Web-based technology provides an unparalleled opportunity to increase access and uptake of couples-based HIV prevention interventions. e-Health HIV prevention interventions for US Black heterosexual couples have largely been understudied. To address this gap, we applied the Assessment Phase of the ADAPT-ITT Framework to investigate Black heterosexual couples’ perspectives on an existing e-Health, couples-based HIV prevention intervention. Applying a qualitative descriptive approach, joint dyadic interviews were conducted with 28 Black heterosexual couples from three jurisdictions in New York State. Content dyadic analysis revealed three descriptive categories: perspectives of the toolkit intervention (sub-codes: perceived relevance, reactions to core components), recommendations to enhance intervention relevancy (sub-codes: tailoring to relationship type, adding new content), and lasting intervention considerations (sub-codes: toolkit usability and language use). Overall, couples found the toolkit intervention content and usability acceptable and reflected on its potential to build sexual and relationship health. Couples recommended to enhance toolkit adaptability for varied couple’s motivation and types re-consider terms like sexual agreements, and include content to facilitate communication regarding sensitive topics (e.g., childhood sexual trauma, co-parenting, family planning) and other issues that may have more relevance to the experience of US Black persons (i.e., wealth building).

基于网络的技术为增加基于夫妇的艾滋病毒预防干预措施的获取和采用提供了无与伦比的机会。针对美国黑人异性恋夫妇的电子健康艾滋病毒预防干预措施在很大程度上尚未得到充分研究。为了解决这一差距，我们应用ADAPT-ITT 框架的评估阶段来调查黑人异性恋夫妇对现有电子健康、基于夫妇的艾滋病毒预防干预措施的看法。采用定性描述方法，对来自纽约州三个司法管辖区的 28 对黑人异性恋夫妇进行了联合二元访谈。内容二元分析揭示了三个描述性类别：工具包干预的视角（子代码：感知相关性、对核心组件的反应）、增强干预相关性的建议（子代码：根据关系类型定制、添加新内容）以及持久干预注意事项（子代码：工具包可用性和语言使用）。总体而言，夫妇们认为工具包干预内容和可用性是可以接受的，并反映了其建立性和关系健康的潜力。建议夫妻增强工具包对不同夫妻动机和类型的适应性，重新考虑性协议等术语，并包含促进有关敏感话题（例如童年性创伤、共同养育、计划生育）和其他可能有更多问题的沟通的内容。与美国黑人的经历（即财富积累）的相关性。