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.

项目总结/摘要 在没有任何形式的协助下戒烟的成功率低于10%， 在非洲裔美国人（AA）吸烟者中甚至更低（3.3%），他们遭受更严重的健康后果。因此，我们认为， 关键是要采取干预措施，特别是考虑到AA吸烟者的需要。移动的健康 技术，一个不断发展的医疗保健领域，显示出戒烟的希望，并可用于增加 传统的戒烟治疗方案，如药物治疗或咨询。然而，关于 缺乏针对AA吸烟者的文化适应性移动健康干预措施。需要更多的研究来确定 如何使移动保健干预措施对用户更具吸引力，并通过文化适应来提高接受率 诸如内容类型和递送的特征、设计特征和其它接合元件。 拟议项目的目标是开发一个吸烟的移动健康应用程序（应用程序）的原型 戒烟的特点是适应AA吸烟者的文化。该项目将顺利进行 有两个目标：1）确定最佳的内容和设计功能的mHealth应用程序吸烟 成年AA吸烟者最喜欢戒烟。我将制定和完善一份首选的移动健康清单， 内容和设计特点，从文献通过焦点小组与AA吸烟者。我将使用来自 焦点小组使用使用首选创建的假设应用程序进行离散选择实验（VCE） 内容和设计功能，以进一步完善基于重要性级别的列表。2.）的情况。应用以用户为中心 设计开发一个mHealth应用程序的原型，内容和设计功能被评为最 AA吸烟者首选，然后由最终用户进行形成性评估，以最终开发最终的 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，用户体验和感知可用性 的所有组件创建一组文档， 应用程序和流程图，将用于与开发人员沟通最终产品。 拟议的研究和培训将推动我走向我的职业目标，成为一个独立的 科学家的mHealth干预措施，通过发展尼古丁成瘾方面的专业知识， 戒烟科学，实验设计，如离散选择方法，以用户为中心的设计， 文化适应和为AA吸烟者制定移动健康干预措施。这一建议是有针对性的 NIDA致力于健康公平和开发药物使用障碍的新疗法。 这项研究的结果将为我将来进行一项大规模的随机试验做好准备， mHealth应用程序与通用应用程序，如QuitGuide。