Translating Behavioral Interventions Onto mHealth Platforms: Developing Text Message Interventions for Smoking and Alcohol.

Translating Behavioral Interventions Onto mHealth Platforms: Developing Text Message Interventions for Smoking and Alcohol.
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DOI:
10.2196/mhealth.3779
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发表时间:
2015-02-24
影响因子:
5
通讯作者:
Traficante R
Traficante R
中科院分区:
医学2区
文献类型:
--
作者:
Bock BC;Rosen RK;Barnett NP;Thind H;Walaska K;Foster R;Deutsch C;Traficante R

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移动健康应用程序的开发通常由调查人员和开发人员驱动,目标人群的投入相对较少。用户输入通常限于“喜欢/不喜欢”干预后消费者满意度评级或设备或应用特定的用户分析,诸如可用性。然而,要产生对健康行为具有持久影响的成功的移动健康应用程序,从每个项目开始到整个开发过程中获得用户输入至关重要。本教程的目的是说明如何定性方法在迭代的发展过程中已被用于两个独立的行为改变干预措施(针对吸烟和酒精)通过移动的技术(即,短信)提供。进行了一系列焦点小组讨论,以协助将面对面的戒烟干预转化为短信(短信服务,SMS)传递格式。焦点小组和咨询小组都被用来塑造一个文本信息传递干预措施的交付和内容,以减少酒精风险。构建消息内容的体内方法用于开发与发短信作为“手指语音”的概念一致的文本消息内容。使用参与式框架与目标人群进行的形成性研究导致我们的干预结构,内容开发和交付方法发生了重要变化。使用定性的方法和迭代的方法,混合消费者驱动的目标和制造商驱动的目标可以产生范式转变,新的干预应用程序,最大限度地提高目标受众的使用可能性及其对健康行为的潜在影响。
The development of mHealth applications is often driven by the investigators and developers with relatively little input from the targeted population. User input is commonly limited to “like/dislike” post- intervention consumer satisfaction ratings or device or application specific user analytics such as usability. However, to produce successful mHealth applications with lasting effects on health behaviors it is crucial to obtain user input from the start of each project and throughout development. The aim of this tutorial is to illustrate how qualitative methods in an iterative process of development have been used in two separate behavior change interventions (targeting smoking and alcohol) delivered through mobile technologies (ie, text messaging). A series of focus groups were conducted to assist in translating a face-to-face smoking cessation intervention onto a text message (short message service, SMS) delivered format. Both focus groups and an advisory panel were used to shape the delivery and content of a text message delivered intervention for alcohol risk reduction. An in vivo method of constructing message content was used to develop text message content that was consistent with the notion of texting as “fingered speech”. Formative research conducted with the target population using a participatory framework led to important changes in our approach to intervention structure, content development, and delivery. Using qualitative methods and an iterative approach that blends consumer-driven and investigator-driven aims can produce paradigm-shifting, novel intervention applications that maximize the likelihood of use by the target audience and their potential impact on health behaviors.
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