compared with ratings based on in-person evaluations performed by a physician. Usability was assessed according to the ISO (International Organization for Standardization)/IEC (International Electrotechnical Commission) 250101 standard.</p><p><strong>Results: </strong>The Allergan Aesthetic mobile image app was found to perform best under natural light and had image resolution insufficient for assessing minor facial structures, but appropriate for larger structures (eg, FHL). A total of 3968 images were assessed using BRISQUE. Images captured with the Allergan Aesthetic mobile image app had better image quality than those captured using other modalities, as indicated by lower mean BRISQUE scores of 14.05-19.81 compared with Canfield VISIA-CR with a DSLR (34.47) and the Canfield mobile image capture app (23.43). LCL and FHL were rated both in person and digitally in 68 and 71 participants, respectively (median age 52-56 y; 48% to 52% female; 75% to 78% White). Interrater reliability between clinician live evaluations and independent photo review of self-captured photos based on intraclass correlation coefficients (ICCs) was substantial (0.61-0.80) to almost perfect (0.81-1.00) for all raters (LCL: ICC 0.75-0.91 at rest and 0.79-0.89 at maximum contraction; FHL: ICC 0.77-0.93 at rest and 0.70-0.89 at maximum contraction). After 2 iterations of improvements, mean usability ratings of the app experience (out of 5) were as follows: easy to complete=3.2, enjoyable=3.1, satisfied with the level of guidance provided=3.2, and likely to complete a
背景：在美学临床试验中，使用移动设备进行图像自采集有助于减轻临床资源负担，提高数据质量，降低参与研究的障碍。目的：本研究旨在开发一个移动设备应用程序，以帮助参与者自捕获临床可用的图像。方法：设计Allergan Aesthetic （AbbVie公司）移动图像应用程序，自动捕获图像，同时指导研究参与者的距离、头部位置和表情，以捕获高质量的临床图像。为了评估分辨率和最佳照明条件，将使用该应用程序在办公室、家中和室外环境中拍摄的图像与Canfield VISIA-CR系统（Canfield Scientific）拍摄的图像进行比较。使用Blind/Referenceless image Spatial quality Evaluator （BRISQUE）对使用iPhone XR （Apple Inc）和iPhone 12 （Apple Inc）应用程序拍摄的面部图像进行客观图像质量评估，并将其与使用Canfield VISIA-CR（数字单镜头反光相机）和Canfield移动图像捕捉应用程序(各种Android（谷歌）和iOS （Apple Inc）设备拍摄的图像进行比较。通过计算从应用程序捕获的图像中获得的参与者侧眦纹（LCL）或前额纹（FHL）严重程度评分的内部和内部变异性，与基于医生亲自评估的评分进行比较，来评估临床效用。可用性根据ISO（国际标准化组织）/IEC（国际电工委员会）250101标准进行评估。结果：发现Allergan Aesthetic移动图像应用程序在自然光下表现最佳，图像分辨率不足以评估轻微的面部结构，但适用于较大的结构（如FHL）。使用BRISQUE对3968张图像进行评估。使用Allergan Aesthetic移动图像应用程序拍摄的图像质量比使用其他方式拍摄的图像质量更好，BRISQUE平均评分为14.05-19.81，低于使用单反相机的Canfield VISIA-CR（34.47）和Canfield移动图像捕获应用程序（23.43）。LCL和FHL分别在68名和71名参与者中进行了亲自和数字评估（中位年龄52-56岁；48%对52%女性；75%对78%白人）。临床医生现场评价和基于类内相关系数（ICC）的独立照片自摄照片评价之间的评分间信度对所有评分者来说都是相当的（0.61-0.80）到几乎完美的（0.81-1.00）（LCL: ICC在休息时为0.75-0.91，最大收缩时为0.79-0.89；FHL: ICC在休息时为0.77-0.93，最大收缩时为0.70-0.89）。经过2次迭代改进后，应用体验的平均可用性评级（总分5分）如下：容易完成=3.2，愉快=3.1，对提供的指导水平满意=3.2，可能不退出就完成整个会话=4.1。结论：Allergan Aesthetic移动图像应用程序提供一致的、高质量的图像，允许LCL和FHL的评估与现场评估良好一致。使用移动设备进行图像自捕获可能有助于降低临床成本，并消除参与美学临床试验的障碍。
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引用次数: 0
Development of a Social Media Campaign to Support HIV Prevention and Care Among Transgender Latina Women: Community-Engaged Mixed Methods Feasibility Pilot Study. 发展社会媒体运动以支持跨性别拉丁裔妇女的艾滋病毒预防和护理：社区参与混合方法可行性试点研究。
IF 2 Q3 HEALTH CARE SCIENCES & SERVICES
JMIR Formative Research
Pub Date : 2026-01-27 DOI: 10.2196/79606
Jane J Lee, Kathleen Agudelo Paipilla, Joel Aguirre, Patricia Alarcon, Yesenia Cruz, Martha Zuniga, Juliann Li Verdugo, Katie Vo, E Roberto Orellana, Susan M Graham
<p><strong>Background: </strong>Transgender Latina women in the United States face disproportionate HIV risk due to intersecting social and structural vulnerabilities that limit access to care. While gender-affirming, culturally responsive, and eHealth strategies show promise for improving access, social media-based approaches remain underused despite their potential to reach marginalized groups at scale.</p><p><strong>Objective: </strong>This study aimed to develop and pilot a culturally tailored social media campaign to increase awareness of HIV prevention and care services offered by a community-based organization (CBO) in King County, Washington, for transgender Latina women and to assess the campaign's feasibility and acceptability.</p><p><strong>Methods: </strong>We conducted a community-engaged, mixed methods pilot study using a multiphase design. In phase 1, we conducted cross-sectional, in-depth interviews with transgender Latina women (n=20) recruited by a CBO in King County, Washington. Interviews were analyzed using thematic analysis, guided by the Unified Theory of Behavior, to inform campaign messaging priorities. A subsequent focus group (n=7) then reviewed and refined 6 draft campaign concepts according to the community preferences. In phase 2, the finalized campaign was piloted on Facebook and Instagram. A cross-sectional REDCap (Research Electronic Data Capture; Vanderbilt University) survey was conducted with a subset (n=100) of transgender Latina women exposed to the campaign who voluntarily consented to complete the survey after being directed from the campaign. Survey data were summarized using descriptive statistics to assess campaign reach and feasibility and acceptability outcomes.</p><p><strong>Results: </strong>In-depth interview participants were a mean age of 37.6 (SD 9.5) years and reported an average of 10.2 (SD 10.8) years residing in the United States (n=20). Interviews revealed four key themes: (1) importance of HIV prevention and awareness, (2) accessibility of HIV services, (3) provision of culturally tailored care, and (4) need for confidentiality. Among survey respondents (mean age of 29.7, SD 5.2 years), 97% (97/100; 95% CI 91.5%-99.0%) had ever tested for HIV and 44% (44/100; 95% CI 34.3%-53.7%) reported testing within the past 6 months. A total of 3 respondents were living with HIV, all on antiretroviral therapy. Nearly all (91/100, 91%; 95% CI 84.3%-95.2%) reported campaign-motivated action, including HIV testing or seeking information or services.</p><p><strong>Conclusions: </strong>Findings demonstrate the feasibility and acceptability of a culturally tailored campaign, cocreated with community members, to promote HIV prevention and care among transgender Latina women. By integrating participatory methods with digital outreach, this study contributes an innovative model that centers community voices in campaign design while leveraging widely used platforms. The study has implications for providing CBOs
背景：由于交叉的社会和结构脆弱性限制了获得护理的机会，美国的跨性别拉丁裔妇女面临着不成比例的艾滋病毒风险。虽然性别肯定、文化响应和电子卫生战略显示出改善获取机会的希望，但基于社交媒体的方法仍未得到充分利用，尽管它们有可能大规模接触边缘化群体。目的：本研究旨在开发和试点一项文化定制的社交媒体活动，以提高人们对华盛顿州金县一个社区组织（CBO）为跨性别拉丁裔妇女提供的艾滋病毒预防和护理服务的认识，并评估该活动的可行性和可接受性。方法：我们采用多阶段设计进行了一项社区参与的混合方法试点研究。在第一阶段，我们对华盛顿州金县的一家CBO招募的跨性别拉丁裔女性（n=20）进行了横断面深入访谈。在统一行为理论的指导下，使用主题分析对访谈进行分析，以告知竞选活动的信息优先级。随后的焦点小组（n=7）根据社区偏好审查并完善了6个活动概念草案。在第二阶段，最终的活动在Facebook和Instagram上进行了试点。一项横断面REDCap（研究电子数据捕获；范德比尔特大学）调查对参与该活动的拉丁裔跨性别女性进行了调查，这些女性在受到该活动的指导后自愿同意完成调查。使用描述性统计对调查数据进行总结，以评估活动的覆盖范围、可行性和可接受性结果。结果：深度访谈参与者的平均年龄为37.6 （SD 9.5）岁，平均居住在美国的年龄为10.2 （SD 10.8）岁（n=20）。访谈揭示了四个关键主题：(1)艾滋病毒预防和意识的重要性；(2)艾滋病毒服务的可及性；(3)提供符合文化的护理；(4)保密的必要性。在调查对象（平均年龄29.7岁，SD 5.2岁）中，97% （97/100;95% CI 91.5%-99.0%）曾检测过HIV， 44% （44/100; 95% CI 34.3%-53.7%）报告在过去6个月内检测过HIV。共有3名应答者是艾滋病毒感染者，均接受抗逆转录病毒治疗。几乎所有人（91/ 100,91%;95% CI 84.3%-95.2%）报告了运动推动的行动，包括艾滋病毒检测或寻求信息或服务。结论：研究结果表明，在跨性别的拉丁裔妇女中，与社区成员共同开展一项有文化针对性的活动，以促进艾滋病毒的预防和护理是可行和可接受的。通过将参与式方法与数字推广相结合，本研究提供了一种创新模式，在利用广泛使用的平台的同时，将社区声音集中在活动设计中。该研究对向社区卫生组织提供可扩展的低成本战略，以扩大对文化敏感的艾滋病毒服务，减少耻辱感，并在经常被主流公共卫生信息忽视的人群中激励寻求健康的行为具有重要意义。这项工作强调了共同设计的社交媒体活动如何能够补充传统的外展活动，并为服务不足人群的未来艾滋病毒预防战略提供信息。
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