School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
BMJ Open. 2021 Nov 24;11(11):e052545. doi: 10.1136/bmjopen-2021-052545.
Describe the development and pretest of a prototype multibehavioural change app MAMA-EMPOWER.
Mixed-methods study reporting three phases: (1) contextual enquiry included stakeholder engagement and qualitative interviews with Aboriginal women, (2) value specification included user-workshop with an Aboriginal researcher, community members and experts, (3) codesign with Aboriginal researchers and community members, followed by a pretest of the app with Aboriginal women, and feedback from qualitative interviews and the user-Mobile Application Rating Scale (U-MARS) survey tool.
Aboriginal women and communities in urban and regional New South Wales, Australia.
Phase 1: interviews, 8 Aboriginal women. Phase 2: workshop, 6 Aboriginal women. Phase 3: app trial, 16 Aboriginal women. U-MARS, 5 Aboriginal women.
Phase 1 interviews revealed three themes: current app use, desired app characteristics and implementation. Phase 2 workshop provided guidance for the user experience. Phase 3 app trial assessed all content areas. The highest ratings were for information (mean score of 3.80 out of 5, SD=0.77) and aesthetics (mean score of 3.87 with SD of 0.74), while functionality, engagement and subjective quality had lower scores. Qualitative interviews revealed the acceptability of the app, however, functionality was problematic.
Developing a mobile phone app, particularly in an Aboriginal community setting, requires extensive consultation, negotiation and design work. Using a strong theoretical foundation of behavioural change technique's coupled with the consultative approach has added rigour to this process. Using phone apps to implement behavioural interventions in Aboriginal community settings remains a new area for investigation. In the next iteration of the app, we aim to find better ways to personalise the content to women's needs, then ensure full functionality before conducting a larger trial. We predict the process of development will be of interest to other health researchers and practitioners.
描述多行为改变应用程序 MAMA-EMPOWER 的原型开发和预测试情况。
混合方法研究报告了三个阶段：（1）情境查询，包括与土著妇女的利益相关者接触和定性访谈；（2）价值规范，包括与土著研究人员、社区成员和专家一起进行用户研讨会；（3）与土著研究人员和社区成员共同设计，然后对土著妇女进行应用程序预测试，并从定性访谈和用户移动应用程序评分量表（U-MARS）调查工具中获取反馈。
澳大利亚新南威尔士州城市和地区的土著妇女和社区。
第 1 阶段：访谈，8 名土著妇女。第 2 阶段：研讨会，6 名土著妇女。第 3 阶段：应用程序试验，16 名土著妇女。U-MARS，5 名土著妇女。
第 1 阶段访谈揭示了三个主题：当前应用程序的使用、期望的应用程序特征和实施情况。第 2 阶段研讨会为用户体验提供了指导。第 3 阶段应用程序试验评估了所有内容领域。评分最高的是信息（平均得分为 5 分中的 3.80 分，标准差为 0.77）和美学（平均得分为 3.87 分，标准差为 0.74），而功能、参与度和主观质量得分较低。定性访谈揭示了该应用程序的可接受性，然而，功能方面存在问题。
开发移动电话应用程序，特别是在土著社区环境中，需要进行广泛的咨询、协商和设计工作。使用行为改变技术的强大理论基础并结合咨询方法为这个过程增加了严谨性。在土著社区环境中使用手机应用程序实施行为干预仍然是一个新的研究领域。在应用程序的下一个迭代中，我们旨在找到更好的方法来根据女性的需求个性化内容，然后在进行更大规模的试验之前确保其功能完备。我们预测，这一开发过程将引起其他健康研究人员和从业者的兴趣。
