PARTICIPATORY TECHNOLOGY DEVELOPMENT TO ENHANCE COMMUNITY RESILIENCE
PARTICIPATORY TECHNOLOGY DEVELOPMENT TO ENHANCE COMMUNITY RESILIENCE
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DOI：
10.18865/ed.28.s2.493
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发表时间：
2018-09-01
影响因子：
3.2
通讯作者：
Wells, Kenneth B.
中科院分区：
文献类型：
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作者：
Arevian, Armen C.;O'Hora, Jennifer;Wells, Kenneth B.
目的：评估一个新的、合作的技术开发过程的可行性，以共同创建移动的健康应用程序（应用程序），解决社区健康的优先事项，使用认知行为疗法（CBT）的心理教育原则，提高弹性作为一个例子。设计：利益相关者参与，工作组，试点可行性研究，使用混合方法在2013年10月至2016年1月，分三个阶段：1）确定项目的愿景并提高技术能力，2）共同开发和试点测试应用程序，3）规划可持续性。设置：加州南洛杉矶的学术社区伙伴关系。参与者：8名利益相关者; 30名来自社区的试点参与者。主要成果指标：对应用程序开发过程和利益相关者访谈的录音进行定性分析，调查利益相关者对开发过程的看法，应用程序使用数据以及试点参与者的反馈。参与式技术开发进程的结果是创建和试点测试了一个以短信为重点的短信应用程序，在发送的1 107条短信中，30个应用程序用户中有23个（77%）回复探索互动内容。利益相关者报告称，他们在创建移动的应用程序方面的能力有所提高，并且该过程培养了共同领导的文化。也有持续参与移动的应用程序开发的利益相关者超出了最初的项目periods.Conclusions：这是第一项研究，据我们所知，以证明参与式技术开发的可行性，一种方法，涉及直接参与开发，定制和维护的移动的应用程序的广泛的利益相关者与高代表性的种族/少数民族从一个资源不足的社区。渐进式技术开发是在不同的技术、临床和社区环境中创造可持续、相关和参与性卫生技术的一种有前途的方法。
Objective: To assess the feasibility of a novel, partnered technology development process to co-create mobile health applications (apps) addressing community health priorities, using psychoeducation of cognitive behavioral therapy (CBT) principles for enhancing resilience as an example.Design: Stakeholder engagement, work-groups, pilot feasibility study using mixed methods during October 2013 through January 2016 over three phases: 1) defining the vision of the project and increasing technical capacity, 2) co-development and pilot testing of the app, and 3) planning for sustainability.Setting: An academic-community partnership in South Los Angeles, California.Participants: Eight stakeholders; 30 pilot participants from the community.Main Outcome Measures: Qualitative analysis of audio-recordings of the app development process and stakeholder interviews, surveys of stakeholders' perception of the development process, app use data, and feedback from pilot participants.Results: The participatory technology development process resulted in creation and pilot-testing of a resiliency-focused text messaging app. Of the 1,107 messages sent, 23 out of 30 (77%) app users responded to explore interactive content. Stakeholders reported increased perceived competency in creating mobile apps and that the process fostered a culture of co-leadership. There was also sustained engagement in mobile app development by stakeholders beyond the initial project period.Conclusions: This is the first study, to our knowledge, to demonstrate the feasibility of participatory technology development, an approach involving direct participation in the development, tailoring and maintenance of a mobile app by a broad set of stakeholders with high representation from racial/ethnic minorities from an under-resourced community. Participatory technology development is a promising approach for creating sustainable, relevant and engaging health technologies across different technological, clinical and community settings.