Smith Selina A, Whitehead Mary S, Sheats Joyce Q, Fontenot Brittney, Alema-Mensah Ernest, Ansa Benjamin
Institute of Public and Preventive Health, Augusta University, Augusta, GA; Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA.
SISTAAH Talk Breast Cancer Support Group, Mami, FL.
J Ga Public Health Assoc. 2016 Summer;6(1):50-59. doi: 10.21633/jgpha.6.103.
There is a proliferation of lifestyle-oriented mobile technologies; however, few have targeted users. Through intervention mapping, investigators and community partners completed Steps 1-3 (needs assessment, formulation of change objectives, and selection of theory-based methods) of a process to develop a mobile cancer prevention application (app) for cancer prevention. The aim of this qualitative study was to complete Step 4 (intervention development) by eliciting input from African American (AA) breast cancer survivors (BCSs) to guide app development.
Four focus group discussions (n=60) and three individual semi-structured interviews (n=36) were conducted with AA BCSs (40-72 years of age) to assess barriers and strategies for lifestyle change. All focus groups and interviews were recorded and transcribed verbatim. Data were analyzed with NVivo qualitative data analysis software version 10, allowing categories, themes, and patterns to emerge.
Three categories and related themes emerged from the analysis: 1) perceptions about modifiable risk factors; 2) strategies related to adherence to cancer prevention guidelines; and 3) app components to address barriers to adherence. Participant perceptions, strategies, and recommended components guided development of the app.
For development of a mobile cancer prevention app, these findings will assist investigators in targeting features that are usable, acceptable, and accessible for AA BCSs.
以生活方式为导向的移动技术不断涌现；然而，针对用户的却很少。通过干预映射，研究人员和社区合作伙伴完成了开发癌症预防移动应用程序（应用）过程中的第1 - 3步（需求评估、制定变革目标以及选择基于理论的方法）。这项定性研究的目的是通过征求非裔美国（AA）乳腺癌幸存者（BCS）的意见来完成第4步（干预开发），以指导应用程序的开发。
对年龄在40 - 72岁的AA BCS进行了四次焦点小组讨论（n = 60）和三次个人半结构化访谈（n = 36），以评估生活方式改变的障碍和策略。所有焦点小组讨论和访谈均进行了录音，并逐字转录。使用NVivo定性数据分析软件版本10对数据进行分析，从而得出类别、主题和模式。
分析得出了三个类别及相关主题：1）对可改变风险因素的认知；2）与遵守癌症预防指南相关的策略；3）解决遵守障碍的应用组件。参与者的认知、策略和推荐的组件指导了应用程序的开发。
对于开发移动癌症预防应用程序，这些发现将帮助研究人员确定对AA BCS可用、可接受且可获取的功能。
