The development of a social norms adherence intervention for adolescents with epilepsy.
The development of a social norms adherence intervention for adolescents with epilepsy.
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DOI：
10.1016/j.yebeh.2020.107628
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Stevens J
中科院分区：
文献类型：
--
作者：
Modi AC;Patel AD;Gutierrez-Colina AM;Wetter SE;Heckaman LM;Debs A;Mara CA;Wentzel E;Schmidt M;Stevens J
患有癫痫的青少年的依从性不佳。社会规范比较（即对他人行为与自己行为相关的反馈）策略可能有助于提高药物依从性。使用行为干预发展的新模型，当前研究的目的是通过焦点小组和可用性研究为癫痫青少年创建社会规范干预。进行了焦点小组、个人访谈、短期可用性和扩展使用测试研究。在所有研究阶段，干预组件的内容和图像都以 PowerPoint 幻灯片中的模型形式向参与者展示。每个阶段结束后，都会向参与者展示更新的迭代，以完善干预措施。青少年和护理人员完成了几份调查问卷来描述样本的特征。十二名青少年参加了焦点小组/个人访谈和可用性研究。最终的青少年行为经济依从性 (BEAT) 干预措施由文本消息系统和图形用户界面组成。一般反馈表明，获取图形消息需要简单性和易用性（例如，无需额外的登录名和密码）；引人入胜的视觉图像；每周将目标患者的药物依从性与其他青少年的表现进行比较。平均系统可用性系统 (SUS) 评级为 88.3±3.8。我们的最终干预措施具有很高的可用性评级，并且被认为具有吸引力且易于理解。下一步重要的一步是在 2 期随机试验中测试 BEAT 干预。
Adherence is suboptimal in adolescents with epilepsy. Social norms comparison (i.e., feedback about someone else’s behavior related to one’s own behavior) strategies may be beneficial in improving medication adherence. Using a novel model of behavioral intervention development, the aim of the current study was to create a social norms intervention for adolescents with epilepsy via focus groups and usability studies. A focus group, individual interviews, short-term usability, and extended usage testing studies were conducted. Across all study phases, content and images of intervention components were displayed to participants as mock-ups in PowerPoint slide decks. After each phase, updated iterations were shown to participants to refine the intervention. Several questionnaires were completed by adolescents and caregivers to characterize the samples. Twelve adolescents participated in the focus group/individual interviews and usability studies. The final Behavioral Economic Adherence for Teens (BEAT) intervention consists of a text messaging system and a graphical user interface. General feedback indicated the need for simplicity and ease of use regarding obtaining the graphical messages (e.g., no extra login and passwords); engaging visual images; and weekly comparisons of a target patient’s medication adherence to other adolescents’ performance. The average system usability system (SUS) rating was 88.3±3.8. Our final intervention had high usability ratings and was perceived as engaging and easy to understand. An important next step is to test the BEAT intervention in a Phase 2 randomized trial.
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