@Article{信息:doi/10.2196/18400，作者=“Fedele, David A和Cushing, Christopher C和Koskela-Staples, Natalie和Patton, Susana R和McQuaid, Elizabeth L和Smyth, Joshua M和Prabhakaran, Sreekala和Gierer, Selina和Nezu, Arthur M”，标题=“青少年哮喘的适应性移动健康干预:迭代用户为中心的发展”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“5”，日=“6”，卷=“8”，数=“5”，页=“e18400”，关键词=“哮喘;移动健康;依从性;青春期;自律;解决问题;青少年;，摘要=“背景:被诊断为持续性哮喘的青少年通常服用处方吸入皮质类固醇(ICS)的比例不到50%，这使他们面临哮喘相关疾病的风险。青少年的依从性困难发生在规范性发育变化(例如，疾病管理责任增加)的背景下，并依赖于仍在发展的自我调节和解决问题的技能，这些技能是哮喘自我管理不可或缺的一部分。我们开发了一个适应性移动卫生系统，反应性青少年哮喘护理(ReACT)，在青少年客观测量的ICS依从性数据显示药物使用率不理想时，促进自我调节和解决问题的能力。 Objective: The current paper describes our user-centered and evidence-based design process in developing ReACT. We explain how we leveraged a combination of individual interviews, national crowdsourced feedback, and an advisory board comprised of target users to develop the intervention content. Methods: We developed ReACT over a 15-month period using one-on-one interviews with target ReACT users (n=20), national crowdsourcing (n=257), and an advisory board (n=4) to refine content. Participants included 13-17--year-olds with asthma and their caregivers. A total of 280 adolescents and their caregivers participated in at least one stage of ReACT development. Results: Consistent with self-regulation theory, adolescents identified a variety of salient intrapersonal (eg, forgetfulness, mood) and external (eg, changes in routine) barriers to ICS use during individual interviews. Adolescents viewed the majority of ReACT intervention content (514/555 messages, 93{\%}) favorably during the crowdsourcing phase, and the advisory board helped to refine the content that did not receive favorable feedback during crowdsourcing. Additionally, the advisory board provided suggestions for improving additional components of ReACT (eg, videos, message flow). Conclusions: ReACT involved stakeholders via qualitative approaches and crowdsourcing throughout the creation and refinement of intervention content. The feedback we received from participants largely supported ReACT's emphasis on providing adaptive and personalized intervention content to facilitate self-regulation and problem-solving skills, and the research team successfully completed the recommended refinements to the intervention content during the iterative development process. ", issn="2291-5222", doi="10.2196/18400", url="https://mhealth.www.mybigtv.com/2020/5/e18400", url="https://doi.org/10.2196/18400", url="http://www.ncbi.nlm.nih.gov/pubmed/32374273" }