Development of a prototype for a mobile health intervention for smoking cessation with features culturally adapted for African American smokers

开发用于戒烟的移动健康干预原型，其功能适合非裔美国吸烟者的文化

• 批准号: 10709894
• 负责人: Chineme Ijeoma Enyioha
• 金额: $ 20.13万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10709894
• 关键词: Adult; Advisory Committees; African American; African American population; Area; Behavioral Model; Cellular Phone; Cessation of life; Communication; Computer software; Counseling; Development; Diabetes Mellitus; Disease; Documentation; Effectiveness; Elements; Experimental Designs; Feedback; Flowcharts; Focus Groups; Future; General Population; Goals; Health; Health Technology; Healthcare; Image; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Literature; Maps; Mentors; Methodology; Mobile Health Application; Motivation; National Institute of Drug Abuse; Nicotine Dependence; Obesity; Participant; Patients; Pharmacotherapy; Preparation; Process; Race; Reaction; Recovery; Reduce health disparities; Research; Schedule; Science; Scientist; Series; Smoker; Smoking; Smoking Cessation Intervention; Specific qualifier value; Structure; Substance Use Disorder; System; Testing; Tobacco use; Training; Transportation; Underserved Population; United States National Institutes of Health; Work; behavior change; career; cost; design; evidence base; experience; experimental study; formative assessment; health care availability; health equity; improved; mHealth; nicotine cessation; novel; phase 3 testing; preference; prototype; racial population; randomized trial; skills; smartphone application; smoking cessation; social; substance use treatment; success; tailored messaging; text searching; therapy development; trial comparing; uptake; usability; user centered design

PROJECT SUMMARY/ABSTRACT The success rate of smoking cessation without any form of assistance is less than 10%, and rates are even lower among African American (AA) smokers (3.3%), who suffer worse health consequences. Therefore, it is critical to have interventions that particularly take AA smokers’ needs into account. Mobile health (mHealth) technology, a growing area of healthcare, shows promise in smoking cessation, and can be used to augment traditional smoking cessation treatment options such as pharmacotherapy or counseling. However, studies on culturally adapted mHealth interventions for AA smokers are lacking. More research is needed to determine how to make mHealth interventions more appealing to users and increase uptake by culturally adapting features such as contents type and delivery, design features, and other engaging elements. The goal of the proposed project is to develop the prototype of a mHealth application (app) for smoking cessation with features that are culturally adapted for AA smokers. The project will be successfully conducted under two aims: 1) Determine optimal content and design features of mHealth apps for smoking cessation are most preferred by adult AA smokers. I will develop and refine a list of preferred mHealth content and design features from the literature through focus groups with AA smokers. I will use feedback from the focus groups to conduct a discrete choice experiment (DCE) with hypothetical apps created with preferred content and design features to further refine the list based on level of importance. 2.) Apply user-centered design to develop a prototype of a mHealth app with content and design features rated as most preferred by AA smokers, followed by formative evaluation by end-users to ultimately develop final design specifications. I will develop the prototype (revisable version) of the mHealth app using a prototyping software. I will then conduct formative evaluation to evaluate workflow, user experience and perceived usability in an iterative manner with revisions and then create a set of documents with page for all components of the app and flowcharts which will be used to communicate with developers for the final product. The proposed research and training will propel me toward my career goal of becoming an independent scientist mHealth interventions, with a focus on health equity by developing expertise in nicotine addiction and cessation science, experimental designs such as discrete choice methodology, user-centered design with cultural adaptation and the development of mHealth interventions for AA smokers. This proposal is responsive to NIDA’s commitment to health equity and to developing new treatments for substance use disorders. Findings from this study will prepare me to conduct a future large-scale randomized trial comparing the new mHealth app versus a generic app such as QuitGuide.

项目概要/摘要 在没有任何形式帮助的情况下戒烟的成功率不到 10%，且比率为 非裔美国 (AA) 吸烟者 (3.3%) 的比例更低，他们的健康后果更严重。所以， 采取干预措施特别考虑 AA 吸烟者的需求至关重要。移动医疗（移动医疗） 技术是一个不断发展的医疗保健领域，在戒烟方面显示出希望，并可用于增强 传统的戒烟治疗选择，例如药物治疗或咨询。然而，研究 针对 AA 吸烟者缺乏适合文化的移动健康干预措施。需要更多的研究来确定 如何使移动医疗干预措施对用户更具吸引力并通过文化适应来提高采用率 内容类型和交付、设计特征和其他吸引人的元素等特征。 拟议项目的目标是开发针对吸烟的移动健康应用程序 (app) 的原型 戒烟的特点在文化上适合 AA 吸烟者。该项目将顺利进行 有两个目标：1) 确定吸烟移动健康应用程序的最佳内容和设计特征 戒烟是成年 AA 吸烟者最喜欢的。我将制定和完善首选移动医疗列表 通过与 AA 吸烟者进行焦点小组讨论，从文献中获取内容和设计特点。我将使用来自的反馈 焦点小组使用首选创建的假设应用程序进行离散选择实验 (DCE) 内容和设计特征，根据重要性级别进一步细化列表。 2.) 以用户为中心 设计开发移动医疗应用程序的原型，其内容和设计功能被评为最多 AA 吸烟者首选，然后由最终用户进行形成性评估，最终开发出最终产品 设计规范。我将使用原型开发 mHealth 应用程序的原型（可修订版本） 软件。然后我将进行形成性评估，以评估工作流程、用户体验和感知可用性 以迭代方式进行修订，然后为所有组件创建一组包含页面的文档 应用程序和流程图将用于与最终产品的开发人员进行沟通。 拟议的研究和培训将推动我实现成为独立的职业目标 科学家的移动健康干预措施，通过发展尼古丁成瘾方面的专业知识和技术，重点关注健康公平 戒烟科学、实验设计，例如离散选择方法、以用户为中心的设计 针对 AA 吸烟者的文化适应和移动健康干预措施的发展。此提案是响应性的 NIDA 对健康公平和开发药物滥用障碍新疗法的承诺。 这项研究的结果将使我做好准备，进行未来的大规模随机试验，比较新的 移动医疗应用程序与 QuitGuide 等通用应用程序的比较。