Participatory Design of a Text Message System to Support Community Health Advisor

支持社区健康顾问的短信系统的参与式设计

• 批准号: 8010340
• 负责人: YU-MEI M SCHOENBERGER
• 金额: $ 7.33万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-13 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8010340
• 关键词: Access to Information; Address; African American; Alabama; Area; Awareness; Back; Behavior; Behavioral Research; Breast; Cancer Burden; Cancer Control; Car Phone; Cellular Phone; Cervical; Cessation of life; Code; Colorectal Cancer; Communication; Communication Programs; Communities; Community Health; Community Health Networks; Community Health Systems; Cues; Databases; Deep South; Development; Education; Effectiveness; Family; Goals; Grant; Health; Health Communication; Health Promotion; Health Services; Health Services Accessibility; Health behavior change; Healthcare; Individual; Information Services; Intervention; Knowledge; Lead; Life; Location; Low income; Malignant Neoplasms; Mammography; Measures; Mediator of activation protein; Misinformation; Mississippi; Modeling; Names; Outcome; Pattern; Physical activity; Pilot Projects; Printing; Process; Recommendation; Recruitment Activity; Research; Research Infrastructure; Research Personnel; Resources; Risk Factors; Rural; Screening for cancer; Screening procedure; Services; Site; System; Technology; Telephone; Testing; Text; Time; Tobacco use; Training; Training Support; Underserved Population; United States; Weight; anticancer research; base; behavior change; cancer health disparity; cancer risk; cost; design; empowered; flexibility; health disparity; improved; innovation; meetings; member; modifiable risk; mortality; neoplasm resource; new technology; programs; prototype; research study; response; smoking cessation; social; socioeconomics; theories

DESCRIPTION (provided by applicant): Cancer mortality is continuing to decline in the United States; however, African Americans and people with low income and/or education have the highest rates of both new cancers and cancer deaths. The differences in knowledge of cancer risks and possessing misinformation may be a potential contributing factor to cancer health disparities. Due to the unequal burden of cancer among African Americans, the Deep South Network (DSN) for Cancer Control was established in early 2000 to establish sustainable community infrastructure in order to promote cancer awareness and to develop and test innovative, community-based cancer control measures to eliminate cancer mortality disparities among African Americans in Alabama and Mississippi. Community Health Advisors as Research Partners (CHARPs) were trained to deliver cancer awareness activities in their community and to serve as partners in the coordination of community-based research. With the emergence of technology that allows individuals' increased access to information, the development of health promotion programs, e.g. smoking cessation, physical activity, weight management, which use the short messaging service (SMS), or text messaging function of the mobile phone, have shown many positive outcomes. By providing CHARPs with a mobile phone SMS system, CHARPs can have access to accurate and up-to-date cancer health information through synchronous, real-time, communication to community members. The overall goal of the project is to develop and pilot test an innovative, interactive SMS application designed to provide cancer health information and a support network for the DSN CHARPs. The project will be guided by the Technology Acceptance Model (TAM). This theory suggests that when a user is presented with a new technology, a number of factors (perceived usefulness and perceived ease of use) influence her decision about how and when she will use the technology. The specific aims are: to conduct extensive formative research among DSN CHARPs in order to assess the feasibility and acceptability of SMS technology to deliver information and identify cancer information needs; to collaborate with DSN CHARPs to draft and evaluate text messages to be included in the SMS database in order to develop a prototype SMS system aimed at providing cancer information; and to implement and evaluate the effectiveness of the SMS system for delivering cancer information through CHARPs. Results from this study will provide a basis for more extended research in the field of cancer health disparities and mobile phone technology. In addition, a greater understanding of how to distribute cancer health information to those in rural and low resource areas will lead to improved interventions.

描述（由申请人提供）：美国癌症死亡率持续下降;然而，非洲裔美国人和低收入和/或低教育水平的人新发癌症和癌症死亡率最高。对癌症风险的认识和掌握错误信息的差异可能是癌症健康差异的一个潜在因素。由于非裔美国人的癌症负担不平等，2000年初建立了南方腹地癌症控制网络，以建立可持续的社区基础设施，提高对癌症的认识，并制定和测试创新的社区癌症控制措施，消除亚拉巴马和密西西比的非裔美国人之间的癌症死亡率差异。社区健康顾问作为研究合作伙伴（CHARPs）接受培训，在他们的社区提供癌症宣传活动，并作为合作伙伴，在协调以社区为基础的研究。随着技术的出现，个人可以更多地获得信息，健康促进方案的发展，例如戒烟、体育活动、体重管理，这些方案使用短消息服务（SMS）或移动的电话的文本消息功能，已经显示出许多积极的成果。通过为CHARP提供移动的电话SMS系统，CHARP可以通过与社区成员的同步、实时通信获得准确和最新的癌症健康信息。该项目的总体目标是开发和试点测试一个创新的，互动的短信应用程序，旨在提供癌症健康信息和支持网络的DSN CHARPs。该项目将以技术接受模式（TAM）为指导。这一理论表明，当一个用户与一个新的技术，一些因素（感知有用性和感知易用性）影响她的决定，她将如何以及何时使用该技术。具体目标是：在DSN CHARPs之间进行广泛的形成性研究，以评估SMS技术在提供信息和确定癌症信息需求方面的可行性和可接受性;与DSN CHARPs合作起草和评估将被纳入SMS数据库的文本消息，以开发旨在提供癌症信息的SMS原型系统;以及推行短讯系统，并评估短讯系统在透过癌症资讯中心提供癌症资讯方面的成效。这项研究的结果将为癌症健康差异和移动的电话技术领域的更广泛研究提供基础。此外，更好地了解如何向农村和低资源地区的人分发癌症健康信息，将有助于改善干预措施。