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: 10572494
• 负责人: Chineme Ijeoma Enyioha
• 金额: $ 20.12万
• 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/10572494
• 关键词: Adult; Advisory Committees; African American; African American population; Area; Behavioral Model; Car Phone; Cessation of life; Computer software; Conflict (Psychology); 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; Lead; 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; Research Training; Schedule; Science; Scientist; Series; Smoker; Smoking; Smoking Cessation Intervention; Structure; Substance Use Disorder; System; Testing; Tobacco use; Training; Transportation; Underserved Population; United States National Institutes of Health; Work; base; 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; randomized trial; skills; smartphone Application; smoking cessation; social; substance use treatment; success; tailored messaging; 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.

项目摘要/摘要 在没有任何形式帮助的情况下戒烟的成功率不到10%，而成功率是 非洲裔美国人(AA)吸烟者的比例更低(3.3%)，他们的健康后果更严重。因此， 干预措施尤其要考虑到AA吸烟者的需求，这一点至关重要。移动医疗(MHealth) 技术，一个日益增长的医疗保健领域，在戒烟方面显示出希望，并可以用来增强 传统的戒烟治疗选择，如药物治疗或咨询。然而，关于 缺乏针对AA吸烟者的适应文化的mHealth干预措施。还需要更多的研究来确定 如何使移动健康干预措施对用户更具吸引力，并通过文化适应增加接受度 功能，如内容类型和交付、设计功能和其他吸引人的元素。 拟议项目的目标是开发吸烟移动健康应用程序(APP)的原型 戒烟，具有适合AA吸烟者的文化特征。该项目将成功实施。 在以下两个目标下：1)确定吸烟mHealth应用程序的最佳内容和设计功能 成年AA吸烟者最倾向于戒烟。我将制定和完善首选mHealth的列表 内容和设计特点从文献通过与AA吸烟者的焦点小组。我将使用来自 焦点小组使用首选创建的假想应用程序进行离散选择实验(DCE 内容和设计功能，根据重要程度进一步细化列表。2.)应用以用户为中心 设计开发mHealth应用程序的原型，其内容和设计功能被评为 AA吸烟者喜欢，然后由最终用户进行形成性评估，最终开发出最终产品 设计规格。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、用户体验和感知的可用性 以迭代的方式进行修订，然后创建一组文档，其中包含 应用程序和流程图，将被用来与开发人员沟通的最终产品。 拟议的研究和培训将推动我朝着成为独立人士的职业目标前进 科学家mHealth干预措施，通过发展尼古丁成瘾和尼古丁成瘾方面的专门知识，关注健康公平 停止科学，实验设计，如离散选择方法论，以用户为中心的设计 针对AA吸烟者的文化适应和mHealth干预措施的发展。这项提议是有反应的 NIDA致力于实现健康公平和开发治疗药物使用障碍的新疗法。 这项研究的发现将为我未来进行大规模随机试验做好准备，比较新的 MHealth应用程序与QuitGuide等通用应用程序的对比。