Int J Med Inform - Identifying preferences for mobile health applications for self-monitoring and self-management: focus group findings from HIV-positive persons and young mothers.

Tópicos

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Resumo

JECTIVE: Self-management of risk behaviors is a cornerstone of future population health interventions. Using mobile phones for routine self-monitoring and feedback is a cost-efficient strategy for self-management and ecological momentary interventions (EMI). However, mobile health applications need to be designed to be highly attractive and acceptable to a broad range of user groups. To inform the design of an adaptable mobile health application we aimed to identify the dimensions and range of user preferences for application features by different user groups.METHODS: Five focus group interviews were conducted: two (n=9; n=20) with people living with HIV (PLH) and three with young mothers (n=6; n=8; n=10). Thematic analyses were conducted on the focus group sessions' notes and transcripts.RESULTS: Both groups considered customization of reminders and prompts as necessary, and goal setting, motivational messaging, problem solving, and feedback as attractive. For PLH, automated and location-based reminders for medication adherence and sharing data with healthcare providers were both acceptable and attractive features. Privacy protection and invasiveness were the primary concerns, particularly around location tracking, illegal drug use, and sexual partner information. Concerns were ameliorated by use scenario or purpose, monetary incentives, and password protection. Privacy was not a major concern to mothers who considered passwords burdensome. Mothers' preferences focused on customization that supports mood, exercise and eating patterns, and especially using the mobile phone camera to photograph food to increase self-accountability.CONCLUSIONS: Individualization emerged as the key feature and design principle to reduce user burden and increase attractiveness and acceptability. Mobile phone EMI uniquely enables individualization, context-aware and real-time feedback, and tailored intervention delivery.

Resumo Limpo

jectiv selfmanag risk behavior cornerston futur popul health intervent use mobil phone routin selfmonitor feedback costeffici strategi selfmanag ecolog momentari intervent emi howev mobil health applic need design high attract accept broad rang user group inform design adapt mobil health applic aim identifi dimens rang user prefer applic featur differ user groupsmethod five focus group interview conduct two n n peopl live hiv plh three young mother n n n themat analys conduct focus group session note transcriptsresult group consid custom remind prompt necessari goal set motiv messag problem solv feedback attract plh autom locationbas remind medic adher share data healthcar provid accept attract featur privaci protect invas primari concern particular around locat track illeg drug use sexual partner inform concern amelior use scenario purpos monetari incent password protect privaci major concern mother consid password burdensom mother prefer focus custom support mood exercis eat pattern especi use mobil phone camera photograph food increas selfaccountabilityconclus individu emerg key featur design principl reduc user burden increas attract accept mobil phone emi uniqu enabl individu contextawar realtim feedback tailor intervent deliveri

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