Jennings Hannah Maria, Morrison Joanna, Akter Kohenour, Kuddus Abdul, Ahmed Naveed, Kumer Shaha Sanjit, Nahar Tasmin, Haghparast-Bidgoli Hassan, Khan Ak Azad, Azad Kishwar, Fottrell Edward
a Institute for Global Health , University College London , London , UK.
b Perinatal Care Project , The Diabetic Association of Bangladesh , Dhaka , Bangladesh.
Glob Health Action. 2019;12(1):1550736. doi: 10.1080/16549716.2018.1550736.
: mHealth interventions have huge potential to reach large numbers of people in resource poor settings but have been criticised for lacking theory-driven design and rigorous evaluation. This paper shares the process we developed when developing an awareness raising and behaviour change focused mHealth intervention, through applying behavioural theory to in-depth qualitative research. It addresses an important gap in research regarding the use of theory and formative research to develop an mHealth intervention. : To develop a theory-driven contextually relevant mHealth intervention aimed at preventing and managing diabetes among the general population in rural Bangladesh. : In-depth formative qualitative research (interviews and focus group discussions) were conducted in rural Faridpur. The data were analysed thematically and enablers and barriers to behaviour change related to lifestyle and the prevention of and management of diabetes were identified. In addition to the COM-B (Capability, Opportunity, Motivation-Behaviour) model of behaviour change we selected the Transtheoretical Domains Framework (TDF) to be applied to the formative research in order to guide the development of the intervention. : A six step-process was developed to outline the content of voice messages drawing on in-depth qualitative research and COM-B and TDF models. A table to inform voice messages was developed and acted as a guide to scriptwriters in the production of the messages. : In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour.
移动健康干预措施在资源匮乏地区覆盖大量人群方面具有巨大潜力，但因缺乏理论驱动的设计和严格评估而受到批评。本文分享了我们在开发一项以提高意识和行为改变为重点的移动健康干预措施时所采用的过程，即通过将行为理论应用于深入的定性研究。它填补了在利用理论和形成性研究来开发移动健康干预措施方面的重要研究空白。
为了在孟加拉国农村地区的普通人群中开发一种理论驱动的、与当地情况相关的移动健康干预措施，以预防和管理糖尿病。
在法里德布尔农村地区进行了深入的形成性定性研究（访谈和焦点小组讨论）。对数据进行了主题分析，确定了与生活方式以及糖尿病预防和管理相关的行为改变的促进因素和障碍。除了行为改变的COM-B（能力、机会、动机-行为）模型外，我们还选择了跨理论领域框架（TDF）应用于形成性研究，以指导干预措施的开发。
制定了一个六步骤流程，以根据深入的定性研究以及COM-B和TDF模型来概述语音信息的内容。制定了一个为语音信息提供参考的表格，并作为脚本撰写人员制作信息的指南。
为了满足孟加拉国一个社区的当地需求，利用行为理论进行的形成性研究过程，通过帮助我们概念化和理解行为（例如将行为分类到特定领域），并随后确定针对该行为的具体行为策略，有助于开发提高意识和改变行为方面的移动健康信息。
