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，尿液和其他组织的生物监测测量对于研究的影响至关重要 关于健康的环境化学物质。参与者几乎总是想学习自己的结果，现代 道德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 即使健康效应不确定，化学物质的数量越来越多。研究评估结果 这些研究表明，报告背包鼓励招聘和保留，使研究人员获得新的 关于其数据的转化见解，并提高了参与者的环境健康素养（EHL， 能够理解和采取知识行事以保护健康）。参与者不会过分担心。那， 扩大个性化报告生产的新工具使研究人员和研究参与者都受益。这 数字曝光报告背包接口（DERBI）是一个经过测试的软件框架，用于有效生产报告 用于印刷，计算机/平板电脑或智能手机。但是，两个障碍限制了其可伸缩性和可用性。首先，它 目前要求研究人员具有大多数团队所缺乏的高级编程技能。第二， 低收入社区需要智能手机报告，那里的电话是互联网的主要访问， Beta智能手机版本需要额外的开发。这个方法开发项目 通过扩大德比的研究人员和研究参与者功能来解决这些差距。目标1 通过构建易于使用的仪表板（接口），将增加对报告的访问，以便任何研究人员都可以 使用Derbi可视化个人数据并在没有编程技能的情况下创建报告。五个Niehs支持 团队（每个由研究人员和社区合作伙伴组成）将提供设计仪表板的意见 然后用他们自己的数据进行用户测试，其中包括测量多环子芳烃， 环境酚和高度氟化物质（PFA）等。研究人员将能够 可视化他们的数据以获取洞察力并为其研究人群量身定制报告。 AIM 2将发展，领域和 评估智能手机报告是在队列参与者中增强环境健康素养的工具。 智能手机德比（Derbi）仅在一项研究中就在Beta版本中部署了Puerto Rico。这 项目将使用保护和用户测试中的反馈，并使用新的教程功能来吸引好奇心和支持 较低的EHL用户阅读其结果。我们将用户测试和部署改进的智能手机报告 我们体内的化学物质，旧金山地区的一个多样性的怀孕队列。使用定量前和 测试后，我们将评估参与学习，情感反应和与暴露有关的行为。这个项目 将创建并积极传播一个免费软件包，以供任何研究人员产生高质量 智能手机上的生物监测报告，使用支持易受伤害环境健康素养的方法 社区。通过开发有关化学暴露的通信，它将立即前进 曝光科学的翻译以改善公共卫生。