Beat Extreme: An Interactive, Tailored Text Messaging Program Combining Extreme Weather Alerts with Hyper-localized Resources & Actionable Insights for Addressing Climate Change

Beat Extreme：一款将极端天气警报与超本地化资源相结合的交互式定制短信程序

• 批准号: 10698887
• 负责人: SARA S JOHNSON
• 金额: $ 29.59万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10698887
• 关键词: Acute; Adaptive Behaviors; Address; Adopted; Adult; Advocacy; Affect; Air; American; Asthma; Awareness; Behavior; Belief; COVID-19 pandemic; Cellular Phone; Cessation of life; Chronic; Climate; Collaborations; Color; Communication; Communities; Community Health; Complex; Consensus; Consumption; Data; Elderly; Ensure; Environmental Risk Factor; Equity; Event; Face; Floods; Friends; Health; Health Hazards; Health behavior change; High temperature of physical object; Human; Hurricane; Individual; Inequity; Institutional Racism; Intention; Intervention; Interview; Knowledge; Link; Maps; Mental Health; Modification; Motivation; Participant; Perception; Personal Satisfaction; Persons; Phase; Pilot Projects; Planet Earth; Play; Policies; Population; Public Health; Readiness; Recommendation; Reporting; Resources; Risk; Role; Science; Seasons; Services; Shelter facility; Small Business Innovation Research Grant; Testing; Thinking; Translating; Vulnerable Populations; Weather; Wildfire; acceptability and feasibility; aged; behavior change; climate change; climate impact; climate-related health; combat; commercialization; cost; cost effective; data integration; design; digital; effectiveness trial; evidence base; experience; extreme heat; extreme weather; health equity; indexing; innovation; insight; intersectionality; live text; marginalized community; member; mobile application; news; participant enrollment; physical conditioning; pilot test; population based; programs; prototype; recruit; response; social; social media; social vulnerability; socioeconomics; stressor; success; tailored messaging; tailored text messaging; theories; tool; usability; vulnerable community

Summary Climate change is an urgent public health threat, and climate-related health risks disproportionately impact vulnerable populations. Public health agencies have underscored the need to develop scalable and innovative health-equity centered, multi-level interventions that offer tools and resources to 1) raise awareness of the inextricable link between climate change and health and 2) support mitigation strategies to minimize the potential health hazards and impacts of climate change. To date, digital climate change communications have been limited to one-directional, one size-fits all messaging based on a single theoretical approach (i.e., framing). This Phase I SBIR will explore the acceptability and effects of an innovative solution: Beat Extreme ─ an interactive text messaging program that leverages insights from behavior change science and integrates data from the National Weather Service to engage a broad spectrum of users with varying levels of concern about climate change and tailor the user experience. Beat Extreme will 1) provide information on current climate- related and environmental risks (e.g., high temperatures, air quality alerts, asthma triggers etc.) that might adversely affect a user’s current health conditions; 2) link users to local zip-code matched resources to mitigate their specific risk (e.g., cooling centers, hurricane shelters); 3) implement a full range of best practices in tailored health behavior change communications to personalize ongoing communications regarding the link between human actions and extreme weather based on the user’s level of concern about and belief in climate change; and 4) provide customized actionable tips for addressing climate change to promote climate efficacy at the individual, community, and policy/advocacy level based on the user’s level of motivation. Developed in collaboration with community members, 2 community health experts, and 8 climate change experts, Beat Extreme will achieve sustained engagement and impact by hyper-personalizing the user experience and seamlessly integrating actionable insights from multiple theories of behavior change and communication frameworks. Extensive end user and expert input will ensure Beat Extreme is designed for rapid dissemination. Potential end users (n=12 community members aged 18 and older) will be recruited via community and social media ads. Formative qualitative data from interviews will be combined with input from experts to develop a journey map and prototype of Beat Extreme. Iterative usability testing (n=12) will allow the prototype to be refined before 120 community members are recruited to participate in a 30-day pilot test. Pilot participants will provide quantitative and qualitative data, and engagement and acceptability data will be examined. Pre-post comparisons of response efficacy will provide preliminary data on the effects of the program. The results will inform program modifications for a Phase II effectiveness trial that will provide the impetus for commercialization of a cost-effective, evidence-based, interactive text messaging solution that can address climate change on a population basis and, in particular, in vulnerable communities.

概括 气候变化是紧急的公共卫生威胁，与气候有关的健康风险不成比例地影响 脆弱的人群。公共卫生机构强调了开发可扩展和创新性的需求 以健康权益为中心的多层次干预措施，提供工具和资源为1）提高对 气候变化与健康之间的不可息联系与2）支持缓解策略，以最大程度地减少 潜在的健康危害和气候变化的影响。迄今为止，数字气候变化通信有 仅限于单向，一个尺寸适合所有基于单个理论方法的消息传递（即 框架）。 I阶段I SBIR将探讨创新解决方案的可接受性和效果：Beat Extreme - ─ 一个交互式文本消息传递程序，利用行为改变科学的见解并整合数据 从国家气象局到吸引各种各样的用户 气候变化并量身定制用户体验。 Beat Extreme 1）提供有关当前攀登的信息 - 相关和环境风险（例如，高温，空气质量警报，哮喘触发器等）可能 不利影响用户当前的健康状况； 2）将用户链接到本地​​邮政编码匹配的资源以减轻 它们的具体风险（例如，冷却中心，飓风庇护所）； 3）在 量身定制的健康行为变更通信以个性化有关链接的持续沟通 根据用户对气候的关注程度，在人类行动和极端天气之间 改变; 4）提供定制的可行技巧，以解决气候变化，以促进气候效率 基于用户的动机水平，个人，社区和政策/倡导水平。开发 与社区成员，2名社区健康专家和8位气候变化专家合作， 极端将通过超级人体化用户体验和 从多种行为变化和交流理论中无缝整合可行的见解 框架。广泛的最终用户和专家输入将确保Beat Extreme是为快速而设计的 传播。潜在的最终用户（n = 12岁以上的12名社区成员）将通过 社区和社交媒体广告。访谈中的形成性定性数据将与 专家开发节拍极端的旅程图和原型。迭代可用性测试（n = 12）将允许 在招募120名社区成员参加为期30天的试点测试之前，要精制的原型。 飞行员参与者将提供定量和定性数据，参与和可接受性数据将是 检查。响应效率的前孔比较将提供有关效果的初步数据 程序。结果将为II期有效性试验的计划修改提供信息，该试验将提供 推动商业化的成本效益，基于证据的互动文本消息解决方案，该解决方案可以 在人口基础上，尤其是在弱势社区中解决气候变化。