Kazemi Donna M, Borsari Brian, Levine Maureen J, Lamberson Katie A, Dooley Beau
College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC, USA.
Department of Psychiatry, Center for Alcohol and Addiction Studies, Brown School of Public Health, University of California, San Francisco, CA, USA.
Addict Res Theory. 2018;26(5):377-385. doi: 10.1080/16066359.2017.1420783. Epub 2017 Dec 26.
mHealth apps are an effective means of delivering health interventions, and the college-age population is particularly proficient at using apps. Informed by current theories of Ecological Momentary Interventions (EMI), Motivational Interviewing (MI), and the Transtheoretical Model (TTM) of Change, investigators have developed a self-monitoring app-Reductions through Ecological Momentary/Motivational Intervention/Transtheoretical (REMIT)-with the aim of reducing hazardous drinking among college students. The app was developed using the Integrate, Design, Assess, and Share (IDEAS) framework. This step-by-step process for developing digital behavior change interventions was conducted in five phases to: (1) understand the users, (2) determine target behavior, (3) base the intervention in behavioral theory; (4) create delivery strategies, and (5) develop the REMIT prototype. REMIT uses assessments (informed by EMI) and components of MI and TTM to guide administration of nine modules designed to engage users in reducing alcohol use and related problems. REMIT users self-monitor their alcohol consumption and develop strategies to change drinking behaviors using a range of easy-to-use features, such as the Virtual Coach, automated text messages, interactive gaming mechanisms (gamification), drink consumption tracking, and Blood Alcohol Concentration (BAC) calculators. mHealth interventions have been shown to reduce alcohol use among college students when they are applied in real-life, real-time contexts. REMIT is a theory-based app that incorporates user-friendly features to reduce hazardous drinking among college students. The next step is to conduct a pilot trial to test the efficacy of the app and enhance the REMIT prototype.
移动健康应用程序是提供健康干预措施的有效手段,而大学生群体尤其擅长使用应用程序。在当前生态瞬时干预(EMI)、动机性访谈(MI)和转变理论模型(TTM)的理论指导下,研究人员开发了一款自我监测应用程序——通过生态瞬时/动机性干预/转变理论进行减少(REMIT),旨在减少大学生中的有害饮酒行为。该应用程序是使用整合、设计、评估和分享(IDEAS)框架开发的。开发数字行为改变干预措施的这个循序渐进的过程分五个阶段进行:(1)了解用户;(2)确定目标行为;(3)将干预措施建立在行为理论基础上;(4)制定交付策略;(5)开发REMIT原型。REMIT使用评估(以EMI为依据)以及MI和TTM的组成部分,来指导九个模块的管理,这些模块旨在促使用户减少酒精使用及相关问题。REMIT用户通过一系列易于使用的功能,如虚拟教练、自动短信、互动游戏机制(游戏化)、饮酒量跟踪和血液酒精浓度(BAC)计算器,自我监测饮酒情况并制定改变饮酒行为的策略。当移动健康干预措施应用于现实生活的实时情境中时,已被证明能减少大学生的酒精使用。REMIT是一款基于理论的应用程序,它融合了用户友好型功能,以减少大学生中的有害饮酒行为。下一步是进行试点试验,以测试该应用程序的效果并完善REMIT原型。