TY - JOUR AU - Hill, J. Mandy AU - Mangum, Laurenia AU - Coker, J. Sandra AU - Sutton, Tristen AU - Santa Maria, M. Diane PY - 2025/3/28 TI - Dissemination and Implementation Approach to Increasing Access to Local Pre-Exposure Prophylaxis (PrEP) Resources With Black Cisgender Women: Intervention Study With Vlogs Shared on Social Media JO - JMIR Public Health Surveill SP - e67367 VL - 11 KW - PrEP KW - cisgender Black women KW - social media campaign KW - PrEP access KW - HIV prevention KW - vlogging KW - dissemination and implementation KW - pre-exposure prophylaxis KW - dissemination KW - implementation KW - HIV KW - prevention KW - human immunodeficiency virus KW - cisgender KW - social media KW - marketing KW - campaign KW - education KW - sexually transmitted diseases KW - STDs KW - vlog N2 - Background: Black cisgender women account for only 2% of pre-exposure prophylaxis (PrEP)-eligible people in the United States who use PrEP to prevent HIV. Owing to the low PrEP use, Black cisgender women continue to contract HIV more frequently than women from every other racial group. Intervention efforts that can bridge the link between knowing that PrEP prevents HIV and support with access to PrEP are necessary for Black cisgender women. Objective: The purposes of the vlogs through the campaign were to share information about ways to prevent HIV using PrEP and fact-based education and provide access to PrEP resources with active links to local PrEP providers at local community health centers. Methods: In Phase 1, the study team formerly piloted full-length video blog posts (ie, vlogs; 10?12 min each) with 26 women during an emergency department visit. Using the findings from Phase 1, Phase 2 involved a prospective 6-month social media marketing campaign. The study team led a Texas-Development CFAR-funded pilot grant to disseminate brief vlog snippets (30 s) of excerpts from full-length vlogs with a larger group of Black women in Harris County. Community members, who were aged 18?55 years, usually consume content that is often viewed by Black cisgender women (ie, health and beauty) and reside in neighborhoods (based on zip code) in Harris County where most residents are Black or African American. They were shown a series of brief vlog snippets on their social media pages, along with a brief message about PrEP and an active hyperlink to local PrEP resources. The study team assessed implementation outcomes, including the feasibility and acceptability, appropriateness of vlogs, access to PrEP resources at local clinics, and clinical outcomes such as increased PrEP awareness among Black cisgender women. Results: Within 6 months, the campaign reached 110.8k unique individuals (the number of unique accounts that have seen your content at least once) who identified as women. When stratified by age, video plays (the number of times a video starts playing) at 50% of the vlogs (n=30,877) were most common among women aged 18?24 years (n=12,017) and least common among women aged 45?54 years (n=658). Key performance indicators showed that 1,098,629 impressions (the number of times a user saw the vlog) and 1,002,244 total video plays resulted in 15,952 link clicks to local PrEP resources. Conclusions: The campaign demonstrated the feasibility and acceptability of this approach with Black cisgender women and illustrated preliminary effectiveness at supporting access to local PrEP resources with Black cisgender women. Further dissemination and implementation of this approach is necessary to fully assess whether vlog viewership and clicks on links to PrEP resources can meaningfully empower Black cisgender women to access PrEP and help them to assess whether PrEP is personally a useful HIV prevention option. UR - https://publichealth.jmir.org/2025/1/e67367 UR - http://dx.doi.org/10.2196/67367 ID - info:doi/10.2196/67367 ER - TY - JOUR AU - Nair, C. Satish PY - 2024/11/12 TI - Promoting Oral Health Literacy Among UAE Public Sector Employees JO - JMIR Public Health Surveill SP - e66452 VL - 10 KW - health literacy KW - Gulf countries KW - oral health literacy KW - health promotion KW - United Arab Emirates KW - workplace UR - https://publichealth.jmir.org/2024/1/e66452 UR - http://dx.doi.org/10.2196/66452 ID - info:doi/10.2196/66452 ER - TY - JOUR AU - O'Dwyer, Brynn AU - Jaana, Mirou AU - Hui, Charles AU - Chreim, Samia AU - Ellis, Jennifer PY - 2024/11/5 TI - Digital Contact Tracing Implementation Among Leaders and Health Care Workers in a Pediatric Hospital During the COVID-19 Pandemic: Qualitative Interview Study JO - JMIR Public Health Surveill SP - e64270 VL - 10 KW - COVID-19 KW - surveillance KW - technology KW - digital contact tracing KW - qualitative KW - hospitals KW - Reach, Effectiveness, Adoption, Implementation, and Maintenance framework KW - RE-AIM N2 - Background: Health systems had to rapidly implement infection control strategies to sustain their workforces during the COVID-19 pandemic. Various outbreak response tools, such as digital contact tracing (DCT), have been developed to monitor exposures and symptoms of health care workers (HCWs). Limited research evidence exists on the experiences with these technologies and the impacts of DCT innovations from the perspective of stakeholders in health care environments. Objective: This study aims to identify the factors influencing the adoption of DCT, highlight variations in perspectives across 3 key stakeholder groups concerning the impact of DCT, and provide benchmarking evidence for future pandemic preparedness. Methods: Guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, we conducted an exploratory qualitative study to investigate the implementation and impact of DCT at the Children?s Hospital of Eastern Ontario between December 2022 and April 2023. We conducted 21 semistructured interviews with key stakeholders, including health care administrators (6/21, 29%), occupational health and safety specialists (8/21, 38%), and HCWs (7/21, 33%). Stakeholders were asked about the factors influencing engagement with the DCT tool, organizational-level uptake, the implementation process, long-term use and sustainability of DCT, and unintended consequences. Verbatim transcripts were subject to thematic analysis using NVivo (QSR International). Results: The implementation of DCT was viable and well received. End users indicated that their engagement with the DCT tool was facilitated by its perceived ease of use and the ability to gain awareness of probable COVID-19 exposures; however, risk assessment consequences and access concerns were reported as barriers (reach). Participants commonly agreed that the DCT technology had a positive influence on the hospital?s capacity to meet the demands of COVID-19 (effectiveness). Implementors and occupational specialists referred to negative staffing impacts and the loss of nuanced information as unintended consequences (effectiveness). Safety-focused communication strategies and having a DCT tool that was human-centered were crucial factors driving staff adoption of the technology. Conversely, adoption was challenged by the misaligned delivery of the DCT tool with HCWs? standard practices, alongside the evolving perceived threat of COVID-19. Stakeholders collectively agreed on the viability of DCT and its applicability to infectious disease practices (maintenance). Conclusions: Hospital stakeholders were highly satisfied with DCT technology and it was perceived as feasible, efficient, and having a positive impact on organizational safety. Challenges related to the alignment and delivery of DCT, alongside the evolving perspectives on COVID-19, posed obstacles to continued adoption by HCWs. Our findings contribute to evidence-based practices and present benchmarks that can inform preparedness for future pandemics and infectious disease outbreaks and help other organizations implement similar technologies. UR - https://publichealth.jmir.org/2024/1/e64270 UR - http://dx.doi.org/10.2196/64270 UR - http://www.ncbi.nlm.nih.gov/pubmed/ ID - info:doi/10.2196/64270 ER - TY - JOUR AU - Ming, Bo-Wen AU - Li, Li AU - Huang, Hao-Neng AU - Ma, Jia-Jun AU - Shi, Chen AU - Xu, Xiao-Han AU - Yang, Zhou AU - Ou, Chun-Quan PY - 2024/2/28 TI - The Effectiveness of National Expanded Program on Immunization With Hepatitis A Vaccines in the Chinese Mainland: Interrupted Time-Series Analysis JO - JMIR Public Health Surveill SP - e53982 VL - 10 KW - hepatitis A KW - incidence KW - Expanded Program on Immunization KW - vaccine KW - interrupted time series KW - intervention KW - China N2 - Background: The high prevalence of hepatitis A delivered a blow to public health decades ago. The World Health Organization (WHO) set a goal to eliminate viral hepatitis including hepatitis A by 2030. In 2008, hepatitis A vaccines were integrated into the Expanded Program on Immunization (EPI) in China to alleviate the burden of hepatitis A, although the effectiveness of the EPI has not been well investigated. Objective: We aimed to evaluate the intervention effect at both provincial and national levels on the incidence of hepatitis A in the Chinese mainland from 2005 to 2019. Methods: Based on the monthly reported number of hepatitis A cases from 2005 to 2019 in each provincial-level administrative division, we adopted generalized additive models with an interrupted time-series design to estimate province-specific effects of the EPI on the incidence of hepatitis A among the target population (children aged 2-9 years) from 2005 to 2019. We then pooled province-specific effect estimates using random-effects meta-analyses. We also assessed the effect among the nontarget population and the whole population. Results: A total of 98,275 hepatitis A cases among children aged 2-9 years were reported in the Chinese mainland from 2005 to 2019, with an average annual incidence of 5.33 cases per 100,000 persons. Nationally, the EPI decreased the hepatitis A incidence by 80.77% (excess risk [ER] ?80.77%, 95% CI ?85.86% to ?72.92%) during the study period, guarding an annual average of 28.52 (95% empirical CI [eCI] 27.37-29.00) cases per 100,000 persons among the target children against hepatitis A. Western China saw a more significant effect of the EPI on the decrease in the incidence of hepatitis A among the target children. A greater number of target children were protected from onset in Northwest and Southwest China, with an excess incidence rate of ?129.72 (95% eCI ?135.67 to ?117.86) and ?66.61 (95% eCI ?67.63 to ?64.22) cases per 100,000 persons on average, respectively. Intervention effects among nontarget (ER ?32.88%, 95% CI ?39.76% to ?25.21%) and whole populations (ER ?31.97%, 95% CI ?39.61% to ?23.37%) were relatively small. Conclusions: The EPI has presented a lasting positive effect on the containment of hepatitis A in the target population in China. The EPI?s effect on the target children also provided a degree of indirect protection for unvaccinated individuals. The continuous surveillance of hepatitis A and the maintenance of mass vaccination should shore up the accomplishment in the decline of hepatitis A incidence to ultimately achieve the goal set by the WHO. UR - https://publichealth.jmir.org/2024/1/e53982 UR - http://dx.doi.org/10.2196/53982 UR - http://www.ncbi.nlm.nih.gov/pubmed/38416563 ID - info:doi/10.2196/53982 ER -