scholarly journals A Mobile Health Intervention for HIV Prevention Among Racially and Ethnically Diverse Young Men: Usability Evaluation (Preprint)

2018 ◽  
Author(s):  
Hwayoung Cho ◽  
Dakota Powell ◽  
Adrienne Pichon ◽  
Jennie Thai ◽  
Josh Bruce ◽  
...  
Keyword(s):  
New York ◽  
Hiv Prevention ◽  
Mobile Health ◽  
Young Men ◽  
The United States ◽  
End Users ◽  
End User ◽  
Face To Face ◽  
Usability Problem ◽  
Prevention Curriculum

BACKGROUND Mobile health (mHealth) apps have the potential to be a useful mode of delivering HIV prevention information, particularly for young men (13-24 years) who account for 21% of new HIV diagnoses in the United States. We translated an existing evidence-based, face-to-face HIV prevention curriculum into a portable platform and developed a mobile Web app: MyPEEPS Mobile. OBJECTIVE The purpose of this study was to assess the usability of MyPEEPS Mobile from both expert and end user perspectives. METHODS We conducted a heuristic evaluation with five experts in informatics to identify violations of usability principles and end user usability testing with 20 young men aged 15 to 18 years in New York, NY, Birmingham, AL, and Chicago, IL to identify potential obstacles to their use of the app. RESULTS Mean scores of the overall severity of the identified heuristic violations rated by experts ranged from 0.4 and 2.6 (0=no usability problem to 4=usability catastrophe). Overall, our end users successfully completed the tasks associated with use case scenarios and provided comments/recommendations on improving usability of MyPEEPS Mobile. The mean of the overall Post-Study System Usability Questionnaire scores rated by the end users was 1.63 (SD 0.65), reflecting strong user acceptance of the app. CONCLUSIONS The comments made by experts and end users will be used to refine MyPEEPS Mobile prior to a pilot study assessing the acceptability of the app across diverse sexual minority young men in their everyday lives.

THE THREAT OF OIL SPILLS FROM STORAGE TANKS AT END USER FACILITIES

2001 ◽  
Vol 2001 (2) ◽  
pp. 1159-1162 ◽  
Author(s):  
Gary Yoshioka ◽  
Elisa Vitale
Keyword(s):  
Storage Capacity ◽  
Oil Pollution ◽  
Petroleum Industry ◽  
Pollution Prevention ◽  
The United States ◽  
Electric Utility ◽  
End Users ◽  
Fuel Oil ◽  
Storage Tanks ◽  
End User

ABSTRACT The oil pollution prevention program of the U.S. Environmental Protection Agency (EPA) addresses a large regulated community—the owners and operators of several hundred thousand nontransportation-related facilities. Regulated oil facilities generally are thought of as refineries, terminals, production field tanks, fuel oil dealers, or gasoline service stations. Some studies of the nationwide petroleum storage capacity do not even consider tanks owned by petroleum consumers, while others recognize that end users constitute a significant part of the nation's oil storage. The storage capacity of fixed petroleum tankage in the tertiary segment (agricultural, commercial, electric utility, industrial, military/government, residential, and transportation sectors) is estimated to comprise more than 20 % of the total U.S. storage capacity. EPA estimates that more than one-half of the facilities required to prepare Spill Prevention Control and Countermeasure (SPCC) plans are such end users. The focus of oil pollution prevention, of course, is preventing spills. Several years ago, an American Petroleum Institute report on aboveground storage tank incidents stated that more than 25% of large petroleum releases in the United States were from tanks controlled by companies outside the petroleum industry. Recent data on large spills (10,000 gallons or more) show similar patterns. Of course, most nontransportation-related spills are from storage tanks or facilities in the petroleum industry (production wells, refineries, terminals, tank farms, and fuel oil dealers). More than 40%, however, are from electric utilities, manufacturing plants, military bases, airports, railroad yards, and other end user facilities. Smaller spills come from a variety of facility types. It is important for EPA and other groups to recognize the end user community and the threat of spills from end user facilities, and to begin to work with the owners and operators of end user facilities to educate them about EPA's oil pollution prevention regulation.

scholarly journals Perspectives about living on the horns of dilemmas: An analysis of gender factors related to superintendent decision-making and problem-solving

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Walter S. Polka ◽  
Peter R. Litchka ◽  
Frank F. Calzi ◽  
Stephen J. Denig ◽  
Rosina E. Mete
Keyword(s):  
Decision Making ◽  
New York ◽  
Problem Solving ◽  
The United States ◽  
Administrator Preparation ◽  
Face To Face ◽  
School Superintendent ◽  
Study Results ◽  
Gender Based ◽  
K 12

The major focus of this paper is a gender-based analysis of school superintendent decision-making and problem-solving as well as an investigation of contemporary leadership dilemmas. The findings are based on responses from 258 superintendents of K-12 school districts in Delaware, Maryland, New Jersey, New York, and Pennsylvania collected over a period of three years (2009-2011). The researchers also conducted 18 comprehensive qualitative “face-to-face” interviews with self-selected superintendents who responded to the quantitative survey. The intended outcome of this article is for education policy makers, professors, and practitioners to comprehensively examine the extent and degree of various dilemmas confronting the Mid-Atlantic Region school superintendent sample and to evaluate the decision-making and problem-solving approaches used by them. The study results that are presented will serve as valuable references to not only individual superintendents but also to university administrator preparation professors and to state administrator licensure agencies because it is important for all aspiring superintendents to know the various issues associated with education leadership and the personal and professional dilemmas that they need to be prepared to face as they embark on a career to improve schooling in the United States.

scholarly journals Title: Keep It Up! 3.0: Study Protocol for a Type III Hybrid Implementation-Effectiveness Cluster-Randomized Trial

2020 ◽  
Author(s):  
Brian Mustanski ◽  
Justin Patrick Jones ◽  
Kathryn Macapagal ◽  
Nanette Benbow ◽  
Dennis H. Li ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Randomized Trial ◽  
Young Men ◽  
Cluster Randomized Trial ◽  
The United States ◽  
Community Based ◽  
Direct To Consumer ◽  
Community Based Organization ◽  
Sex With Men ◽  
Cluster Randomized

Abstract BackgroundYoung men who have sex with men are disproportionately impacted by the HIV epidemic in the United States. Few rigorously tested HIV prevention interventions have been developed for young men who have sex with men; previous interventions have primarily focused on in-person programming, with high variability in fidelity. With nearly all young men who have sex with men going online daily, eHealth approaches to prevention may successfully bridge research and practice. Keep It Up! is an eHealth HIV Prevention program for young men who have sex with men. Previous research has demonstrated its effectiveness in reducing sexually transmitted infections and condomless anal sex and efficiency in delivering HIV prevention education. Aim 1 is to compare two strategies for implementing KIU—implementation in community-based organizations and a centralized direct-to-consumer recruitment arm. Aim 2 is to examine adoption characteristics which explain variability in implementation success. Our exploratory aim will develop recommendations and materials for sustainment of KIU after completion of the trial.MethodsThis is a Type III Hybrid Effectiveness-Implementation cluster randomized trial. Using estimates of young men who have sex with men per county in the United States, we identified 113 counties for our sample frame. Using an iterative process, we selected 66 counties to randomize 2:1 to our two strategies in Aim 1. The RE-AIM model for implementation science will be used to drive our outcome measurements in reach, effectiveness, implementation variability, and cost. Outcome measures will be collected from community-based organization staff participants, young men who have sex with men participants, and the technology provider. Our second aim will use mixed-methods research mapped onto the domains of the consolidated framework for implementation research. DiscussionThe trial has launched and is ongoing. This study is among the first to use a cluster randomized trial design in HIV implementation science. In comparing the community-based organization and direct to consumer models for recruitment and ongoing participant engagement, we are examining two strategies which have shown effectiveness in delivering health and technology interventions in the past, but with little base knowledge on their comparative advantages and disadvantages in implementation. The results of the trial will further understanding of the implementation of eHealth prevention interventions.Trial RegistrationNCT03896776, clinicaltrials.gov, 1 April 2019

scholarly journals Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding

2017 ◽  
Vol 4 (2) ◽  
pp. e22 ◽  
Author(s):  
Caryn Kseniya Rubanovich ◽  
David C Mohr ◽  
Stephen M Schueller
Keyword(s):  
Mental Health ◽  
Well Being ◽  
The United States ◽  
Daily Basis ◽  
End Users ◽  
Depression And Anxiety ◽  
Physical And Mental Health ◽  
End User ◽  
User Perspective ◽  
Health Apps

Background Researchers have largely turned to commercial app stores, randomized trials, and systematic reviews to make sense of the mHealth landscape. Few studies have approached understanding by collecting information from target end users. The end user perspective is critical as end user interest in and use of mHealth technologies will ultimately drive the efficacy of these tools. Objective The purpose of this study was to obtain information from end users of mHealth technologies to better understand the physical and mental health apps people use and for what purposes. Methods People with depressive or anxious symptoms (N=176) seeking entry into a trial of mental health and well-being apps for Android devices completed online questionnaires assessing depression and anxiety (Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7), past and current mental health treatment-seeking behavior, overall mobile device use, and use of mobile health apps. Participants reported the physical health and mental health apps on their devices and their reasons for using them. Data were extracted from the participant self-reports and apps and app purposes were coded in order to categorize them. Results Participants were largely white, middle-aged females from the Midwest region of the United States recruited via a health care organization and Web-based advertising (135 female, 41 male, mean age 38.64 years, age range 19-75 years.) Over three-quarters (137/176, 77.8%) of participants indicated having a health app on their device. The top 3 kinds of apps were exercise, fitness, and pedometers or heart rate monitoring apps (93/176, 52.8%); diet, food, or calorie counting apps (65/177, 36.9%); and mental health/wellness apps (46/177, 26.1%). The mean number of mobile physical and mental health apps on a participant’s phone was 2.15 (SD 3.195). Of 176 participants, 107 (60.8%) specifically reported the top 5 health apps that they used and their purposes. Across the 107 participants, a total of 285 apps were reported, with 139 being unique apps. The majority of these apps were free (129/139, 92.8%). Almost two-thirds of participants (67/107, 62.6%) reported using health apps at least on a daily basis. Conclusions Among those seeking support for their well-being via physical and mental health apps, people are using a variety of health apps. These people use health apps on a daily basis, especially free apps. The most common reason for using a health app is to track some health-related data; for mental health apps specifically, training or habit building was the most popular reason. Understanding the end user perspective is important because it allows us to build on the foundation of previously established mHealth research and may help guide future work in mHealth. Trial Registration Clinicaltrials.gov NCT02176226; https://clinicaltrials.gov/ct2/show/NCT02176226 (Archived by WebCite at http://www.webcitation.org/6rGc1MGyM)

scholarly journals Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas

2022 ◽  
Vol 19 (2) ◽  
pp. 726
Author(s):  
Yu Liu ◽  
Savanah Russ ◽  
Jason Mitchell ◽  
Sarahmona Przybyla ◽  
Chen Zhang
Keyword(s):  
Quality Of Life ◽  
Hiv Prevention ◽  
Young Men ◽  
Well Being ◽  
The United States ◽  
Prevention Measures ◽  
Sex With Men ◽  
The Impact ◽  
Hiv Negative

Young men who have sex with men (YMSM) in the United States (U.S.) are disproportionally burdened by HIV and experience adverse social determinants of health. Minimal research has examined quality of life (QoL) and psychosocial/behavioral determinants among HIV-negative or status-unknown YMSM. We conducted a study with YMSM from two U.S. cities to assess their QoL scores, and whether specific QoL domains (e.g., physical, psychological, social, and environment) were associated with their demographics, psychosocial determinants, behavioral risk factors, and HIV prevention measures. Black YMSM, YMSM of low socioeconomic status (below high school education, income < $20,000, and lack of health insurance), and YMSM who did not disclose their sexual orientation had the lowest QoL scores across all domains. Substance use and unprotected anal intercourse were negatively associated with men’s physical/psychosocial health. Housing/food instability and perceived stress were among the strongest predictors of lower QoL in all domains. Higher physical/psychological and environment QoL scores were associated with a higher likelihood of HIV testing and PrEP use. The identification of YMSM within these demographic, behavioral, and psychosocial sub-groups is important for targeted intervention to enhance their well-being and engagement with HIV prevention.

scholarly journals A Mobile Health Intervention for HIV Prevention Among Racially and Ethnically Diverse Young Men: Usability Evaluation

10.2196/11450 ◽  
2018 ◽  
Vol 6 (9) ◽  
pp. e11450 ◽  
Author(s):  
Hwayoung Cho ◽  
Dakota Powell ◽  
Adrienne Pichon ◽  
Jennie Thai ◽  
Josh Bruce ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Mobile Health ◽  
Young Men ◽  
Ethnically Diverse ◽  
Usability Evaluation ◽  
Health Intervention

scholarly journals “We hide…”: Perceptions of HIV Risk Among Black and Latino MSM in New York City

2017 ◽  
Vol 12 (2) ◽  
pp. 180-188 ◽  
Author(s):  
Ashley Murray ◽  
Zaneta Gaul ◽  
Madeline Y. Sutton ◽  
Jose Nanin
Keyword(s):  
New York ◽  
New York City ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
York City ◽  
The United States ◽  
Hiv Care ◽  
Computer Assisted ◽  
Sex With Men ◽  
Black And Latino

Black and Latino men who have sex with men (BLMSM) are disproportionately infected with HIV; they comprised 66% of HIV diagnoses among men who have sex with men (MSM) in the United States in 2015. Risk factors for HIV infection among BLMSM include a high community prevalence of diagnosed and undiagnosed HIV/STDs, and dense sex partner networks. Perceptions of HIV risk among BLMSM were explored to inform HIV prevention efforts. During 2011–2012, semistructured interviews were conducted with BLMSM in New York City. Using computer-assisted thematic analyses (NVivo), transcribed interview responses to questions regarding HIV risk for main themes were examined. Interview data were available for 108 BLMSM: 86% Black, 13% Latino, 26% aged 18–24 years, 59% self-identified as “gay,” and 33% self-identified as “bisexual.” The main emergent theme was stigma. Subthemes related to stigma included: (a) homophobia in the Black and Latino community, (b) fear of losing support from family and friends, and (c) lack of support leading to low self-esteem. Addressing the stigma felt by BLMSM may be an important strategy to facilitate improved HIV prevention efforts, HIV care and treatment, and to decrease HIV-related disparities.

User Satisfaction with EDI

2002 ◽  
pp. 204-222 ◽  
Author(s):  
Mary C. Jones ◽  
Robert C. Beatty
Keyword(s):  
United States ◽  
User Satisfaction ◽  
Empirical Support ◽  
The United States ◽  
End Users ◽  
Anecdotal Evidence ◽  
Perceived Benefits ◽  
End User ◽  
Adoption And Implementation ◽  
Trading Partners

This study was undertaken to identify antecedents of user satisfaction with EDI systems by surveying key end-users of EDI in a variety of firms across the United States. Although there is much empirical evidence about factors underlying EDI adoption and implementation, there is little information from the perspective of the end user. The vast majority of what we know about EDI success (or failure) is based on the EDI manager’s or IT perspective. However, there is evidence that suggests if users are not satisfied with a system, they will not use it. Thus, a study of user satisfaction with EDI can provide firms seeking to better leverage their EDI investment with a different and useful perspective on factors that underlie EDI. Two findings indicate that the greater the perceived benefits of EDI, the greater the user satisfaction; and the more compatible EDI is with existing organizational practices and systems, the more satisfied the users are with the system. Although EDI managers may have suspected this was true, empirical support of heretofore largely anecdotal evidence has several implications for successfully managing EDI adoption and integration. These implications hold not only for the adopting firm, but also for firms that may require, or are considering requiring, trading partners to implement EDI. Finally, implications for future EDI research are discussed.

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