Erica Sood, Kimberly S Canter, Steven Battisti, Shannon N Nees, Shubhika Srivastava, Angel Munoz Osorio, Judith Feinson, Adrienne Gallo, Sean Jung, Erin Riegel, Stephanie Ng, Anne E Kazak
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Abstract
User-centered models for the development of digital health interventions are not consistently applied in healthcare settings. This study used a five-phase, user-centered approach to develop HEARTPrep© , a psychosocial intervention delivered via mobile app and telehealth to mothers expecting a baby with congenital heart disease (CHD) to promote maternal, family, and child well-being. Phases of intervention development were: (I) establishing partnerships; (II) creating content; (III) developing prototype and testable intervention; (IV) conducting think-aloud testing; and (V) completing beta testing. Partnerships with parents, clinicians, and design/technology experts were integral throughout the development of HEARTPrep© . Parents of children with CHD also served as participants in Phases II-V, contributing to the creation of content and providing feedback to inform the iterative refinement of HEARTPrep© . These five phases produced a refined digital health intervention with promising feasibility, usability, and acceptability results. This user-centered approach can be used to develop digital health interventions targeting various health outcomes.
以用户为中心开发针对产前诊断先天性心脏病的数字健康心理干预工具 HEARTPrep。
以用户为中心的数字健康干预措施开发模式在医疗保健领域的应用并不一致。本研究采用了五阶段以用户为中心的方法来开发 HEARTPrep©,这是一种通过移动应用程序和远程医疗向怀有先天性心脏病(CHD)宝宝的母亲提供的社会心理干预,旨在促进母亲、家庭和儿童的幸福。干预措施的开发阶段包括(I) 建立合作伙伴关系;(II) 创建内容;(III) 开发原型和可测试的干预措施;(IV) 进行思考-朗读测试;以及 (V) 完成 beta 测试。在 HEARTPrep© 的整个开发过程中,与家长、临床医生和设计/技术专家的合作不可或缺。患有先天性心脏病儿童的家长也是第二至第五阶段的参与者,他们参与了内容的创建并提供了反馈意见,为 HEARTPrep© 的迭代改进提供了参考。通过这五个阶段的工作,我们开发出了一种经过改进的数字健康干预方法,其可行性、可用性和可接受性都很不错。这种以用户为中心的方法可用于开发针对各种健康结果的数字健康干预措施。
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