Mobile Motivation for Health Promotion Among Adolescents

描述（由申请人提供）：这个第二阶段的SBIR申请提议为青少年（13-18岁）开发和测试一个基于理论的健康促进手机应用程序BodiMojo。该产品旨在：(1)通过可通过任何手机或无线设备访问的移动程序促进青少年的健康、健康饮食和体育活动；(2)为卫生诊所和青年组织开发一个服务管理工具，以监测和奖励青年的进步。努力预防肥胖，改善营养摄入和体育活动对这个年龄段的人来说是非常具有挑战性的。这在很大程度上是由于项目吸收和坚持的困难，以及社会污名化和对成年后潜在的长期不良后果缺乏紧迫感。第一阶段的结果清楚地表明，需要与青少年建立个人联系，促进积极的行动，并奖励可能导致行为改变的小成功。注意心理社会问题，如情绪和身体形象，显然是成功预防肥胖的关键。该项目旨在改善心理社会因素，包括身体自尊、情绪和目标坚持，因为它们调节健康饮食和体育活动行为的采用。基于第一阶段的概念验证，该应用程序打算充分利用移动电话的独特和广泛的功能，利用游戏化和社交网络来开发移动程序。第二个目标将是为保健中心和学校保健工作人员开发一种基于网络的工具和手册，以吸引和跟踪青年成员改善健康行为的努力。最终目的是在一个大型HMO成员中超重和肥胖青少年的随机对照研究中测试移动项目的有效性和依从性。通过在当前技术创新的背景下解决青少年的独特需求，BodiMojo提供了一个基于移动的个性化健康促进计划，可以覆盖大量人口。同时，BodiMojo有助于实现目标，提供基于经验的健康信息，并以及时和保密的方式提供个性化反馈，这些反馈超出了临床遇到或教育环境的范围。

DESCRIPTION (provided by applicant): This Phase II SBIR application proposes the development and testing of a theory-based health promotion mobile phone application, BodiMojo, for adolescents (ages 13-18). The product is designed to: (1) promote wellness, healthy eating and physical activity in adolescents through a mobile program that can be accessed via any cell phone or wireless device; and (2) develop a service administrator tool for health clinics and youth organizations to monitor and reward progress among their youth. Efforts to prevent obesity and improve nutrition intake and physical activity are very challenging to implement with this age group. This is in large part due to difficulties in program uptake and adherence, as well as social stigmatization and a lack of a sense of urgency about potential long-term adverse outcomes in adulthood. Phase I results clearly identified the need to engage teenagers with personal relevancy and to promote positive actions and reward small successes that may lead to behavior change. Attention to psychosocial issues such as mood and body image is clearly key to success in obesity prevention efforts. This project is designed to improve psychosocial factors, including body esteem, mood, and goal adherence, as they mediate the adoption of healthy eating and physical activity behaviors. Based on the proof-of-concept in Phase I, this application intends to fully develop the mobile program using gamification and social networks by capitalizing on the unique and broad-based capability of mobile phones. The second aim will be to develop a web-based tool and manual for health centers and school health staff to engage and track youth members in their efforts toward improving health behaviors. The final aim is to test the efficacy of and adherence to the mobile program in a randomized controlled field study among overweight and obese adolescents who are members of a large HMO. By addressing the unique needs of adolescents in the context of current technological innovations, BodiMojo offers a mobile-based personalized health promotion program that can reach large populations. At the same time BodiMojo facilitates goal attainment, provides empirically-based health information, and offers personalized feedback in a timely and confidential manner that extends beyond the reach of the clinical encounter or educational setting.