Building smartphone “apps” for lifestyle behavior change in clinical populations
ISPAH ePoster Library. Hasanaj K. Oct 16, 2018; 225550; 7
Kristina Hasanaj
Kristina Hasanaj
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Abstract
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Abstract Introduction:<\b>
Lifestyle-based behavior change approaches are difficult to deliver given high cost and complexity in overburdened clinical environments. mHealth approaches may address some challenges by extending care beyond the clinical setting and providing real-time, objective self-monitoring strategies. Our team developed two clinically focused, lifestyle smartphone applications (“apps”). BeWell24, focuses on lifestyle behavior change in at-risk adults. SleepWell24, focuses on increasing positive airway pressure (PAP) therapy adherence through self-management. Both apps incorporated lifestyle change strategies across the 24 hours (i.e., sleep, sedentary time, physical activity, diet). Methods:<\b>
The smartphone app development was based on evidence-based strategies, expert opinion, and stakeholder feedback. A community-embedded iterative design framework was used to collect stakeholder feedback from clinical providers (n=22) and target users (n=10). This feedback was incorporated during all development phases and incorporated think aloud activities, focus groups, individual interviews, and short-term use studies. Results:<\b>
Feedback from providers and target users yielded apps tailored to clinical environments including objective feedback, features to enhance patient-provider communication, and a platform conducive for integration into the electronic medical record. Cloud-based linkages were established with wearable technologies to enhance self-monitoring (e.g., activity monitors, PAP machine). Components were designed to provide knowledge and tools to understand and effectively incorporate healthier habits. Conclusion:<\b>
Stakeholder feedback is a necessary component to the development of evidence-based smartphone interventions and should employ iterative design methods to ensure integration into the clinical setting. External funding details National Institute of Health: R18DK109516, R21NR016046; Virginia G. Piper Charitable Trust.
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