Dietary Approaches to Stop Hypertension: Lessons Learned From a Case Study on the Development of an mHealth Behavior Change System.
Dietary Approaches to Stop Hypertension: Lessons Learned From a Case Study on the Development of an mHealth Behavior Change System.
复制标题
DOI：
10.2196/mhealth.3307
复制
发表时间：
2014-10-23
影响因子：
5
通讯作者：
Weng M
中科院分区：
文献类型：
--
作者：
Mann DM;Quintiliani LM;Reddy S;Kitos NR;Weng M
改变健康行为的循证解决方案是存在的，但可行性、可持续性和传播方面的问题限制了它们对基于人群的行为改变和维持的影响。我们的目标是通过使用智能手机和无线传感器的固有功能来开发下一代移动的健康（mHealth）干预措施，从而克服既定行为改变计划的局限性，这种干预措施可能更加可行。为了应对临床需求和智能手机不断增长的功能，我们的研究团队决定开发一种行为高血压降低mHealth系统，其灵感来自于饮食方法阻止高血压（DASH），一种生活方式改变计划。我们概述了塑造该项目的关键设计和开发决策，包括有关行为改变最佳实践、辅导功能、平台、多媒体内容、无线设备、数据安全、系统集成、快速原型设计、可用性、资金机制以及所有这些问题如何与临床研究和行为试验交叉的决策。在12个月的时间里，我们的研究团队在开发原型干预方面面临着许多挑战。我们描述了10个经验教训，最终将刺激更有效和可持续的方法。本案例研究中提出的经验可以作为其他开发mHealth行为干预开发项目的参考，突出mHealth研究所面临的好处和挑战。
Evidence-based solutions for changing health behaviors exist but problems with feasibility, sustainability, and dissemination limit their impact on population-based behavior change and maintenance. Our goal was to overcome the limitations of an established behavior change program by using the inherent capabilities of smartphones and wireless sensors to develop a next generation mobile health (mHealth) intervention that has the potential to be more feasible. In response to the clinical need and the growing capabilities of smartphones, our study team decided to develop a behavioral hypertension reduction mHealth system inspired by Dietary Approaches to Stop Hypertension (DASH), a lifestyle modification program. We outline the key design and development decisions that molded the project including decisions about behavior change best practices, coaching features, platform, multimedia content, wireless devices, data security, integration of systems, rapid prototyping, usability, funding mechanisms, and how all of these issues intersect with clinical research and behavioral trials. Over the 12 months, our study team faced many challenges to developing our prototype intervention. We describe 10 lessons learned that will ultimately stimulate more effective and sustainable approaches. The experiences presented in this case study can be used as a reference for others developing mHealth behavioral intervention development projects by highlighting the benefits and challenges facing mHealth research.
登录
查看更多内容
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
4.7
作者：
Luxton, David D.;Kayl, Robert A.;Mishkind, Matthew C.
通讯作者：
Mishkind, Matthew C.
影响因子：
7.4
作者：
Cafazzo JA;Casselman M;Hamming N;Katzman DK;Palmert MR
通讯作者：
Palmert MR
DOI：
10.3390/s120912606
发表时间：
2012
期刊：
Sensors (Basel, Switzerland)
影响因子：
--
作者：
Sahoo PK
通讯作者：
Sahoo PK
影响因子：
120.7
作者：
Appel, LJ;Champagne, CM;Young, DR
通讯作者：
Young, DR