Smith Selina Ann, Whitehead Mary Smith, Sheats Joyce, Mastromonico Jeff, Yoo Wonsuk, Coughlin Steven Scott
Institute of Public & Preventive Health, Department of Family Medicine Medical College of Georgia, Georgia Regents University, Augusta, GA, United States.
JMIR Res Protoc. 2016 Mar 2;5(1):e34. doi: 10.2196/resprot.5290.
Rapid growth of mobile technologies has resulted in a proliferation of lifestyle-oriented mobile phone apps. However, most do not have a theoretical framework and few have been developed using a community-based participatory research approach. A community academic team will develop a theory-based, culturally tailored, mobile-enabled, Web-based app-the Mobile Cancer Prevention App (mCPA)-to promote adherence to dietary and physical activity guidelines.
The aim of this study is to develop mCPA content with input from breast cancer survivors.
Members of SISTAAH (Survivors Involving Supporters to Take Action in Advancing Health) Talk (N=12), treated for Stages I-IIIc breast cancer for less than 1 year, 75 years of age or younger, and English-speaking and writing, will be recruited to participate in the study. To develop the app content, breast cancer survivors will engage with researchers in videotaped and audiotaped sessions, including (1) didactic instructions with goals for, benefits of, and strategies to enhance dietary intake and physical activity, (2) guided discussions for setting individualized goals, monitoring progress, and providing or receiving feedback, (3) experiential nutrition education through cooking demonstrations, and (4) interactive physical activity focused on walking, yoga, and strength training. Qualitative (focus group discussions and key informant interviews) and quantitative (sensory evaluation) methods will be used to evaluate the participatory process and outcomes.
Investigators and participants anticipate development of an acceptable (frequency and duration of usage) feasible (structure, ease of use, features), and accessible mobile app available for intervention testing in early 2017.
Depending on the availability of research funding, mCPA testing, which will be initiated in Miami, will be extended to Chicago, Houston, Philadelphia, and Los Angeles.
移动技术的迅速发展导致了大量以生活方式为导向的手机应用程序的出现。然而，大多数应用程序没有理论框架，很少有应用程序是采用基于社区的参与式研究方法开发的。一个社区学术团队将开发一款基于理论、文化定制、支持移动设备且基于网络的应用程序——移动癌症预防应用程序（mCPA），以促进对饮食和身体活动指南的遵守。
本研究的目的是在乳腺癌幸存者的参与下开发mCPA的内容。
将招募SISTAAH（幸存者与支持者携手促进健康行动）谈话小组的成员（N = 12），这些成员患有I - IIIc期乳腺癌且患病时间不到1年，年龄在75岁及以下，能说英语和书写英语，参与该研究。为了开发应用程序内容，乳腺癌幸存者将与研究人员进行录像和录音会议，包括：（1）关于增加饮食摄入和身体活动的目标、益处及策略的讲授式指导；（2）关于设定个性化目标、监测进展以及提供或接受反馈的引导式讨论；（3）通过烹饪示范进行的体验式营养教育；（4）以散步、瑜伽和力量训练为重点的互动式身体活动。将使用定性方法（焦点小组讨论和关键信息访谈）和定量方法（感官评估）来评估参与过程和结果。
研究人员和参与者预计在2017年初开发出一款可接受（使用频率和时长）、可行（结构、易用性、功能）且易于获取的移动应用程序，用于干预测试。
根据研究资金的可得情况，将在迈阿密启动的mCPA测试将扩展至芝加哥、休斯顿、费城和洛杉矶。
