Cucciare Michael A, Jamison Andrea L, Combs Ann S, Joshi Gauri, Cheung Ramsey C, Rongey Catherine, Huggins Joe, Humphreys Keith
a Center for Mental Healthcare and Outcomes Research , Central Arkansas Veterans Affairs Healthcare System , North Little Rock , AR , USA.
b Veterans Affairs South Central Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System , North Little Rock , AR , USA.
Inform Health Soc Care. 2017 Dec;42(4):378-392. doi: 10.1080/17538157.2016.1255628. Epub 2017 Jan 9.
This study adapted an existing computer-delivered brief alcohol intervention (cBAI) for use in Veterans with the hepatitis C virus (HCV) and examined its acceptability and feasibility in this patient population.
A four-stage model consisting of initial pilot testing, qualitative interviews with key stakeholders, development of a beta version of the cBAI, and usability testing was used to achieve the study objectives.
In-depth interviews gathered feedback for modifying the cBAI, including adding HCV-related content such as the health effects of alcohol on liver functioning, immune system functioning, and management of HCV, a preference for concepts to be displayed through "newer looking" graphics, and limiting the use of text to convey key concepts. Results from usability testing indicated that the modified cBAI was acceptable and feasible for use in this patient population.
The development model used in this study is effective for gathering actionable feedback that can inform the development of a cBAI and can result in the development of an acceptable and feasible intervention for use in this population. Findings also have implications for developing computer-delivered interventions targeting behavior change more broadly.
本研究对现有的计算机辅助简短酒精干预（cBAI）进行调整，以用于丙型肝炎病毒（HCV）感染的退伍军人，并检验其在该患者群体中的可接受性和可行性。
采用一个四阶段模型，包括初步试点测试、与关键利益相关者进行定性访谈、开发cBAI的测试版以及可用性测试，以实现研究目标。
深入访谈收集了有关修改cBAI的反馈意见，包括添加与HCV相关的内容，如酒精对肝功能、免疫系统功能以及HCV管理的健康影响，倾向于通过“更新颖”的图形展示概念，并限制使用文本传达关键概念。可用性测试结果表明，修改后的cBAI在该患者群体中是可接受且可行的。
本研究中使用的开发模型对于收集可用于指导cBAI开发的可行反馈是有效的，并且能够开发出一种在该群体中可接受且可行的干预措施。研究结果对于更广泛地开发针对行为改变的计算机辅助干预措施也具有启示意义。
