Beat Extreme: An Interactive, Tailored Text Messaging Program Combining Extreme Weather Alerts with Hyper-localized Resources & Actionable Insights for Addressing Climate Change

总结 气候变化是一个紧迫的公共卫生威胁，与气候相关的健康风险造成不成比例的影响 弱势群体。公共卫生机构强调需要开发可扩展和创新的 以健康公平为中心的多层次干预措施，提供工具和资源，以 1) 提高对健康公平的认识 气候变化与健康之间存在着密不可分的联系，2) 支持缓解战略，以最大限度地减少 气候变化的潜在健康危害和影响。迄今为止，数字气候变化通信已 仅限于基于单一理论方法（即， 框架）。第一阶段 SBIR 将探讨创新解决方案的可接受性和效果：Beat Extreme ─ 一个交互式短信程序，利用行为改变科学的见解并集成数据 来自国家气象局的信息，以吸引具有不同程度关注的广泛用户 气候变化并定制用户体验。 Beat Extreme 将 1) 提供有关当前气候的信息- 相关风险和环境风险（例如高温、空气质量警报、哮喘触发因素等） 对用户当前的健康状况产生不利影响； 2) 将用户链接到本地邮政编码匹配的资源以缓解 他们的具体风险（例如冷却中心、飓风避难所）； 3）实施全方位的最佳实践 量身定制的健康行为改变通信，以个性化有关链接的持续通信 基于用户对气候的关注和信念程度，在人类行为和极端天气之间进行评估 改变； 4) 提供定制的、可操作的应对气候变化的建议，以提高气候效率 基于用户动机水平的个人、社区和政策/倡导水平。开发于 与社区成员、2 名社区健康专家和 8 名气候变化专家合作，Beat Extreme 将通过超个性化的用户体验来实现持续的参与和影响 无缝整合来自多种行为改变和沟通理论的可行见解 框架。广泛的最终用户和专家的意见将确保 Beat Extreme 的设计能够快速实现 传播。潜在的最终用户（n=12 名 18 岁及以上的社区成员）将通过以下方式招募： 社区和社交媒体广告。来自访谈的形成性定性数据将与来自 专家们开发了 Beat Extreme 的旅程地图和原型。迭代可用性测试（n=12）将允许 该原型将在招募 120 名社区成员参加为期 30 天的试点测试之前进行完善。 试点参与者将提供定量和定性数据，参与度和可接受性数据将 检查了。反应效果的前后比较将提供有关效果的初步数据 程序。结果将为第二阶段有效性试验的计划修改提供信息，该试验将提供 推动具有成本效益、基于证据的交互式短信解决方案的商业化，该解决方案可以 以人口为基础，特别是弱势社区，应对气候变化。

Summary Climate change is an urgent public health threat, and climate-related health risks disproportionately impact vulnerable populations. Public health agencies have underscored the need to develop scalable and innovative health-equity centered, multi-level interventions that offer tools and resources to 1) raise awareness of the inextricable link between climate change and health and 2) support mitigation strategies to minimize the potential health hazards and impacts of climate change. To date, digital climate change communications have been limited to one-directional, one size-fits all messaging based on a single theoretical approach (i.e., framing). This Phase I SBIR will explore the acceptability and effects of an innovative solution: Beat Extreme ─ an interactive text messaging program that leverages insights from behavior change science and integrates data from the National Weather Service to engage a broad spectrum of users with varying levels of concern about climate change and tailor the user experience. Beat Extreme will 1) provide information on current climate- related and environmental risks (e.g., high temperatures, air quality alerts, asthma triggers etc.) that might adversely affect a user’s current health conditions; 2) link users to local zip-code matched resources to mitigate their specific risk (e.g., cooling centers, hurricane shelters); 3) implement a full range of best practices in tailored health behavior change communications to personalize ongoing communications regarding the link between human actions and extreme weather based on the user’s level of concern about and belief in climate change; and 4) provide customized actionable tips for addressing climate change to promote climate efficacy at the individual, community, and policy/advocacy level based on the user’s level of motivation. Developed in collaboration with community members, 2 community health experts, and 8 climate change experts, Beat Extreme will achieve sustained engagement and impact by hyper-personalizing the user experience and seamlessly integrating actionable insights from multiple theories of behavior change and communication frameworks. Extensive end user and expert input will ensure Beat Extreme is designed for rapid dissemination. Potential end users (n=12 community members aged 18 and older) will be recruited via community and social media ads. Formative qualitative data from interviews will be combined with input from experts to develop a journey map and prototype of Beat Extreme. Iterative usability testing (n=12) will allow the prototype to be refined before 120 community members are recruited to participate in a 30-day pilot test. Pilot participants will provide quantitative and qualitative data, and engagement and acceptability data will be examined. Pre-post comparisons of response efficacy will provide preliminary data on the effects of the program. The results will inform program modifications for a Phase II effectiveness trial that will provide the impetus for commercialization of a cost-effective, evidence-based, interactive text messaging solution that can address climate change on a population basis and, in particular, in vulnerable communities.