Ubiquitous Mobile Multimedia for Environmental Public Health Outreach and Social

描述（由申请人提供）：项目摘要：大多数成年人访问互联网使用它来搜索健康信息，这些查询的一半是为朋友或家人的健康。不幸的是，访问互联网的机会因社会经济地位而异，因此存在很好的量化“数字鸿沟“：2008年，美国65%的白色成年人在网上搜索健康信息，而非洲裔美国人和西班牙裔美国人的比例分别为51%和44%。传送可视内容的替代机制（例如，图片、动画和视频）是无处不在的手机，而较少访问互联网的人口统计数据往往是移动的多媒体的更频繁用户：54%的白色成年人在手机上使用多媒体消息，而非洲裔美国人和西班牙裔美国人分别为56%和76%。朋友和家人之间的多媒体消息是手机上增长最快的数据服务，也是第二大调用（文本消息是第一大），但由于技术障碍，包括教学设计限制以及缺乏设备和无线运营商的互操作性，它并没有被用作传递健康信息的通信媒介。拟议的STTR第一阶段工作将调查使用移动的多媒体进行健康外展的可行性，多媒体信息对健康外展用户的吸引力，以及其在促进社会群体之间共享健康外展信息方面的有效性。这项工作的重点是多媒体消息和传统的基于Web的推广之间的差异，包括移动的设备的个人性质，用户接受推送内容，以及基于Web的推广计划的重新利用内容和保持无线选择注册的成本。这项工作还将调查外展接受者通过点对点转发多媒体信息和在社交网站上发布多媒体信息（例如，Twitter和Facebook）。公共卫生外展计划向任何（选择加入的）手机发送多媒体的能力，以及任何用户从任何手机在社交网络网站上发布多媒体内容的能力，需要针对当前缺乏互操作性的技术解决方案。为了在第一阶段的性能进行实地测试，拟议的努力建立在两个正在进行的项目：社区外展和教育核心（COEC）在医学和牙科大学的新泽西（UMDNJ）和细胞平台的即时培训紧急事件系统（JITTEIS）。COEC将来自NIEHS环境健康科学核心中心环境暴露和疾病中心（CEED）的研究信息转化为社区利益相关者的工具和资源。COEC的目标是：（1）与社区利益相关者建立伙伴关系，翻译和传播CEED研究信息;（2）加强社区利益相关者与CEED研究人员之间关于环境健康问题的对话;（3）提高对环境健康研究的认识和理解;（4）促进环境健康研究作为一种职业选择。JITTEIS是在NIEHS工人教育和培训计划下开发的一种培训技术，为熟练的支持人员（SSP，例如，木匠、钢铁工人、环卫工人），在紧急事件中帮助第一反应者。SSP经常暴露在与第一反应者相同的危险中，但缺乏危险评估和使用个人防护设备的正式指导。当SSP被部署到事件时，JITTEIS以彩信的形式向他们的手机发送简短的相关多媒体课程。JITTEIS与SSP现有的手机、运营商和无线订阅计划一起工作，不需要SSP更改手机或帐户中的任何设置，安装任何软件或浏览内容。拟议的努力适应JITTEIS技术在COEC的社区推广和教育，并与COEC利益相关者评估这种新的推广媒介。移动的多媒体将补充COEC目前传播的CEED研究，为COEC的目标受众提供及时和定期访问CEED研究信息的机会，远远超出了年度COEC活动，即使用户没有计算机经验。任何用户都可以选择并选择感兴趣的特定主题。随着COEC开发有关CEED研究和社区活动的信息，这项技术将以易于吸收的多媒体形式将其推送到用户的手机上。在任何时候，用户可以查看内容，将其转发到朋友和家人的移动的设备或电子邮件，并将其发布在任何社交网站上，从而利用对等体之间的通信来增加外展消息的受众足迹。 公共卫生相关性：由于数字鸿沟而得不到充分服务的人口往往更频繁地使用能够传递和传播健康信息的手机功能。然而，美国的公共卫生推广并没有利用这种通信媒介，该国在移动的学习中采用手机方面总体上落后于世界其他地区。拟议的努力是一个公共应用程序的移动的学习，解决技术的互操作性和教学设计的障碍，以前阻碍了这样的服务：公众将有机会获得吸引人的健康推广多媒体，无论他们的手机。与基于网络的体验不同，所提出的消息传递将特定主题的多媒体外展推到手机上，而不需要用户浏览，并且用户可以轻松地将其转发给他/她的朋友、家人和社交网站，从而可能加速公共卫生外展的传播和覆盖。

DESCRIPTION (provided by applicant): Project Abstract: Most adults with access to the Internet have used it to search for health information, and half of these queries are for friends or family of the searcher. Unfortunately, access to the Internet varies by socioeconomic status, hence the well quantified "digital divide:" 65% of white adults in the United States searched online for health information in 2008 versus 51% of African Americans and 44% of Hispanics. An alternate mechanism with which to convey visual content (e.g., pictures, animations, and videos) is the ubiquitous cell phone, and demographics with less access to the Internet tend to be more frequent users of mobile multimedia: 54% of white adults use multimedia messaging on their phones, versus 56% of African Americans and 76% of Hispanics. Multimedia messaging between friends and family is the fastest growing data service on cell phones and the second most invoked (text messaging being the first), but it is not used as a communications medium on which to deliver health information due to technical barriers that include instructional design constraints and a lack of device and wireless carrier interoperability. The proposed STTR Phase I effort will investigate the feasibility of using mobile multimedia for health outreach, the appeal of multimedia messaging to health outreach users, and its effectiveness in facilitating the sharing of health outreach information among social groups. The effort focuses on differences between multimedia messaging and traditional web-based outreach, including the personal nature of mobile devices, user acceptance of pushed content, and the cost to a web-based outreach program of repurposing content and maintaining wireless opt-in enrollment. The effort will also investigate the potential of outreach recipients to disseminate health outreach through peer-to-peer forwarding of multimedia messages, and posting multimedia messages on social websites (e.g., Twitter and Facebook). The ability of a public health outreach program to send multimedia to any (opted-in) cell phone, and the ability of any user to post multimedia content on a social network web site from any cell phone, require technical solutions to the current lack of interoperability. In order to conduct field tests within the Phase I period of performance, the proposed effort builds upon two ongoing projects: the Community Outreach and Education Core (COEC) at the University of Medicine and Dentistry of New Jersey (UMDNJ) and Cell Podium's Just-In- Time Training for Emergency Incidents System (JITTEIS). COEC translates research information from the Center for Environmental Exposures and Disease (CEED), an NIEHS Environmental Health Sciences Core Center, into tools and resources for community stakeholders. The goals of COEC are to (1) develop partnerships with community stakeholders to translate and disseminate CEED research information; (2) enhance the dialogue on environmental health issues between community stakeholders and CEED researchers; (3) increase awareness and understanding of environmental health research; and (4) promote environmental health research as a career option. JITTEIS is a training technology being developed under the NIEHS Worker Education and Training Program that serves skilled support personnel (SSP, e.g., carpenters, ironworkers, sanitation workers) deployed to aid first responders in emergency incidents. SSP are often exposed to the same hazards as first responders, but lack formal instruction in hazard assessment and the use of personal protective equipment. When SSP are deployed to an incident, JITTEIS sends brief relevant multimedia lessons to their cell phones in the form of multimedia messages. JITTEIS works with the SSP's existing cell phone, carrier, and wireless subscription plan, and does not require the SSP to change any settings in the phone or account, install any software, or browse for content. The proposed effort adapts JITTEIS technology to community outreach and education at the COEC, and assesses this new outreach medium with COEC stakeholders. Mobile multimedia will complement COEC's current dissemination of CEED research by providing COEC's target audiences with timely and regular access to CEED research information well beyond the annual COEC events, even if the user has no computer experience. Any user will be able to opt in and select specific topics of interest. As COEC develops information on CEED research and community events, this technology will push it onto users' phones in the form of easily assimilated multimedia. At any time, the user can view the content, forward it to the mobile devices or email of friends and family, and post it on any social networking site, thereby leveraging communications among peers to increase the audience footprint of the outreach messages. PUBLIC HEALTH RELEVANCE: Demographics underserved by the digital divide tend to be more frequent users of cell phone functionality that can convey and propagate health information. However, public health outreach in the United States does not exploit this communications medium, and the country overall lags behind the rest of the world in the adoption of cell phones in mobile learning. The proposed effort is a public application of mobile learning that addresses the technical interoperability and instructional design barriers that have previously impeded such services: the public at large will have access to appealing health outreach multimedia regardless of their cell phone. Unlike a web-based experience, the proposed messaging pushes theme-specific multimedia outreach to the phone without requiring the user to browse for it, and is easily forwarded by the user to his/her friends, family, and social websites, potentially accelerating the dissemination and coverage of public health outreach.