目的:移动健康(mHealth)干预措施可能是促进儿科人群健康行为的有效策略,但是他们在实施阶段的成功被证明具有挑战性。本文的目的是提供使用以人为中心的设计(HCD)方法以最大程度地发挥实施潜力的蓝图,通过分享一个年轻人的例子-,家庭-,和临床医生参与创建旨在促进医疗保健过渡准备的mHealth干预措施的过程。
方法:遵循与三个咨询委员会合作的HCD方法,我们分两个阶段对13~15岁的患者及其护理人员进行了半结构化访谈.在第一阶段,参与者描述了过渡过程中的挑战,并产生了关于格式的想法,内容,以及mHealth工具的其他品质。对于第二阶段,早期青少年和护理人员提供了两个顺序干预原型的迭代反馈。使用第一阶段的专题分析和第二阶段的快速评估过程对数据进行了分析。
结果:我们采访了11名青年和8名护理人员。样本包括患有一系列慢性健康状况的青少年。在第一阶段,与会者支持开发自治建设工具的想法,通过社交媒体风格的视频提供过渡准备教育。在第二阶段,参与者对连续的原型做出了积极的回应,并提供了使信息可访问的建议,相关,和参与。
结论:本文中共享的程序可以告知其他研究人员计划与实施伙伴合作应用HCD以开发mHealth干预措施。我们未来的方向包括迭代开发更多的视频,以促进过渡准备和在临床护理中实施干预。
OBJECTIVE: Mobile health (mHealth) interventions may be an efficacious strategy for promoting health behaviors among pediatric populations, but their success at the implementation stage has proven challenging. The purpose of this article is to provide a blueprint for using human-centered design (HCD) methods to maximize the potential for implementation, by sharing the example of a youth-, family-, and clinician-engaged process of creating an mHealth intervention aimed at promoting healthcare transition readiness.
METHODS: Following HCD methods in partnership with three advisory councils, we conducted semistructured interviews with 13- to 15-year-old patients and their caregivers in two phases. In Phase 1, participants described challenges during the transition journey, and generated ideas regarding the format, content, and other qualities of the mHealth tool. For Phase 2, early adolescents and caregivers provided iterative feedback on two sequential intervention prototypes. Data were analyzed using thematic analysis in Phase 1 and the rapid assessment process for Phase 2.
RESULTS: We interviewed 11 youth and 8 caregivers. The sample included adolescents with a range of chronic health conditions. In Phase 1, participants supported the idea of developing an autonomy-building tool, delivering transition readiness education via social media style videos. In Phase 2, participants responded positively to the successive prototypes and provided suggestions to make information accessible, relatable, and engaging.
CONCLUSIONS: The procedures shared in this article could inform other researchers\' plans to apply HCD in collaboration with implementation partners to develop mHealth interventions. Our future directions include iteratively developing more videos to promote transition readiness and implementing the intervention in clinical care.