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. 2013 Mar 19;20(4):758–765. doi: 10.1136/amiajnl-2012-001361

Table 3.

Trust-centered design preferences

System strategy
 User needs and intervention objectives
  Institutional affiliation ‘(CBOs)… are really… influential… as far as promoting awareness… but y'all could be more aggressive and get your names out more.’
  Network embeddedness ‘…they be like “I ain't going it unless my boy doing it.” …Try to best suit how people is…’
  Participation ‘…teach… you will feel better…’‘ Where we could write a blog.’ ‘Have us promote your website.’
System functionality
 Functional specifications
  Credible Q&A services ‘…if you're talking to somebody that you know is a… professional about it, you might get more facts.… Not just he said, she said.’
  Decision support
   Recommendations of condoms and lubrication, with use instructions ‘…how to put a condom on… the proper ways.’
   Local resources ‘…more places they felt comfortable that it was going to be confidential.’
   Identification of high-risk places ‘…what area codes have more sexually transmitted disease(s)…’
   Identification of high risk people ‘…the type of people who have… an STD…’
   Interactive risk assessment tools ‘…different questions… when they answer it… tell them, “…you could be at a risk of this or at risk of that.”’
   Scenarios ‘…what can result from what you're doing. Just scenarios. Like this happened, this happened.’
   Personal stories ‘…get somebody they age that's going through the problem.’ ‘…people (with HIV/AIDS)… discuss… how they caught it… and how they're dealing with it and how everybody treating them from it.’
  Trustworthy people ‘Trying to find out this about this. It'd have to be somebody you… trust.’
  Collective action ‘When… it's something that can affect the black community… people want to be involved.’
  Positive social influence ‘Why can't we have some positive peer pressure within the community?’
 Interaction design
  Optional anonymity ‘…the option to either have a user name or just go on as “guest”.’
  Level of identifiability ‘I don't want… my picture and my profile on a sexually transmitted disease website… Because everybody in (name of city) knows each other and stuff gets started real easily.’ ‘…anonymous discussion wouldn't be too bad where there's no picture.’
  Mobile messages ‘…one of your friends might have your phone and then it gets around to everybody.’
  Offline networks ‘I'd rather be in there… with my friend… he have my back or I got they back…’ ‘…we all interested to have… new friends… even a website buddy.’
  Supervision ‘…it should be moderated… in case somebody who is just out there to find a site to start a mess.’
  Membership control ‘You can report them, and… they can get booted off the site.’
  Blocking ‘…I have to block somebody (on Facebook) today.’

CBO, community-based organization; Q&A, question and answer; STD, sexually transmitted disease.