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. 2024 Feb 19;8:e52195. doi: 10.2196/52195

Table 3.

Qualitative themes and subthemes (n=17a).

Theme and description Example quotes Endorsed, n (%)
Feasibility of intervention

Informative onboarding experience and easy communication process with RAs Descriptions related to the ease of understanding the onboarding instructions and documents and being able to communicate in a timely manner with the RAs as well as get their answers answered promptly
  • “Yes, [the onboarding experience] answered all the questions at that point and I had a few more questions [later] but I was able to get my questions answered.” (Hispanic, bisexual, 28 y)

  • “Everything was fine, [it was] very pleasant to talk with research assistants. Instructions were clear granted how much information there was.” (White, gay, 35 y)

14 (82)

Protocol easy to follow Participant was able to comprehend and follow the study instructions with little to no problems
  • “[The protocol was a] good experience, not very invasive. Labeled tubes and collection aid were helpful. Instructions were clear and helped.” (Asian, bisexual, 21 y)

  • “Everything was very clear. Explanation of the blood spot sample was especially helpful.” (Asian, gay, 28 y)

13 (76)
Acceptability of intervention

Appropriate financial incentive structure Descriptions of being motivated to engage in the study due to the financial incentive structure and feeling that the financial incentive structure was appropriate for the time given
  • “The incentive did help my willingness [to participate] and the breakup of the payments helped.” (Hispanic, bisexual, 25)

  • “[The financial incentive structure] made me want to ensure I completed all the steps, but it was not very hard so I would have done it either way. But the payments definitely helped.” (White, bisexual, 30 y)

9 (53)

Desire to participate beyond financial incentives Feelings and motivations of external reasons for participating in the study (eg, wanting to progress science)
  • “From an academic perspective, I was interested in the study regardless. Realistically, I would be taking opportunity to be doing the study anyway.” (Black Hispanic, gay, 31 y)

  • “[The financial incentive structure] did not really affect my participation, would have still done without compensation.” (Black, gay, 31 y)

7 (41)

Changed perceptions of mood and discrimination Increased awareness of one’s experiences with discrimination and mood throughout the day
  • “It made me a bit more aware of my surroundings and did notice more [discriminatory] experiences once I was asked.” (Hispanic, gay, 18 y)

  • “[I became] more sensitive to attuning to [discrimination]. Many of these things I encounter on a regular basis, but it became more salient when calling my attention to it.” (Black Hispanic, gay, 31 y)

8 (47)

Willingness to participate in longer-terms studies Expressing interest and desire to participate in studies similar to this on a longer-term basis (eg, 30 d)
  • “Yeah, it would be good to participate [in a longer term study] because I felt like study duration was very short. A longer study would be more insightful.” (Black Hispanic, gay, 24 y)

  • “Absolutely [I would participate in a longer-term study]. I have participated in longitudinal studies before and recognize the challenge that goes into them.” (Black Hispanic, gay, 31 y)

17 (100)
Areas for improvement

Day-to-day stressors unrelated to study Daily stress that may have interfered with participants’ abilities to adhere to protocol
  • “No stress related to the study. Logistical planning was needed to make sure I was waking up and going to bed at a relatively set time. But it was not stressful, just extra planning in terms of how I would navigate my time.” (Black Hispanic, gay, 31 y)

  • “I stressed during the 2-day study due to personal relationships. The study didn’t cause any anxiety, and I thought the structure was helpful and allowed me to plan things out.” (Asian, bisexual, 21)

9 (53)

Protocol-related criticism Criticism related to protocol-related activities (eg, survey items, saliva procedure)
  • “The surveys were long and felt frustrating. I felt the wording was ambiguous and that the questions assumed participants were affected by other people’s feelings.” (White, bisexual, 21 y)

  • “It was a good experience during the day, but at night after doing the blood sample it was a little bit exhausting and it was a lot of questions, etc.” (Hispanic, gay, 18 y)

13 (76)

Stress directly resulting from study protocol Stress stemming from participating in the study
  • “Certain parts of the study caused me stress, such as the blood spot sample.” (Asian, bisexual, 19 y)

  • “To be honest, it was a [stressful] experience, it was simple to give saliva, etc. but I was uncomfortable with storing the saliva in the freezer. It was hard to use the saliva tube and straw, but at the end of the day it was a good experience. It was also hard to write the time on the tube.” (Black Hispanic, gay, 24 y)

4 (24)

aOf the 19 participants who completed the protocol, 2 did not complete follow-up interviews (17/19 completed follow-up interviews).