Usability of a Culturally Informed mHealth Intervention for Symptoms of Anxiety and Depression: Feedback From Young Sexual Minority Men.
Usability of a Culturally Informed mHealth Intervention for Symptoms of Anxiety and Depression: Feedback From Young Sexual Minority Men.
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DOI：
10.2196/humanfactors.7392
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发表时间：
2017-08-25
影响因子：
2.7
通讯作者：
Burns MN
中科院分区：
文献类型：
--
作者：
Fleming JB;Hill YN;Burns MN
到目前为止，我们还没有发现针对焦虑和抑郁的干预措施开发成手机应用程序，并为年轻的性少数男性量身定制，这是一个特别容易焦虑和抑郁的群体。我们今天发展起来了！，这是一种了解文化的移动电话干预，针对那些被男性吸引并有临床显著焦虑或抑郁症状的年轻男性。干预的核心包括通过跨诊断认知行为疗法（CBT）进行的日常心理教育和一套工具，以促进将这些概念付诸行动，并定期进行情绪评级，从而产生量身定制的反馈（例如，针对当前痛苦的提示和根据情境对情绪进行可视化）。这项研究的目的是进行可用性测试，以了解年轻的性少数男性如何与应用程序互动，为干预开发的后期阶段提供信息。参与者（n=9）是18-20岁的年轻性少数男性（平均=19.00，标准差[SD]=0.71； 44%黑人，44%白人，11.1%拉丁裔），他们至少有轻度抑郁和焦虑症状。参与者是通过传单、发给大学男女同性恋、双性恋和跨性别（LGBT）组织的电子邮件、网络广告、另一位研究人员对参与研究感兴趣的性少数青年数据库以及口头传播来招募的。在录制的采访中，参与者被要求在与TODAY!互动时大声思考。手机上的应用程序或纸上原型。从这些录音和有关的实地记录中确定的反馈意见采用一般归纳方法进行专题分析。为了帮助解释结果，方法和结果是根据报告定性研究的综合标准（COREQ）进行报告的。对可用性反馈的主题分析揭示了一个普遍的积极反馈主题，以及六个反复出现的主题，这些主题为继续开发提供了信息：(1)功能（例如，在可用时突出新材料），(2)个性化（例如，更量身定制的反馈），(3)呈现（例如，保持内容简短），(4)美学（例如，使用更明亮的颜色），(5)LGBT或青年内容（例如，添加关于出柜的内容），以及(6)使用障碍（例如，将心理教育视为家庭作业）。可用性测试的反馈对于了解年轻的性少数男性对焦虑和抑郁症状的手机干预的期望至关重要，并用于告知此类干预的持续发展。
To date, we are aware of no interventions for anxiety and depression developed as mobile phone apps and tailored to young sexual minority men, a group especially at risk of anxiety and depression. We developed TODAY!, a culturally informed mobile phone intervention for young men who are attracted to men and who have clinically significant symptoms of anxiety or depression. The core of the intervention consists of daily psychoeducation informed by transdiagnostic cognitive behavioral therapy (CBT) and a set of tools to facilitate putting these concepts into action, with regular mood ratings that result in tailored feedback (eg, tips for current distress and visualizations of mood by context). The aim of this study was to conduct usability testing to understand how young sexual minority men interact with the app, to inform later stages of intervention development. Participants (n=9) were young sexual minority men aged 18-20 years (Mean=19.00, standard deviation [SD]=0.71; 44% black, 44% white, and 11.1% Latino), who endorsed at least mild depression and anxiety symptoms. Participants were recruited via flyers, emails to college lesbian, gay, bisexual, and transgender (LGBT) organizations, Web-based advertisements, another researcher’s database of sexual minority youth interested in research participation, and word of mouth. During recorded interviews, participants were asked to think out loud while interacting with the TODAY! app on a mobile phone or with paper prototypes. Feedback identified from these recordings and from associated field notes were subjected to thematic analysis using a general inductive approach. To aid interpretation of results, methods and results are reported according to the consolidated criteria for reporting qualitative research (COREQ). Thematic analysis of usability feedback revealed a theme of general positive feedback, as well as six recurring themes that informed continued development: (1) functionality (eg, highlight new material when available), (2) personalization (eg, more tailored feedback), (3) presentation (eg, keep content brief), (4) aesthetics (eg, use brighter colors), (5) LGBT or youth content (eg, add content about coming out), and (6) barriers to use (eg, perceiving psychoeducation as homework). Feedback from usability testing was vital to understanding what young sexual minority men desire from a mobile phone intervention for symptoms of anxiety and depression and was used to inform the ongoing development of such an intervention.