Development of a prototype for a mobile health intervention for smoking cessation with features culturally adapted for African American smokers

开发用于戒烟的移动健康干预原型，其功能适合非裔美国吸烟者的文化

• 批准号: 10572494
• 负责人: Chineme Ijeoma Enyioha
• 金额: $ 20.12万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10572494
• 关键词: Adult; Advisory Committees; African American; African American population; Area; Behavioral Model; Car Phone; Cessation of life; Computer software; Conflict (Psychology); Counseling; Development; Diabetes Mellitus; Disease; Documentation; Effectiveness; Elements; Experimental Designs; Feedback; Flowcharts; Focus Groups; Future; General Population; Goals; Health; Health Technology; Healthcare; Image; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Lead; Literature; Maps; Mentors; Methodology; Mobile Health Application; Motivation; National Institute of Drug Abuse; Nicotine Dependence; Obesity; Participant; Patients; Pharmacotherapy; Preparation; Process; Race; Reaction; Recovery; Reduce health disparities; Research; Research Training; Schedule; Science; Scientist; Series; Smoker; Smoking; Smoking Cessation Intervention; Structure; Substance Use Disorder; System; Testing; Tobacco use; Training; Transportation; Underserved Population; United States National Institutes of Health; Work; base; behavior change; career; cost; design; evidence base; experience; experimental study; formative assessment; health care availability; health equity; improved; mHealth; nicotine cessation; novel; phase 3 testing; preference; prototype; randomized trial; skills; smartphone Application; smoking cessation; social; substance use treatment; success; tailored messaging; therapy development; trial comparing; uptake; usability; user centered design

PROJECT SUMMARY/ABSTRACT The success rate of smoking cessation without any form of assistance is less than 10%, and rates are even lower among African American (AA) smokers (3.3%), who suffer worse health consequences. Therefore, it is critical to have interventions that particularly take AA smokers’ needs into account. Mobile health (mHealth) technology, a growing area of healthcare, shows promise in smoking cessation, and can be used to augment traditional smoking cessation treatment options such as pharmacotherapy or counseling. However, studies on culturally adapted mHealth interventions for AA smokers are lacking. More research is needed to determine how to make mHealth interventions more appealing to users and increase uptake by culturally adapting features such as contents type and delivery, design features, and other engaging elements. The goal of the proposed project is to develop the prototype of a mHealth application (app) for smoking cessation with features that are culturally adapted for AA smokers. The project will be successfully conducted under two aims: 1) Determine optimal content and design features of mHealth apps for smoking cessation are most preferred by adult AA smokers. I will develop and refine a list of preferred mHealth content and design features from the literature through focus groups with AA smokers. I will use feedback from the focus groups to conduct a discrete choice experiment (DCE) with hypothetical apps created with preferred content and design features to further refine the list based on level of importance. 2.) Apply user-centered design to develop a prototype of a mHealth app with content and design features rated as most preferred by AA smokers, followed by formative evaluation by end-users to ultimately develop final design specifications. I will develop the prototype (revisable version) of the mHealth app using a prototyping software. I will then conduct formative evaluation to evaluate workflow, user experience and perceived usability in an iterative manner with revisions and then create a set of documents with page for all components of the app and flowcharts which will be used to communicate with developers for the final product. The proposed research and training will propel me toward my career goal of becoming an independent scientist mHealth interventions, with a focus on health equity by developing expertise in nicotine addiction and cessation science, experimental designs such as discrete choice methodology, user-centered design with cultural adaptation and the development of mHealth interventions for AA smokers. This proposal is responsive to NIDA’s commitment to health equity and to developing new treatments for substance use disorders. Findings from this study will prepare me to conduct a future large-scale randomized trial comparing the new mHealth app versus a generic app such as QuitGuide.

项目摘要/摘要 没有任何形式的援助形式的戒烟的成功率少于10％，费率是 在非裔美国人（AA）吸烟者（3.3％）中，遭受健康较差的后果甚至更低。所以， 至关重要的是要考虑尤其要考虑AA吸烟者的需求。移动健康（MHealth） 技术是一个不断增长的医疗保健领域，显示出戒烟的希望，可用于增加 传统的戒烟治疗选择，例如药物治疗或咨询。但是，研究 缺乏针对AA吸烟者的文化改编的MHealth干预措施。需要更多的研究来确定 如何使MHealth干预措施对用户更具吸引力并通过文化适应来增加吸收 内容类型和交付，设计功能以及其他引人入胜的元素等功能。 拟议项目的目的是开发吸烟的MHealth应用程序（APP）的原型 停止具有文化适应AA吸烟者的特征。该项目将成功进行 在两个目标下：1）确定吸烟的MHealth应用程序的最佳内容和设计功能 戒烟是成年AA吸烟者最喜欢的。我将开发并完善首选MHealth的列表 通过与AA吸烟者的焦点小组的焦点小组的内容和设计功能。我将使用反馈 通过首选创建的假设应用程序进行离散选择实验（DCE）的焦点小组 内容和设计功能，以根据重要性级别进一步完善列表。 2.）以用户为中心 设计以开发MHealth应用程序的原型，其内容和设计功能评为大多数 由AA吸烟者首选，然后是最终用户的形成性评估，以最终发展最终 设计规格。我将使用原型开发MHealth应用程序的原型（可修订版） 软件。然后，我将进行形成性评估以评估工作流程，用户体验和可用性 以修订的方式进行迭代方式，然后创建一组文档，其中包含页面的所有组件 应用程序和流程图将用于与开发人员进行最终产品交流。 拟议的研究和培训将使我朝着成为独立的职业目标 科学家MHealth干预措施，重点是通过发展尼古丁成瘾和 戒烟科学，实验设计，例如离散选择方法，以用户为中心的设计 文化适应和针对AA吸烟者的MHealth干预措施的发展。该提议反应迅速 为了NIDA对健康公平的承诺，并为物质使用障碍开发新的治疗方法。 这项研究的发现将使我准备进行未来的大规模随机试验，以比较新的 MHealth应用程序与诸如QuitGuide之类的通用应用程序。