Tailoring virtual human-delivered interventions: A digital intervention promoting colorectal cancer screening for Black women.
Tailoring virtual human-delivered interventions: A digital intervention promoting colorectal cancer screening for Black women.
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DOI：
10.1002/pon.5538
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发表时间：
2020-12
期刊：
影响因子：
3.6
通讯作者：
Krieger JL
中科院分区：
文献类型：
--
作者：
Vilaro MJ;Wilson-Howard DS;Griffin LN;Tavassoli F;Zalake MS;Lok BC;Modave FP;George TJ;Carek PJ;Krieger JL
尽管努力减少癌症差异，黑人女性在癌症研究中的代表性仍然不足。虚拟卫生助理（VHAs）是一种很有前途的数字技术，用于向不同人群传播健康信息和促进健康行为。本研究描述了参与者对VHA干预促进结直肠癌（CRC）家庭粪便测试筛查的反应。我们招募了53名50至73岁的非西班牙裔黑人妇女参加焦点小组和大声思考访谈，并测试了由种族和性别一致的VHA提供的基于网络的干预。以用户为中心的设计方法根据参与者的意见优先修改三个连续版本的干预措施。参与者确定了与VHA可信度组成部分相关的26个线索，包括可信度、专业知识和权威。对早期版本的评论显示，人们更喜欢与人类医生交流，并对VHA的外观和动作提出了负面批评。对特定线索的修改改善了用户体验，参与者表示更愿意参与VHA的后期版本及其传递的筛选信息。根据模态、代理、交互性、可导航性模型，我们提出了一个开发可靠的VHA传递癌症筛查信息的框架。vha提供了一种传递健康信息的系统方式。一项旨在提高可信度的文化敏感干预措施促进了用户对符合指南的CRC筛查信息的兴趣。我们提出的策略，有效地使用线索，以吸引观众与健康信息，这可以应用到未来的研究在不同的背景下。
Despite efforts to reduce cancer disparities, Black women remain underrepresented in cancer research. Virtual health assistants (VHAs) are one promising digital technology for communicating health messages and promoting health behaviors to diverse populations. This study describes participant responses to a VHA‐delivered intervention promoting colorectal cancer (CRC) screening with a home‐stool test. We recruited 53 non‐Hispanic Black women 50 to 73 years old to participate in focus groups and think‐aloud interviews and test a web‐based intervention delivered by a race‐ and gender‐concordant VHA. A user‐centered design approach prioritized modifications to three successive versions of the intervention based on participants' comments. Participants identified 26 cues relating to components of the VHA's credibility, including trustworthiness, expertise, and authority. Comments on early versions revealed preferences for communicating with a human doctor and negative critiques of the VHA's appearance and movements. Modifications to specific cues improved the user experience, and participants expressed increased willingness to engage with later versions of the VHA and the screening messages it delivered. Informed by the Modality, Agency, Interactivity, Navigability Model, we present a framework for developing credible VHA‐delivered cancer screening messages. VHAs provide a systematic way to deliver health information. A culturally sensitive intervention designed for credibility promoted user interest in engaging with guideline‐concordant CRC screening messages. We present strategies for effectively using cues to engage audiences with health messages, which can be applied to future research in varying contexts.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
29.4
作者：
Lai Y;Wang C;Civan JM;Palazzo JP;Ye Z;Hyslop T;Lin J;Myers RE;Li B;Jiang B;Sama A;Xing J;Yang H
通讯作者：
Yang H
影响因子：
7.6
作者：
CHAIKEN, S
通讯作者：
CHAIKEN, S
影响因子：
2.6
作者：
Bennett, L. Michelle;Gadlin, Howard
通讯作者：
Gadlin, Howard
影响因子：
5.7
作者：
OHANIAN, R
通讯作者：
OHANIAN, R