142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

309027
User-centered participatory design with at-risk teens of a psycho-educational mHealth interactive story to reduce risky sexual behavior

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 1:10 PM - 1:30 PM

TJ Smith , Prevention Department, AIDS Council of Northeastern New York, Albany, NY
Paulina Sockolow, DrPH, MS, MBA , College of Nursing and Health Professions, Drexel University, Philadelphia, PA
Background

Sexual risk-taking behavior in underserved minority urban youth is an important factor in prevalence of sexually-transmitted diseases, mental health issues, and other risks and disease burden. Modern technological developments with cell phones or other mobile devices, which are widely and skillfully used in this population, have potential to transform these behaviors using gaming approaches to education.

Objective

The study objective was creation of a user-centered participatory design mHealth app development approach: An approach necessary for the success of these interventions.

Methods

Researchers conducted a descriptive study of the creation of an interactive story app developed with at-risk teens to better manage risky behavior. The site was a HIV/STI/pregnancy prevention program. The participatory design youth group was a moderator-led focus group whose discussions about the app were recorded for researcher access. With the site’s project manager, the remotely-located researchers planned the app development, identified the story’s decision points (e.g. would partner use condom?), designed the graphics, reviewed the recordings, and iteratively programmed the app, eliciting feedback from the focus groups.

Results

For the interactive story about selecting romantic partners, the focus group created the app plot line and advice-providing avatars at decision points, and role-played the scenario dialog. The advice was drawn for the well-accepted trauma-informed care intervention, SELF. To make certain that at-risk teens are compelled to use the app and find that its content and ‘voice’ are credible; the group was framed as experts regarding challenges app users face.

Discussion

Patient centered care including trauma-informed psychoeducational interventions could be delivered through mHealth interventions that are less resource intensive for the mental health delivery system. Despite promise, these approaches can only succeed if teens themselves accept them. Inclusion of teens as expert app users in a user-centered participatory design approach is necessary for mHealth app development for this population.

Learning Areas:

Communication and informatics
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the importance of patient-driven participation in mHealth development. Define elements of a participatory design approach to mHealth development. Identify components of an mHealth interactive story application.

Keyword(s): Information Technology, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a principal collaborator on the project that will be discussed and have worked for 12 years in the field of HIV/STD/pregnancy prevention with high risk youth.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.