Time to listen: a mixed-method study examining community-based views of mobile technology for interventions to promote physical activity
Time to listen: a mixed-method study examining community-based views of mobile technology for interventions to promote physical activity
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DOI：
10.1136/bmjhci-2020-100140
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发表时间：
2020-08-01
影响因子：
4.1
通讯作者：
Powell-Wiley, Tiffany M.
中科院分区：
文献类型：
--
作者：
Claudel, Sophie E.;Ceasar, Joniqua N.;Powell-Wiley, Tiffany M.
介绍一种研究非裔美国人(AA)妇女采用移动健康(MHealth)技术的混合方法、共同设计方法尚未得到充分探索。定性数据可能会将再生障碍性贫血妇女对移动健康感知的现有知识联系起来，作为设计体育活动应用程序(APP)的形成工作的一部分。方法对16名再生障碍性贫血妇女进行便利抽样，在参加焦点小组探索她们使用移动技术和健康应用程序之前，完成一项信息学调查。结果大多数受试者(平均年龄62.1岁，SD=6.6)对平板电脑/智能手机的使用感到舒服(75.0%)。大多数人(68.8%)报告使用与健康相关的应用程序，主要集中在体力活动和营养方面。焦点小组揭示了四个主要概念，包括(1)用户依恋、(2)技术采用、(3)潜在促进者和(4)潜在障碍。可能成为未来移动应用程序应用于移动健康干预的促进者或障碍的重要特征分别包括个人应用程序定制和软件问题。讨论主题分析揭示了用户对智能手机的高度依恋，并描述了参与者采用新的移动健康技术的过程。结论作为开发移动健康技术的更广泛的共同设计和基于社区的参与性研究过程的一部分，目标终端用户的早期参与可能有助于在未来的移动健康行为干预中持续采用这些工具。
Introduction A mixed-method, co-design approach to studying the adoption of mobile health (mHealth) technology among African-American (AA) women has not been fully explored. Qualitative data may contextualise existing knowledge surrounding perceptions of mHealth among AA women as part of formative work for designing a physical activity application (app).Methods A convenience sample of 16 AA women completed an informatics survey prior to participating in focus groups exploring their use of mobile technology and health apps. Survey responses provided frequency data, while iterative transcript analysis of focus groups identified themes.Results The majority of participants (mean age=62.1 years, SD=6.6) felt comfortable using a tablet/smartphone (75.0%). Most (68.8%) reported using health-related apps, primarily focused on physical activity and nutrition. Focus groups revealed four overarching concepts, including (1) user attachment, (2) technology adoption, (3) potential facilitators and (4) potential barriers. Important features which may serve as facilitators or barriers to future adoption of a mobile app for an mHealth intervention include individual app tailoring and software concerns, respectively.Discussion Thematic analysis revealed high user attachment to smartphones and described participants' process for adopting new mHealth technology.Conclusion Early engagement of target end users as a part of a broader co-design and community-based participatory research process for developing mHealth technologies may be useful for sustained adoption of these tools in future mHealth behavioural interventions.