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，与气候有关的健康风险对人类健康的影响尤为严重。 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 气候变化与健康之间不可分割的联系; 2）支持缓解战略， 潜在的健康危害和气候变化的影响。到目前为止，数字气候变化通信已经 局限于单向的、基于单一理论方法的适合所有消息传送的尺寸（即， 框架）。这第一阶段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， 从国家气象局，从事广泛的用户与不同程度的关注， 气候变化和定制用户体验。Beat Extreme将1）提供当前气候的信息- 相关和环境风险（例如，高温、空气质量警报、哮喘触发器等）可能 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减轻 其特定风险（例如，冷却中心，飓风避难所）; 3）实施全方位的最佳实践， 定制的健康行为改变通信，以个性化关于链接的正在进行的通信 根据用户对气候的关注程度和信念， 4）提供应对气候变化的定制可操作提示，以提高气候功效， 基于用户动机水平的个人、社区和政策/倡导水平。开发 与社区成员、2名社区卫生专家和8名气候变化专家合作， Extreme将通过超个性化的用户体验实现持续的参与和影响， 无缝整合来自行为改变和沟通的多种理论的可操作见解 框架。广泛的最终用户和专家输入将确保Beat Extreme专为快速 传播。将通过以下方式招募潜在最终用户（n=12名18岁及以上的社区成员）： 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 专家开发的旅程地图和Beat Extreme的原型。迭代可用性测试（n=12）将允许 在招募120名社区成员参加为期30天的试点测试之前，将对原型进行改进。 试点参与者将提供定量和定性数据，参与和可接受性数据将 考察反应效力的前后比较将提供关于 程序.结果将为II期有效性试验的项目修改提供信息， 推动一种具有成本效益的、基于证据的、交互式文本消息传递解决方案的商业化， 在人口基础上，特别是在脆弱社区，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.