Department of Nursing, College of Nursing, Medical University of South Carolina, Charleston, South Carolina.
Department of Hematology & Oncology, School of Medicine, University of Alabama, Birmingham, Alabama.
Res Nurs Health. 2019 Dec;42(6):483-493. doi: 10.1002/nur.21973. Epub 2019 Aug 8.
Frameworks for developing mHealth interventions that are informed by the end-user and improve accessibility are necessary to ensure interventions meet the needs of the intended population and advance the science of health behavior change. The approach described in this paper addresses a gap in the mHealth development literature by describing a step-by-step method for evaluating and revising the mHealth interventions for health behavior change in child-parent dyads. Furthermore, this approach introduces the Website Analysis and MeasureMent Inventory framework as an initial coding structure for analyzing qualitative data to gauge appeal and enhance engagement of intervention for end-users. This method uses specific considerations for child-parent dyads and details an example in the development and refinement of a mobile application for self-management in children with sickle cell disease. This approach is translatable to populations of children with other chronic conditions and to other health behaviors.
为了确保干预措施满足目标人群的需求并推动健康行为改变科学的发展,有必要制定以最终用户为基础并提高可及性的移动医疗干预措施开发框架。本文所描述的方法通过描述一种逐步的方法来评估和修改儿童-家长二人组中的移动医疗干预措施,以改变健康行为,从而解决了移动医疗发展文献中的一个空白。此外,该方法引入了网站分析和测量清单框架,作为分析定性数据以衡量干预措施对最终用户的吸引力和增强其参与度的初始编码结构。该方法针对儿童-家长二人组使用了特定的考虑因素,并详细介绍了一个例子,即在开发和改进用于镰状细胞病儿童自我管理的移动应用程序方面的应用。这种方法可以转化为其他慢性疾病和其他健康行为的儿童群体。