Scaling up access and usability of smartphone tools for reporting chemical biomonitoring results

扩大用于报告化学生物监测结果的智能手机工具的访问和可用性

• 批准号: 9917777
• 负责人: JULIA Green BRODY
• 金额: $ 18.76万
• 依托单位: SILENT SPRING INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-17 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9917777
• 关键词: Address; Area; Aromatic Polycyclic Hydrocarbons; Back; Behavior; Biological Monitoring; Blood; Cellular Phone; Chemical Exposure; Chemicals; Color; Communication; Communities; Computer software; Curiosities; Data; Development; Educational Models; Educational process of instructing; Emotional; Environmental Health; Ethics; Feedback; Funding; Goals; Graph; Health; Health Sciences; Individual; Internet; Journals; Knowledge; Learning; Low income; Measurable; Measurement; Measures; Methods; Modernization; National Institute of Environmental Health Sciences; Outcome; Participant; Phenols; Pre-Post Tests; Pregnancy; Production; Professional Meetings and Conferences; Public Health; Publications; Puerto Rico; Reading; Reporting; Research; Research Ethics; Research Personnel; Research Support; San Francisco; Science; Self Efficacy; Shapes; Signal Transduction; Social Sciences; Software Engineering; Software Framework; Source; Superfund; Tablet Computer; Telephone; Testing; Tissues; Translating; Translational Research; Translations; Update; Urine; Visualization software; cohort; dashboard; data to knowledge; data visualization; design; digital; environmental chemical; environmental justice; health literacy; improved; innovation; insight; interest; method development; programs; recruit; response; scale up; skills; study population; tool; usability

Biomonitoring measurements in blood, urine, and other tissues are crucial for studies to understand the effects of environmental chemicals on health. Participants almost always want to learn their own results, and modern ethics statements support their right-to-know. In response, more studies are returning personal results for growing numbers of chemicals, even if health effects are uncertain. Research to evaluate the outcomes in these studies shows that report-back encourages recruitment and retention, leads researchers to new translational insights about their data, and increases environmental health literacy for participants (EHL, the ability to understand and act on knowledge to protect health). Participants do not become overly worried. Thus, new tools to scale up production of personalized reports benefit both researchers and study participants. The Digital Exposure Report-Back Interface (DERBI) is a tested software framework for efficiently producing reports for print, computer/tablet, or smartphone. However, two barriers limit its scalability and usability. First, it currently requires researchers to have advanced programming skills, which most teams lack. Second, smartphone reports are needed for low-income communities where phone is the primary access to the internet, and the beta smartphone version requires additional development. This methods-development project addresses these gaps by expanding both the researcher- and study-participant functionality of DERBI. Aim 1 will increase access to report-back by building an easy-to-use dashboard (interface), so any researcher can use DERBI to visualize personal data and create reports without programming skills. Five NIEHS-supported teams – each composed of a researcher and a community partner -- will provide input to design the dashboard and then user-test it with their own data, which includes measurements of polycyclic aromatic hydrocarbons, environmental phenols, and highly fluorinated substances (PFAS), among others. Researchers will be able to visualize their data to gain insights and tailor reports to their study population. Aim 2 will develop, field, and evaluate smartphone reports as a tool for growing environmental health literacy among cohort participants. Smartphone DERBI has been deployed in beta version in just one study, PROTECT in Puerto Rico. This project will use feedback from PROTECT and user-test a new tutorial feature to engage curiosity and support lower-EHL users in reading their results. We will user-test and deploy the improved smartphone report in Chemicals in Our Bodies, a diverse pregnancy cohort in the San Francisco area. Using quantitative pre- and post-tests, we will assess participant learning, emotional response, and exposure-related behavior. This project will create and actively disseminate a free software package for any researcher to generate high-quality, biomonitoring reports on smartphone, using methods that support environmental health literacy in vulnerable communities. By developing communications about chemical exposures, it will immediately advance translation of exposure science to improve public health.

血液、尿液和其他组织中的生物监测测量对于了解这些影响的研究至关重要 环境化学品对健康的影响参与者几乎总是想学习自己的成果，而现代 道德操守声明支持他们的知情权。作为回应，更多的研究正在返回个人结果， 越来越多的化学品，即使健康影响不确定。研究以评估 这些研究表明，反馈鼓励招聘和保留，导致研究人员新的 翻译的见解，并提高参与者的环境健康素养（EHL， 理解并根据知识采取行动以保护健康的能力）。参与者不会过度担心。因此，在本发明中， 扩大个性化报告制作规模的新工具使研究人员和研究参与者都受益。的 数字曝光报告返回接口（DERBI）是一个经过测试的软件框架，用于有效地生成报告 用于打印、计算机/平板电脑或智能手机。然而，两个障碍限制了它的可扩展性和可用性。一是 目前要求研究人员具有高级编程技能，而大多数团队都缺乏这一技能。第二、 低收入社区需要智能手机报告，因为电话是互联网的主要接入方式， 测试版智能手机需要额外的开发。该方法开发项目 通过扩展DERBI的研究者和研究参与者功能来解决这些差距。要求1 将通过构建一个易于使用的仪表板（界面）来增加对报告的访问，因此任何研究人员都可以 使用DERBI可视化个人数据并创建报告，无需编程技能。五个NIEHS支持 每个小组由一名研究人员和一名社区合作伙伴组成，将为仪表板的设计提供投入 然后用户用他们自己的数据进行测试，包括多环芳烃的测量， 环境酚和高氟物质（PFAS）等。研究人员将能够 可视化他们的数据，以获得见解，并根据他们的研究人群定制报告。目标2将开发，领域， 评估智能手机报告作为提高群组参与者环境卫生素养的工具。 智能手机DERBI仅在一项研究中部署了测试版，即波多黎各的CITT。这 该项目将使用来自CNET的反馈，并对一个新的教程功能进行用户测试，以吸引好奇心和支持 低EHL用户在阅读他们的结果。我们将对改进后的智能手机报告进行用户测试和部署， 化学物质在我们的身体，一个不同的怀孕队列在旧金山弗朗西斯科地区。使用定量预处理和 测试后，我们将评估参与者的学习，情绪反应和与安全相关的行为。这个项目 将创建并积极传播免费软件包，供任何研究人员生成高质量， 智能手机上的生物监测报告，使用支持弱势群体环境卫生知识的方法 社区.通过发展有关化学品暴露的交流， 翻译暴露科学以改善公众健康。