Adapting a computer-delivered brief alcohol intervention for veterans with Hepatitis C

Adapting a computer-delivered brief alcohol intervention for veterans with Hepatitis C
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DOI:
10.1080/17538157.2016.1255628
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发表时间:
2017-01-01
影响因子:
2.4
通讯作者:
Humphreys, Keith
Humphreys, Keith
中科院分区:
医学4区
文献类型:
--
作者:
Cucciare, Michael A.;Jamison, Andrea L.;Humphreys, Keith

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目的:本研究采用了现有的计算机提供的简短酒精干预(cBAI)用于退伍军人与丙型肝炎病毒(HCV),并检查其在该患者人群的可接受性和可行性。研究方法:一个四阶段的模型,包括初步试点测试,定性访谈的主要利益相关者,开发的测试版的cBAI,和可用性测试,用于实现研究目标。结果如下:深入访谈收集了修改cBAI的反馈,包括添加HCV相关内容,如酒精对肝脏功能,免疫系统功能和HCV管理的健康影响,偏好通过“新外观”图形显示概念,并限制使用文本来传达关键概念。可用性测试的结果表明,改良的cBAI可接受且适用于该患者人群。结论:本研究中使用的开发模型可有效收集可采取行动的反馈,这些反馈可为cBAI的开发提供信息,并可导致开发出可接受且可行的干预措施用于该人群。研究结果也对更广泛地开发针对行为改变的计算机交付干预措施具有影响。
Objective: This study adapted an existing computer-delivered brief alcohol intervention (cBAI) for use in Veterans with the hepatitis C virus (HCV) and examined its acceptability and feasibility in this patient population. Methods: A four-stage model consisting of initial pilot testing, qualitative interviews with key stakeholders, development of a beta version of the cBAI, and usability testing was used to achieve the study objectives. Results: In-depth interviews gathered feedback for modifying the cBAI, including adding HCV-related content such as the health effects of alcohol on liver functioning, immune system functioning, and management of HCV, a preference for concepts to be displayed through "newer looking" graphics, and limiting the use of text to convey key concepts. Results from usability testing indicated that the modified cBAI was acceptable and feasible for use in this patient population. Conclusions: The development model used in this study is effective for gathering actionable feedback that can inform the development of a cBAI and can result in the development of an acceptable and feasible intervention for use in this population. Findings also have implications for developing computer-delivered interventions targeting behavior change more broadly.