Rural Residents' Perspectives on an mHealth or Personalized Health Coaching Intervention: Qualitative Study With Focus Groups and Key Informant Interviews.
Rural Residents' Perspectives on an mHealth or Personalized Health Coaching Intervention: Qualitative Study With Focus Groups and Key Informant Interviews.
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DOI：
10.2196/18853
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发表时间：
2021-02-26
影响因子：
2.2
通讯作者：
Spring B
中科院分区：
文献类型：
--
作者：
Schoenberg N;Dunfee M;Yeager H;Rutledge M;Pfammatter A;Spring B
与全国平均水平相比，阿巴拉契亚农村地区的过早发病率和死亡率极高。新的机会，包括采用个人技术的方法，可能有助于改善生活方式和克服卫生不公平现象。本研究旨在收集关于健康生活方式干预的观点，特别是最初为城市用户设计的应用程序，对农村居民是否可行和可接受。除了一款智能手机应用，这个名为“做出更好的选择2”的项目还包括个性化的健康指导、加速计的使用和经济奖励。我们召集了4个焦点小组，并与不同的社区利益相关者进行了16次关键信息访谈，以评估对这种新颖的、基于证据的饮食和身体活动干预的观点。研究人员向参与者展示了一张幻灯片，并问了一些开放式的后续问题。焦点小组和关键信息提供者访谈环节被录音、转录，并进行专题分析。我们确定了关于阿巴拉契亚居民对这种移动健康（mHealth）干预措施的看法的3个主要主题：个人技术是可行和可取的；在阿巴拉契亚社区实施移动健康生活方式干预的挑战依然存在；成功的移动医疗干预措施应该包括人际关系、当地教练和教育机会。尽管总体上看是可行和可接受的，但缺乏健康生活方式意识、习惯行为和财务限制可能会对移动健康生活方式干预在阿巴拉契亚的成功构成挑战。最后，参与者描述了几个需要修改的小元素，包括扩大高年龄群体，提供技术使用方面的额外指导，强调个人和支持性联系，雇用当地教练，以及确保项目有足够的教育内容。将新技术、健康指导和其他特点结合起来，不仅可以接受，而且可能是接触弱势农村居民的必要条件。
Compared with national averages, rural Appalachians experience extremely elevated rates of premature morbidity and mortality. New opportunities, including approaches incorporating personal technology, may help improve lifestyles and overcome health inequities. This study aims to gather perspectives on whether a healthy lifestyle intervention, specifically an app originally designed for urban users, may be feasible and acceptable to rural residents. In addition to a smartphone app, this program—Make Better Choices 2—consists of personalized health coaching, accelerometer use, and financial incentives. We convened 4 focus groups and 16 key informant interviews with diverse community stakeholders to assess perspectives on this novel, evidence-based diet and physical activity intervention. Participants were shown a slide presentation and asked open-ended follow-up questions. The focus group and key informant interview sessions were audiotaped, transcribed, and subjected to thematic analysis. We identified 3 main themes regarding Appalachian residents’ perspectives on this mobile health (mHealth) intervention: personal technology is feasible and desirable; challenges persist in implementing mHealth lifestyle interventions in Appalachian communities; and successful mHealth interventions should include personal connections, local coaches, and educational opportunities. Although viewed as feasible and acceptable overall, lack of healthy lifestyle awareness, habitual behavior, and financial constraints may challenge the success of mHealth lifestyle interventions in Appalachia. Finally, participants described several minor elements that require modification, including expanding the upper age inclusion, providing extra coaching on technology use, emphasizing personal and supportive connections, employing local coaches, and ensuring adequate educational content for the program. Blending new technologies, health coaching, and other features is not only acceptable but may be essential to reach vulnerable rural residents.