使用以人为本的方法共同创建和优化基于应用程序的干预措施,帮助英国青少年改善睡眠:混合方法研究。

IF 2.6 Q2 HEALTH CARE SCIENCES & SERVICES
JMIR Human Factors Pub Date : 2024-10-31 DOI:10.2196/63341
Sarah E Bennett, Milly H Johnston, Georgia Treneman-Evans, James Denison-Day, Anthony Duffy, Amberly Brigden, Paula Kuberka, Nicholas Christoforou, Lee Ritterband, Jewel Koh, Robert Meadows, Doaa Alamoudi, Ian Nabney, Lucy Yardley
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引用次数: 0

摘要

背景:睡眠不足是 14 至 18 岁青少年的常见问题。研究发现,睡眠困难与心理健康问题有双向联系:这项新研究旨在让青少年,尤其是来自服务不足社区的青少年,参与共同创建一款新的应用程序。睡眠解决方案 "应用程序利用科学建议来改善与睡眠有关的行为和健康。该应用程序的开发采用了以人为本的方法,并以睡眠健康的社会认知理论和社会生态模型为基础:方法:从英国各地招募年轻人(14-18 岁)参与患者和公众参与 (PPI) 活动。我们与同行研究员(MHJ)合作,采用多种方法与患者和公众参与活动的贡献者进行互动,包括网络研讨会、调查、畅想访谈、焦点小组和应用程序测试版测试:共有 85 名年轻人提供了 PPI 反馈:54 名(64%)年轻女性、27 名(32%)年轻男性、2 名(2%)性别融合者、1 名(1%)非二元人以及 1 名(1%)表示 "不愿透露 "的人。他们的贫困程度从最贫困地区的 40% 到最不贫困地区的 20% 不等。大多数人自认有睡眠问题,从每周 2 到 3 次到每周 4 次以上不等。人们对该应用程序的态度是积极的,并对其可用性和以科学为基础但又通俗易懂的信息表示赞赏。通过思考-朗读访谈和焦点小组讨论,我们发现了一系列可能影响应用程序使用的因素,包括需要注意语言选择和可读性。以旁白音频剪辑的形式提供用户体验,使睡眠问题正常化,并举例说明该应用程序如何帮助这些用户:结论:年轻人对使用应用程序更好地帮助他们的睡眠和心理健康很感兴趣。该应用程序是共同创建的,与以理论和证据为基础的睡眠卫生行为有着密切联系。今后,也许可以通过随机对照试验来确定干预措施的有效性,这将为在英国全境推广提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using the Person-Based Approach to Co-Create and Optimize an App-Based Intervention to Support Better Sleep for Adolescents in the United Kingdom: Mixed Methods Study.

Background: Poor sleep is a common problem in adolescents aged 14 to 18 years. Difficulties with sleep have been found to have a bidirectional link to mental health problems.

Objective: This new research sought to involve young people in the co-creation of a new app, particularly those from underserved communities. The Sleep Solved app uses science-based advice to improve sleep-related behaviors and well-being. The app was developed using the person-based approach, underpinned by the social cognitive theory and the social-ecological model of sleep health.

Methods: Young people (aged 14-18 y) were recruited from across the United Kingdom to contribute to patient and public involvement (PPI) activities. In partnership with our peer researcher (MHJ), we used a multitude of methods to engage with PPI contributors, including web-based workshops, surveys, think-aloud interviews, focus groups, and app beta testing.

Results: A total of 85 young people provided PPI feedback: 54 (64%) young women, 27 (32%) young men, 2 (2%) genderfluid people, 1 (1%) nonbinary person, and 1 (1%) who reported "prefer not to say." Their levels of deprivation ranged from among the 40% most deprived to the 20% least deprived areas. Most had self-identified sleep problems, ranging from 2 to 3 times per week to >4 times per week. Attitudes toward the app were positive, with praise for its usability and use of science-based yet accessible information. Think-aloud interviews and a focus group identified a range of elements that may influence the use of the app, including the need to pay attention to language choices and readability. User experiences in the form of narrated audio clips were used to normalize sleep problems and provide examples of how the app had helped these users.

Conclusions: Young people were interested in using an app to better support their sleep and mental health. The app was co-created with strong links to theory- and evidence-based sleep hygiene behaviors. Future work to establish the effectiveness of the intervention, perhaps in a randomized controlled trial, would provide support for potential UK-wide rollout.

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来源期刊
JMIR Human Factors
JMIR Human Factors Medicine-Health Informatics
CiteScore
3.40
自引率
3.70%
发文量
123
审稿时长
12 weeks
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