TY - JOUR AU - Resnick, Daniel AU - Kearney, Matthew D AU - Smith, Jazmine M AU - Bautista, Allison AU - Jones, Liz AU - Schapira, Marilyn M AU - Aysola, Jaya PY - 2022 DA - 2022/3/24 TI -为非西班牙裔黑人初级保健患者设计癌症预防协作目标设定移动应用程序:一个迭代的，定性的患者主导的过程JO - JMIR Form Res SP - e28157 VL - 6 IS - 3kw -移动健康KW -癌症预防KW -目标设定KW -社会网络KW -健康差距KW -初级保健KW -可及性KW -发展KW -可行性KW -移动电话AB -背景:有必要让高危初级保健人群参与癌症预防行为，但初级保健医生往往缺乏时间或资源与患者讨论这些行为。目的:本研究的目的是评估一个移动应用程序的内容、可用性和可接受性，该应用程序利用目标设定和社交网络文献的见解，促进非西班牙裔黑人初级保健患者及其社会关系之间的癌症预防目标设定、跟踪和共享。方法:我们从西费城的2个诊所招募了符合条件的非西班牙裔黑人初级保健患者(年龄≥18岁)，采用非概率目的抽样。我们在3周内对5至7名参与者进行了半结构化访谈，以征求对应用纸质模型的反馈，并在每次访谈后迭代调整这些模型。之后，根据最初的反馈，我们制作了一个电子测试版的应用程序，并从不同的参与者那里寻求可接受性和可用性的反馈。然后，我们对所有用户反馈进行了内容分析，以寻找应用程序初始模型和测试版的可接受性和可用性的统一主题。我们使用来自系统可用性量表的问题进一步评估应用程序可用性。结果:共有33名非西班牙裔黑人初级保健患者参与了本研究。平均年龄为49岁(SD 13)， 33名参与者中有26名(79%)为女性。 Semistructured interviews revealed three primary generalizable insights from our target population: the framing of each goal and its relevance to cancer impacted the likelihood that the goal would be chosen, participants thought that sharing health goals with others facilitates health behaviors, and most participants found it motivating to see other users’ goal progress, while still collaborating with these users on their health goals. An overarching insight that permeated across each theme was the participants’ desire to customize and personalize the app. Usability testing revealed that 100% (33/33) of participants found the app easy to use, and 76% (25/33) of participants reported that they would like to use this app frequently. Conclusions: Cancer prevention in the modern era must include options that are accessible to all, but this does not mean that all options must be universal. This study’s iterative process led to the development of a cancer prevention mobile app that non-Hispanic Black primary care patients deemed usable and acceptable and yielded noteworthy insights about what intended end users value in setting and accomplishing health goals. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/3/e28157 UR - https://doi.org/10.2196/28157 UR - http://www.ncbi.nlm.nih.gov/pubmed/35323124 DO - 10.2196/28157 ID - info:doi/10.2196/28157 ER -