Friedman Lesli Biediger, Silva Monica, Smith Kenneth
Am J Health Behav. 2018 Nov 1;42(6):110-123. doi: 10.5993/AJHB.42.6.11.
Objective In this study, we sought to determine technology acceptance of a mobile application (app) to facilitate healthy behaviors as perceived by English- and Spanish-speaking participants of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods Our sample was 48 mothers (78% Hispanic-American) at WIC clinics in south-central Texas. Through 6 focus groups, we explored user intention of a wireframe app prototype. Discussion probes were based on the construct of behavioral intention. We used qualitative analysis software to organize theme identification and description. Results Participants were more willing to use an app if it was easy to navigate and included features that addressed specific challenges for WIC health behaviors. Emergent themes thought to facilitate app use included preferences seen between languages and habit. English-speakers were more likely to use an app if it was entertaining and customizable. Spanish-speakers put a high priority on app functionality. WIC participants placed high priority on the app's ability to help manage family health behaviors and expressed trust for information provided by WIC. Conclusion Apps are a feasible approach to modernize WIC breastfeeding and nutrition education. English- and Spanish-speakers have both similar and different priorities with app use and should be considered in future app development.
目的 在本研究中，我们试图确定妇女、婴儿和儿童补充营养计划（WIC）中讲英语和西班牙语的参与者对一款促进健康行为的移动应用程序（应用）的技术接受度。方法 我们的样本是德克萨斯州中南部WIC诊所的48位母亲（78%为西班牙裔美国人）。通过6个焦点小组，我们探讨了一款线框应用原型的用户意向。讨论探针基于行为意向的构建。我们使用定性分析软件来组织主题识别和描述。结果 如果应用易于操作且包含应对WIC健康行为特定挑战的功能，参与者更愿意使用。被认为有助于应用使用的新出现主题包括语言和习惯之间的偏好。如果应用有趣且可定制，说英语的人更有可能使用。说西班牙语的人高度重视应用功能。WIC参与者高度重视应用帮助管理家庭健康行为的能力，并对WIC提供的信息表示信任。结论 应用程序是使WIC母乳喂养和营养教育现代化的可行方法。说英语和西班牙语的人在应用使用方面既有相似的优先事项，也有不同的优先事项，在未来的应用开发中应予以考虑。
