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Community Engagement in the Development of an mHealth-Enabled Physical Activity and Cardiovascular Health Intervention (Step It Up): Pilot Focus Group Study.

作者信息

Ceasar Joniqua Nashae, Claudel Sophie Elizabeth, Andrews Marcus R, Tamura Kosuke, Mitchell Valerie, Brooks Alyssa T, Dodge Tonya, El-Toukhy Sherine, Farmer Nicole, Middleton Kimberly, Sabado-Liwag Melanie, Troncoso Melissa, Wallen Gwenyth R, Powell-Wiley Tiffany M

机构信息

National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States.

Clinical Center, National Institutes of Health, Bethesda, MD, United States.

出版信息

JMIR Form Res. 2019 Jan 4;3(1):e10944. doi: 10.2196/10944.


DOI:10.2196/10944
PMID:30684422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6682281/
Abstract

BACKGROUND: Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based participatory research studies have evaluated methods of optimizing smartphone apps for health technology-enabled interventions in African Americans. OBJECTIVE: This study aimed to utilize focus groups (FGs) for gathering qualitative data to inform the development of an app that promotes physical activity (PA) among African American women in Washington, DC. METHODS: We recruited a convenience sample of African American women (N=16, age range 51-74 years) from regions of Washington, DC metropolitan area with the highest burden of cardiovascular disease. Participants used an app created by the research team, which provided motivational messages through app push notifications and educational content to promote PA. Subsequently, participants engaged in semistructured FG interviews led by moderators who asked open-ended questions about participants' experiences of using the app. FGs were audiorecorded and transcribed verbatim, with subsequent behavioral theory-driven thematic analysis. Key themes based on the Health Belief Model and emerging themes were identified from the transcripts. Three independent reviewers iteratively coded the transcripts until consensus was reached. Then, the final codebook was approved by a qualitative research expert. RESULTS: In this study, 10 main themes emerged. Participants emphasized the need to improve the app by optimizing automation, increasing relatability (eg, photos that reflect target demographic), increasing educational material (eg, health information), and connecting with community resources (eg, cooking classes and exercise groups). CONCLUSIONS: Involving target users in the development of a culturally sensitive PA app is an essential step for creating an app that has a higher likelihood of acceptance and use in a technology-enabled intervention. This may decrease health disparities in cardiovascular diseases by more effectively increasing PA in a minority population.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d03/6682281/f000d8542b98/formative_v3i1e10944_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d03/6682281/f000d8542b98/formative_v3i1e10944_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d03/6682281/f000d8542b98/formative_v3i1e10944_fig1.jpg

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Community Engagement in the Development of an mHealth-Enabled Physical Activity and Cardiovascular Health Intervention (Step It Up): Pilot Focus Group Study.

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[4]
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[5]
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[6]
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Going virtual during the COVID-19 pandemic: adaptation of a mixed-methods dietary behavior study within a community-based participatory research study of African-American adults at risk for cardiovascular disease.

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[8]
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本文引用的文献

[1]
Evaluating Machine Learning-Based Automated Personalized Daily Step Goals Delivered Through a Mobile Phone App: Randomized Controlled Trial.

JMIR Mhealth Uhealth. 2018-1-25

[2]
The Communication, Awareness, Relationships and Empowerment (C.A.R.E.) Model: An Effective Tool for Engaging Urban Communities in Community-Based Participatory Research.

Int J Environ Res Public Health. 2017-11-21

[3]
Simulating the Impact of Crime on African American Women's Physical Activity and Obesity.

Obesity (Silver Spring). 2017-12

[4]
Cardiovascular Health in African Americans: A Scientific Statement From the American Heart Association.

Circulation. 2017-10-23

[5]
Smartphone Usage, Social Media Engagement, and Willingness to Participate in mHealth Weight Management Research Among African American Women.

Health Educ Behav. 2017-6-13

[6]
Rethinking physical activity communication: using focus groups to understand women's goals, values, and beliefs to improve public health.

BMC Public Health. 2017-5-18

[7]
Engaging Community Leaders in the Development of a Cardiovascular Health Behavior Survey Using Focus Group-Based Cognitive Interviewing.

Health Serv Insights. 2017-4-21

[8]
Engaging African American women in research: an approach to eliminate health disparities in the African American community.

Fam Pract. 2017-6-1

[9]
Adaptive goal setting and financial incentives: a 2 × 2 factorial randomized controlled trial to increase adults' physical activity.

BMC Public Health. 2017-3-29

[10]
Mobile But Connected: Harnessing the Power of Self-Efficacy and Group Support for Weight Loss Success through mHealth Intervention.

J Health Commun. 2017-5

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