TY - JOUR AU - Fedele, David A AU - Cushing, Christopher C AU - Koskela-Staples, Natalie AU - Patton, Susana R AU - McQuaid, Elizabeth L AU - Smyth, Joshua M AU - Prabhakaran, Sreekala AU - Gierer, Selina AU - Nezu, Arthur M PY - 2020 DA - 2020/5/6 TI -青少年哮喘适应性移动健康干预:背景:被诊断为持续性哮喘的青少年通常服用少于50%的处方吸入皮质类固醇(ICS)，使他们处于哮喘相关疾病的风险中。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。结果:与自我调节理论相一致，青少年在个人访谈中发现了各种显著的内在障碍(如健忘、情绪)和外在障碍(如日常生活的改变)。 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. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2020/5/e18400 UR - https://doi.org/10.2196/18400 UR - http://www.ncbi.nlm.nih.gov/pubmed/32374273 DO - 10.2196/18400 ID - info:doi/10.2196/18400 ER -