J. Med. Internet Res. - Initial design of culturally informed behavioral intervention technologies: developing an mHealth intervention for young sexual minority men with generalized anxiety disorder and major depression.

Tópicos

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Resumo

CKGROUND: To our knowledge, there is no well-articulated process for the design of culturally informed behavioral intervention technologies.OBJECTIVE: This paper describes the early stages of such a process, illustrated by the methodology for the ongoing development of a behavioral intervention technology targeting generalized anxiety disorder and major depression among young sexual minority men.METHODS: We integrated instructional design for Internet behavioral intervention technologies with greater detail on information sources that can identify user needs in understudied populations, as well as advances in the understanding of technology-specific behavioral intervention technology dimensions that may need to be culturally tailored.RESULTS: General psychological theory describing how to effect change in the clinical target is first integrated with theory describing potentially malleable factors that help explain the clinical problem within the population. Additional information sources are then used to (1) evaluate the theory, (2) identify population-specific factors that may affect users' ability to relate to and benefit from the behavioral intervention technology, and (3) establish specific skills, attitudes, knowledge, etc, required to change malleable factors posited in the theory. User needs result from synthesis of this information. Product requirements are then generated through application of the user needs to specific behavioral intervention technology dimensions (eg, technology platform). We provide examples of considerations relevant to each stage of this process and how they were applied.CONCLUSIONS: This process can guide the initial design of other culturally informed behavioral intervention technologies. This first attempt to create a systematic design process can spur development of guidelines for design of behavioral intervention technologies aimed to reduce health disparities.

Resumo Limpo

ckground knowledg wellarticul process design cultur inform behavior intervent technologiesobject paper describ earli stage process illustr methodolog ongo develop behavior intervent technolog target general anxieti disord major depress among young sexual minor menmethod integr instruct design internet behavior intervent technolog greater detail inform sourc can identifi user need understudi popul well advanc understand technologyspecif behavior intervent technolog dimens may need cultur tailoredresult general psycholog theori describ effect chang clinic target first integr theori describ potenti malleabl factor help explain clinic problem within popul addit inform sourc use evalu theori identifi populationspecif factor may affect user abil relat benefit behavior intervent technolog establish specif skill attitud knowledg etc requir chang malleabl factor posit theori user need result synthesi inform product requir generat applic user need specif behavior intervent technolog dimens eg technolog platform provid exampl consider relev stage process appliedconclus process can guid initi design cultur inform behavior intervent technolog first attempt creat systemat design process can spur develop guidelin design behavior intervent technolog aim reduc health dispar

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