An mHealth Physical Activity Intervention for Latina Adolescents: Iterative Design of the Chicas Fuertes Study.

An mHealth Physical Activity Intervention for Latina Adolescents: Iterative Design of the Chicas Fuertes Study.
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DOI:
10.2196/26195
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发表时间:
2021-06-15
影响因子:
2.2
通讯作者:
Zive MM
Zive MM
中科院分区:
其他
文献类型:
--
作者:
Larsen B;Greenstadt ED;Olesen BL;Marcus BH;Godino J;Zive MM

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只有3%的拉丁裔青少年符合国家体育活动指南,而且这些习惯似乎会持续到成年。制定有效的干预措施以增加拉丁裔青少年的PA,对于预防疾病和减少差距是必要的。移动技术可能特别适合这一人群,但移动健康(mHealth)干预内容必须与目标人群合作设计。本研究旨在利用基于以人为本的设计原则和IDEAS(整合、设计、评估、共享)框架设计阶段的多次迭代过程,为拉丁裔青少年开发一种移动健康PA干预。根据先前试点研究的反馈,计划的干预措施包括视觉社交媒体帖子和短信,商业可穿戴跟踪器和主要的视觉网站。所要求的移动保健干预部分的开发是通过以下两个阶段完成的:与目标人群开展焦点小组讨论,并与由拉丁裔青少年组成的青年咨询委员会(YAB)一起测试最终材料的可用性。焦点小组的参与者(N=50)是13-18岁的女孩,她们会说英语和读英语,她们是从当地高中和课后项目中招募的,这些项目为拉丁裔人提供了很高的比例。促进讨论的重点是PA和社交媒体应用程序的经验,以及对干预材料原型和可能的名称和徽标的具体反馈。可行的产品是根据他们的反馈设计的,然后由YAB测试可用性。YAB成员(n=4)是13-18岁的拉丁裔,他们不经常活跃,通过口口相传的方式招募,并通过申请程序选择。焦点小组讨论产生了以下发现:PA的偏好包括散步、跑步和团体健身课程,而最不受欢迎的活动是跑步、游泳和骑自行车。大多数参与者(n= 48,96%)使用某种形式的社交媒体,Instagram是最受欢迎的。参与者希望每天发送的短信不超过一次,个性化,措辞积极。焦点小组的参与者更喜欢直接针对拉丁裔和社交媒体帖子的干预,这些帖子颜色鲜艳,包括所有体型的女孩,并提供具体的提示和信息。修改后的干预材料得到了YAB成员的普遍认可,他们提出了进一步改进的建议,包括缩短文本和加入一些西班牙语短语。拉丁裔青少年通常对移动健康PA干预充满热情,前提是这些材料专门针对他们和他们的喜好。通过多次迭代开发和目标人群的反馈,我们深入了解了拉丁裔青少年的需求,并与行业合作伙伴一起打造了一款可行的最终产品。
Only 3% of Latina teens meet the national physical activity (PA) guidelines, and these habits appear to persist into adulthood. Developing effective interventions to increase PA in Latina teens is necessary to prevent disease and reduce disparities. Mobile technologies may be especially appropriate for this population, but mobile health (mHealth) intervention content must be designed in collaboration with the target population. This study aims to develop an mHealth PA intervention for Latina adolescents using a multistage iterative process based on the principles of human-centered design and multiple iterations of the design phase of the IDEAS (Integrate, Design, Assess, Share) framework. On the basis of the feedback from a previous pilot study, the planned intervention included visual social media posts and text messaging, a commercial wearable tracker, and a primarily visual website. The development of the requested mHealth intervention components was accomplished through the following 2 phases: conducting focus groups with the target population and testing the usability of the final materials with a youth advisory board (YAB) comprising Latina adolescents. Participants for focus groups (N=50) were girls aged 13-18 years who could speak and read in English and who were recruited from local high schools and after-school programs serving a high proportion of Latinos. Facilitated discussions focused on experience with PA and social media apps and specific feedback on intervention material prototypes and possible names and logos. Viable products were designed based on their feedback and then tested for usability by the YAB. YAB members (n=4) were Latinas aged 13-18 years who were not regularly active and were recruited via word of mouth and selected through an application process. The focus group discussions yielded the following findings: PA preferences included walking, running, and group fitness classes, whereas the least popular activities were running, swimming, and biking. Most participants (n=48, 96%) used some form of social media, with Instagram being the most favored. Participants preferred text messages to be sent no more than once per day, be personalized, and be positively worded. The focus group participants preferred an intervention directly targeting Latinas and social media posts that were brightly colored, included girls of all body types, and provided specific tips and information. Modified intervention materials were generally perceived favorably by the YAB members, who provided suggestions for further refinement, including the shortening of texts and the incorporation of some Spanish phrases. Latina teens were generally enthusiastic about an mHealth PA intervention, provided that the materials were targeted specifically to them and their preferences. Through multiple iterations of development and feedback from the target population, we gained insight into the needs of Latina teens and joined with industry partners to build a viable final product.
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