青少年哮喘患者的适应性移动健康干预研究[j]卡塔尔世界杯8强波胆分析以用户为中心的迭代开发技术%A Fedele,David A Cushing,Christopher C A Koskela-Staples,Natalie %A Patton,Susana R %A McQuaid,Elizabeth L %A Smyth,Joshua M %A Prabhakaran,Sreekala %A Gierer,Selina %A Nezu,Arthur M %+佛罗里达大学临床与健康心理学系，101 S Newell博士，3151室，邮政信箱100165，佛罗里达州盖恩斯维尔，32610，美国，1 3522945765，dfedele@phhp.ufl.edu %K哮喘%K流动健康%K依从性%K青少年%K自我调节%K解决问题%K青少年%D 2020 %7 6.5.2020 %9背景:被诊断为持续性哮喘的青少年通常服用的吸入皮质类固醇(ICS)处方剂量不到50%，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。目的:本文描述了我们在开发ReACT时以用户为中心和基于证据的设计过程。我们解释了我们如何利用个人访谈、全国众包反馈和由目标用户组成的咨询委员会的组合来开发干预内容。方法:我们在15个月的时间里，通过对目标ReACT用户(n=20)的一对一访谈，全国众包(n=257)和咨询委员会(n=4)来完善内容，开发ReACT。参与者包括13-17岁的哮喘患者和他们的照顾者。共有280名青少年和他们的照顾者参与了ReACT开发的至少一个阶段。 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. %M 32374273 %R 10.2196/18400 %U https://mhealth.www.mybigtv.com/2020/5/e18400 %U https://doi.org/10.2196/18400 %U http://www.ncbi.nlm.nih.gov/pubmed/32374273