Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
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DOI：
10.1145/3449239
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发表时间：
2021-04
影响因子：
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通讯作者：
Morgan Vigil-Hayes;A. Collier;Shelby Hagemann;Giovanni Castillo;Keller Mikkelson;Joshua Dingman;Andrew Muñoz;Jade Luther;Alexandra McLaughlin
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文献类型：
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作者：
Morgan Vigil-Hayes;A. Collier;Shelby Hagemann;Giovanni Castillo;Keller Mikkelson;Joshua Dingman;Andrew Muñoz;Jade Luther;Alexandra McLaughlin
美洲原住民社区受到许多行为健康差距的不成比例的影响，包括更高的抑郁症、药物滥用和自杀率。随着移动卫生(MHealth)干预措施作为解决这些差距的方法越来越受欢迎，它们仍然与美洲原住民青年缺乏相关性。为了探索为美国原住民社区设计相关的行为mHealth干预措施，我们开发了Arora(在受限互联网访问上放大弹性)，这是一个与美国原住民青年、社区顾问委员会和临床心理学家共同设计的行为mHealth干预的原型。在这篇文章中，我们使用扎根的理论方法对我们的联合设计和焦点小组会议进行了定性分析，并确定了美洲原住民社区成员认为是相关mHealth设计的关键组成部分的关键主题。值得注意的是，我们发现，参加我们焦点小组的美国原住民青年希望与文化和行为健康元素进行更高水平的说教互动。最后，我们讨论了我们在与美洲原住民利益相关者共同设计软件时所面临的重大挑战，并提供了可能指导其他人机交互研究人员和设计师应对跨文化设计过程中出现的挑战的建议。
Native American communities are disproportionately affected by a number of behavioral health disparities, including higher rates of depression, substance abuse, and suicide. As mobile health (mHealth) interventions gain traction as methods for addressing these disparities, they continue to lack relevance to Native American youth. In an effort to explore the design of relevant behavioral mHealth intervention for Native American communities, we have developed ARORA (Amplifying Resilience Over Restricted Internet Access), a prototype behavioral mHealth intervention that has been co-designed with Native American youth, a community advisory board, and a clinical psychologist. In this paper, we qualitatively analyze our co-design and focus group sessions using a grounded theory approach and identify the key themes that Native American community members have identified as being critical components of relevant mHealth designs. Notably, we find that the Native American youth who participated in our focus groups desired a greater level of didactic interaction with cultural and behavioral health elements. We conclude with a discussion of the significant challenges we faced in our efforts to co-design software with Native American stakeholders and provide recommendations that might guide other HCI researchers and designers through challenges that arise during the process of cross-cultural design.