Designing a Mobile App to Enhance Parenting Skills of Latinx Parents: A Community-Based Participatory Approach
Designing a Mobile App to Enhance Parenting Skills of Latinx Parents: A Community-Based Participatory Approach
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DOI：
10.2196/12618
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发表时间：
2020-01-01
影响因子：
2.2
通讯作者：
Allen, Michele L.
中科院分区：
文献类型：
--
作者：
Doty, Jennifer L.;Brady, Sonya S.;Allen, Michele L.
背景：拉丁裔家庭是智能手机使用率最高的群体之一，但针对这一群体的健康网络项目却很少。为拉丁裔家庭设计的基于父母的智能手机应用程序可能有助于增加获得循证育儿计划的机会，并最终减少儿童和青少年之间的健康差距。为了最大限度地利用这些应用程序，电子健康研究和疾病管理中心（CeHRes）电子健康（eHealth）发展路线图推荐了5个发展阶段：(1)上下文调查，(2)价值规范，(3)设计，(4)操作化，(5)评估。目标：在CeHRes路线图的指导下，我们的目标是将基于社区的参与式研究（CBPR）方法应用于移动应用程序开发。我们提出了一项形成性评估，为基于面对面的父母教育项目Padres Informados/Jovenes Preparados （PIJP）的拉丁裔青少年父母的电子健康移动应用程序的设计提供信息。方法：社区参与者包括拉丁裔家长和利益相关者。我们进行了家长调查（N=115）和访谈（N=20），以了解背景并获得对应用程序模型和原型的反馈，主持研讨会以简化内容，以及利益相关者访谈（N=4），以讨论价值和应用程序需求。结果：我们报告了CeHRes路线图的前三个阶段的结果。在调查中，96.5%（111/115）的父母表示他们可以使用手机，85.6%（89/104）的父母表示，如果有手机，他们将在下个月使用育儿应用程序，80.2%（89/111）的父母表示，他们打算使用减压应用程序。父母表示，设定育儿目标并跟踪这些目标是应用程序的重要潜在功能。技术态度和障碍与父母使用育儿手机应用程序的意图无关（95% CI分别为0.51-1.17和0.28-2.12）。定性访谈证实了拉丁裔父母对技术的参与以及对在线教育和儿童发展信息的渴望。利益相关者访谈确定了3种社区价值观：家庭主义、促进青少年健康和提供经济价值。社区利益相关者参与定义移动应用程序需求。基于社区和家长的意见，移动应用原型设计分为3个部分：(1)8个基于视频的育儿技能指导模块，内容来自面对面的PIJP项目；(2)来自可穿戴设备的呼吸频率信息，以支持对可能影响育儿的压力水平的认识；(3)目标设定和跟踪能力。结论：本研究的结果强调了迭代参与式设计过程的效用。CBPR方法和社区合作通过促进权力分享、促进招聘和在社区成员之间建立信任，加强了CeHRes路线图。讨论了在拉丁裔社区将社区研究应用于CeHRes路线图的前三个阶段的经验，以及最后两个阶段的计划。
Background: Latinx families are among the highest users of smartphones, yet few health-focused Web programs have been developed for this audience. Parent-based smartphone apps designed for Latinx families may help increase access to evidence-informed parenting programming and ultimately reduce health disparities among children and adolescents. To maximize uptake of such apps, the Center for eHealth Research and Disease Management (CeHRes) Roadmap for electronic health (eHealth) development recommends 5 phases of development: (1) contextual inquiry, (2) value specification, (3) design, (4) operationalization, and (5) evaluation.Objective: Guided by the CeHRes Roadmap, our objective was to apply a community-based participatory research (CBPR) approach to mobile app development. We present a formative evaluation to inform the design of an eHealth mobile app for Latinx parents of adolescents based on a face-to-face parenting program, Padres Informados/Jovenes Preparados (PIJP).Methods: Community participants in the process included Latinx parents and stakeholders. We conducted a parent survey (N=115) and interviews (N=20) to understand the context and obtain feedback on a mockup and prototype of the app, facilitator workshops to streamline content, and stakeholder interviews (N=4) to discuss values and app requirements.Results: We report results from the first 3 phases of the CeHRes Roadmap. In the survey, 96.5% (111/115) of parents reported they had access to a cell phone, 85.6% (89/104) reported they would use a parenting app in the next month if they had access, and 80.2% (89/111) reported intentions to use a stress reduction app. Parents reported that setting goals about parenting and tracking those goals were important potential features of an app. In logistic regression analyses, technology attitudes and barriers were not related to parent's intentions to use a parenting mobile app (95% CI 0.51-1.17 and 95% CI 0.28-2.12, respectively). Qualitative interviews confirmed Latinx parents' technology engagement and desire for education and child development information online. Stakeholder interviews identified 3 community values: familism, the promotion of adolescent health, and delivery of economic value. Community stakeholders participated in defining the mobile app requirements. On the basis of community and parent input, the mobile app prototype was designed with 3 sections: (1) 8 modules of video-based parenting skills instruction with content from the face-to-face PIJP program, (2) breath rate information from a wearable device to support awareness of stress levels that could affect parenting, and (3) goal setting and tracking capacities.Conclusions: The findings of this study highlight the utility of an iterative, participatory design process. The CBPR approach and community collaboration enhanced the CeHRes Roadmap by promoting power sharing, facilitating recruitment, and building trust among community members. Experiences applying community research to the initial 3 phases of the CeHRes Roadmap in a Latinx community are discussed, along with plans for the 2 final phases.