A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting i...

Autores
Szwarc, Lucila; Arrossi, Silvina; Viswanath, Kasisomayajula; Paolino, Melisa; Massaccesi, Silvia; Saimovici, Diana; Sánchez Antelo, Victoria
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Fil: Straw, Cecilia. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Viswanath, Kasisomayajula. Harvard University. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health; Estados Unidos.
Fil: Paolino, Melisa. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Massaccesi, Silvia. Ministerio de Salud de la Provincia de Buenos Aires. Secretaría de Salud de Ituzaingó; Argentina.
Fil: Saimovici, Diana. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Sánchez Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Background: Human papillomavirus (HPV) testing detects sexually transmitted infections with oncogenic types of HPV. For many HPV-positive women, this result has negative connotations. It produces anxiety, fear of cancer or death, and disease denial. Face-to-face counseling could present many difficulties in its implementation, but a counseling mobile app could be practical and may help HPV-positive women reduce the psychosocial impact of the result, improve their knowledge of HPV and cervical cancer, and increase adherence to follow-up. Objective: This study aims to understand HPV-tested women’s perceptions about an app as a tool to receive information and support to reduce the emotional impact of HPV-positive results. We investigated their preferences regarding app design, content, and framing. Methods: We conducted formative research based on a user-centered design approach. We carried out 29 individual online interviews with HPV-positive women aged 30 years and over and 4 focus groups (FGs) with women through a virtual platform (n=19). We shared a draft of the app's potential screens with a provisional label of the possible content, options menus, draft illustrations, and wording. This allowed us to give women understandable triggers to debate the concepts involved on each screen. The draft content and labels were developed drawing from the health belief model (HBM) and integrative behavioral model (IBM) variables and findings of mobile health literature. We used an FG guide to generate data for the information architecture (ie, how to organize contents into features). We carried out thematic analysis using constructs from the HBM and IBM to identify content preferences and turn them into app features. We used the RQDA package of R software for data processing. Results: We found that participants required more information regarding the procedures they had received, what HPV-positive means, what the causes of HPV are, and its consequences on their sexuality. The women mentioned fear of the disease and stated they had concerns and misconceptions, such as believing that an HPV-positive result is a synonym for cancer. They accepted the app as a tool to obtain information and to reduce fears related to HPV-positive results. They would use a mobile app under doctor or health authority recommendation. The women did not agree with the draft organization of screens and contents. They believed the app should first offer information about HPV and then provide customized content according to the users’ needs. The app should provide information via videos with experts and testimonies of other HPV-positive women, and they suggested a medical appointment reminder feature. The app should also offer information through illustrations, or infographics, but not pictures or solely text. Conclusions: Providing information that meets women’s needs and counseling could be a method to reduce fears. A mobile app seems to be an acceptable and suitable tool to help HPV-positive women.
Fuente
JMIR Form Res. 2022 Jan 13;6(1):e32610.
Materia
HPV
ARGENTINA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/4.0/
Repositorio
Repositorio Digital del CEDES
Institución
Centro de Estudios de Estado y Sociedad
OAI Identificador
oai:repositorio.cedes.org:123456789/4682

id RepoCEDES_01588ff50d64b1f1032f3a3700f8dbc8
oai_identifier_str oai:repositorio.cedes.org:123456789/4682
network_acronym_str RepoCEDES
repository_id_str
network_name_str Repositorio Digital del CEDES
spelling A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in ArgentinaSzwarc, LucilaArrossi, SilvinaViswanath, KasisomayajulaPaolino, MelisaMassaccesi, SilviaSaimovici, DianaSánchez Antelo, VictoriaHPVARGENTINAFil: Straw, Cecilia. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.Fil: Viswanath, Kasisomayajula. Harvard University. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health; Estados Unidos.Fil: Paolino, Melisa. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.Fil: Massaccesi, Silvia. Ministerio de Salud de la Provincia de Buenos Aires. Secretaría de Salud de Ituzaingó; Argentina.Fil: Saimovici, Diana. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.Fil: Sánchez Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.Background: Human papillomavirus (HPV) testing detects sexually transmitted infections with oncogenic types of HPV. For many HPV-positive women, this result has negative connotations. It produces anxiety, fear of cancer or death, and disease denial. Face-to-face counseling could present many difficulties in its implementation, but a counseling mobile app could be practical and may help HPV-positive women reduce the psychosocial impact of the result, improve their knowledge of HPV and cervical cancer, and increase adherence to follow-up. Objective: This study aims to understand HPV-tested women’s perceptions about an app as a tool to receive information and support to reduce the emotional impact of HPV-positive results. We investigated their preferences regarding app design, content, and framing. Methods: We conducted formative research based on a user-centered design approach. We carried out 29 individual online interviews with HPV-positive women aged 30 years and over and 4 focus groups (FGs) with women through a virtual platform (n=19). We shared a draft of the app's potential screens with a provisional label of the possible content, options menus, draft illustrations, and wording. This allowed us to give women understandable triggers to debate the concepts involved on each screen. The draft content and labels were developed drawing from the health belief model (HBM) and integrative behavioral model (IBM) variables and findings of mobile health literature. We used an FG guide to generate data for the information architecture (ie, how to organize contents into features). We carried out thematic analysis using constructs from the HBM and IBM to identify content preferences and turn them into app features. We used the RQDA package of R software for data processing. Results: We found that participants required more information regarding the procedures they had received, what HPV-positive means, what the causes of HPV are, and its consequences on their sexuality. The women mentioned fear of the disease and stated they had concerns and misconceptions, such as believing that an HPV-positive result is a synonym for cancer. They accepted the app as a tool to obtain information and to reduce fears related to HPV-positive results. They would use a mobile app under doctor or health authority recommendation. The women did not agree with the draft organization of screens and contents. They believed the app should first offer information about HPV and then provide customized content according to the users’ needs. The app should provide information via videos with experts and testimonies of other HPV-positive women, and they suggested a medical appointment reminder feature. The app should also offer information through illustrations, or infographics, but not pictures or solely text. Conclusions: Providing information that meets women’s needs and counseling could be a method to reduce fears. A mobile app seems to be an acceptable and suitable tool to help HPV-positive women.2022-02-03T14:20:17Z2022-02-03T14:20:17Z2022-01-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfSánchez Antelo V, Szwarc L, Paolino M, Saimovici D, Massaccesi S, Viswanath K, Arrossi S. A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina. JMIR Form Res. 2022 Jan 13;6(1):e32610. Disponible en: http://repositorio.cedes.org/handle/123456789/4682.2561-326Xhttp://repositorio.cedes.org/handle/123456789/468210.2196/32610https://formative.jmir.org/2022/1/e32610/JMIR Form Res. 2022 Jan 13;6(1):e32610.reponame:Repositorio Digital del CEDESinstname:Centro de Estudios de Estado y Sociedadinstacron:CEDESenginfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/4.0/2025-09-30T09:25:01Zoai:repositorio.cedes.org:123456789/4682Institucionalhttps://repositorio.cedes.org/Organización no gubernamentalhttps://www.cedes.org/https://repositorio.cedes.org/oai/snrdsandraraiher@cedes.orgArgentinaopendoar:2025-09-30 09:25:01.393Repositorio Digital del CEDES - Centro de Estudios de Estado y Sociedadfalse
dc.title.none.fl_str_mv A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
title A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
spellingShingle A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
Szwarc, Lucila
HPV
ARGENTINA
title_short A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
title_full A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
title_fullStr A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
title_full_unstemmed A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
title_sort A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina
dc.creator.none.fl_str_mv Szwarc, Lucila
Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Massaccesi, Silvia
Saimovici, Diana
Sánchez Antelo, Victoria
author Szwarc, Lucila
author_facet Szwarc, Lucila
Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Massaccesi, Silvia
Saimovici, Diana
Sánchez Antelo, Victoria
author_role author
author2 Arrossi, Silvina
Viswanath, Kasisomayajula
Paolino, Melisa
Massaccesi, Silvia
Saimovici, Diana
Sánchez Antelo, Victoria
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv HPV
ARGENTINA
topic HPV
ARGENTINA
dc.description.none.fl_txt_mv Fil: Straw, Cecilia. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Viswanath, Kasisomayajula. Harvard University. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health; Estados Unidos.
Fil: Paolino, Melisa. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Massaccesi, Silvia. Ministerio de Salud de la Provincia de Buenos Aires. Secretaría de Salud de Ituzaingó; Argentina.
Fil: Saimovici, Diana. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Sánchez Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Background: Human papillomavirus (HPV) testing detects sexually transmitted infections with oncogenic types of HPV. For many HPV-positive women, this result has negative connotations. It produces anxiety, fear of cancer or death, and disease denial. Face-to-face counseling could present many difficulties in its implementation, but a counseling mobile app could be practical and may help HPV-positive women reduce the psychosocial impact of the result, improve their knowledge of HPV and cervical cancer, and increase adherence to follow-up. Objective: This study aims to understand HPV-tested women’s perceptions about an app as a tool to receive information and support to reduce the emotional impact of HPV-positive results. We investigated their preferences regarding app design, content, and framing. Methods: We conducted formative research based on a user-centered design approach. We carried out 29 individual online interviews with HPV-positive women aged 30 years and over and 4 focus groups (FGs) with women through a virtual platform (n=19). We shared a draft of the app's potential screens with a provisional label of the possible content, options menus, draft illustrations, and wording. This allowed us to give women understandable triggers to debate the concepts involved on each screen. The draft content and labels were developed drawing from the health belief model (HBM) and integrative behavioral model (IBM) variables and findings of mobile health literature. We used an FG guide to generate data for the information architecture (ie, how to organize contents into features). We carried out thematic analysis using constructs from the HBM and IBM to identify content preferences and turn them into app features. We used the RQDA package of R software for data processing. Results: We found that participants required more information regarding the procedures they had received, what HPV-positive means, what the causes of HPV are, and its consequences on their sexuality. The women mentioned fear of the disease and stated they had concerns and misconceptions, such as believing that an HPV-positive result is a synonym for cancer. They accepted the app as a tool to obtain information and to reduce fears related to HPV-positive results. They would use a mobile app under doctor or health authority recommendation. The women did not agree with the draft organization of screens and contents. They believed the app should first offer information about HPV and then provide customized content according to the users’ needs. The app should provide information via videos with experts and testimonies of other HPV-positive women, and they suggested a medical appointment reminder feature. The app should also offer information through illustrations, or infographics, but not pictures or solely text. Conclusions: Providing information that meets women’s needs and counseling could be a method to reduce fears. A mobile app seems to be an acceptable and suitable tool to help HPV-positive women.
description Fil: Straw, Cecilia. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
publishDate 2022
dc.date.none.fl_str_mv 2022-02-03T14:20:17Z
2022-02-03T14:20:17Z
2022-01-13
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
status_str publishedVersion
format article
dc.identifier.none.fl_str_mv Sánchez Antelo V, Szwarc L, Paolino M, Saimovici D, Massaccesi S, Viswanath K, Arrossi S. A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina. JMIR Form Res. 2022 Jan 13;6(1):e32610. Disponible en: http://repositorio.cedes.org/handle/123456789/4682.
2561-326X
http://repositorio.cedes.org/handle/123456789/4682
10.2196/32610
https://formative.jmir.org/2022/1/e32610/
identifier_str_mv Sánchez Antelo V, Szwarc L, Paolino M, Saimovici D, Massaccesi S, Viswanath K, Arrossi S. A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina. JMIR Form Res. 2022 Jan 13;6(1):e32610. Disponible en: http://repositorio.cedes.org/handle/123456789/4682.
2561-326X
10.2196/32610
url http://repositorio.cedes.org/handle/123456789/4682
https://formative.jmir.org/2022/1/e32610/
dc.language.none.fl_str_mv eng
language eng
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv JMIR Form Res. 2022 Jan 13;6(1):e32610.
reponame:Repositorio Digital del CEDES
instname:Centro de Estudios de Estado y Sociedad
instacron:CEDES
reponame_str Repositorio Digital del CEDES
collection Repositorio Digital del CEDES
instname_str Centro de Estudios de Estado y Sociedad
instacron_str CEDES
institution CEDES
repository.name.fl_str_mv Repositorio Digital del CEDES - Centro de Estudios de Estado y Sociedad
repository.mail.fl_str_mv sandraraiher@cedes.org
_version_ 1844693307104428032
score 12.559606