TY - JOUR
T1 - Promoting cardiovascular health and wellness among African-Americans
T2 - Community participatory approach to design an innovative mobile-health intervention
AU - Brewer, La Princess C.
AU - Hayes, Sharonne N.
AU - Caron, Amber R.
AU - Derby, David A.
AU - Breutzman, Nicholas S.
AU - Wicks, Amy
AU - Raman, Jeyakumar
AU - Smith, Christina M.
AU - Schaepe, Karen S.
AU - Sheets, Ruth E.
AU - Jenkins, Sarah M.
AU - Lackore, Kandace A.
AU - Johnson, Jacqueline
AU - Jones, Clarence
AU - Breitkopf, Carmen Radecki
AU - Cooper, Lisa A.
AU - Patten, Christi A.
N1 - Funding Information:
Dr Brewer is supported by the Building Interdisciplinary Research Careers in Women’s Health Scholars Program (award number K12 HD065987-07) from the National Institutes of Health (NIH) Office of Research on Women’s Health, Mayo Clinic Women’s Health Research Center, and the National Center for Advancing Translational Sciences (Clinical and Translational Science Awards Grant Number KL2 TR002379), a component of the NIH. Contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official view of the NIH. This study was further supported by the Mayo Clinic Center for Innovation, Mayo Clinic Center for Translational Science Activities (UL1TR000135), Mayo Clinic Department of Cardiovascular Medicine, and Mayo Clinic Office of Health Disparities Research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors thank all the participating Rochester and Minneapolis-St. Paul area churches, including Christ’s Church of the Jesus Hour, New Hope Baptist Church, Rochester Community Baptist Church, St. Albans Church of God in Christ, and Word of Life Church of God in Christ, as well as our FAITH! Partners (Mrs. Frances Ellis, Ms. Margaret Frye, Mrs. Jacqueline Johnson, Mr. Clarence Jones, Mrs. Shirley Land, Mrs. Ramona Norwood, Ms. LaTasha Perkins, Ms. Monisha Washington, and Reverend Marcia Wyatt). We would like to show gratitude to Mrs. Deanna Constans and Mr. Jeffrey Gansen for their assistance with the video production of the education modules and Mayo Clinic faculty/staff for sharing their expertise. We also gratefully acknowledge the creative contributions of our community members who participated in this study.
Publisher Copyright:
© 2019 Brewer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Background Despite improvements in mortality rates over the past several decades, cardiovascular (CV) disease remains the leading cause of death for African-Americans (AAs). Innovative approaches through mobile health (mHealth) interventions have the potential to support lifestyle change for CV disease prevention among AAs. We aimed to translate a behavioral theory–informed, evidence-based, face-to-face health education program into an mHealth lifestyle intervention for AAs. We describe the design and development of a culturally relevant, CV health and wellness digital application (app) and pilot testing using a community-based participatory research (CBPR) approach with AA churches. Methods This mixed methods study used a 4-phase iterative development process for intervention design with the AA community. Phase 1 included focus groups with AA community members and church partners (n = 23) to gain insight regarding potential app end user preferences. In Phase 2, the interdisciplinary research team synthesized Phase 1 input for preliminary app design and content development. Phase 3 consisted of a sequential 3-meet-ing series with church partners (n = 13) for iterative app prototyping (assessment, cultural tailoring, final review). Phase 4, a single group pilot study among AA church congregants (n = 50), assessed app acceptability, usability, and satisfaction. Results Phase 1 focus groups indicated general and health-related apps preferences: multifunctional, high-quality graphics/visuals, evidence-based, yet simple health information and social networking capability. Phase 2 integrated these preferences into the preliminary app prototype. Phase 3 feedback was used to refine the app prototype for pilot testing. Phase 4 pilot testing indicated high app acceptability, usability, and satisfaction. Conclusions This study illustrates integration of formative and CBPR approaches to design a culturally relevant, mHealth lifestyle intervention to address CV health disparities among AAs. Given the positive app perceptions, our study supports the use of an iterative development process by others interested in implementing an mHealth lifestyle intervention for racial/ethnic minority communities.
AB - Background Despite improvements in mortality rates over the past several decades, cardiovascular (CV) disease remains the leading cause of death for African-Americans (AAs). Innovative approaches through mobile health (mHealth) interventions have the potential to support lifestyle change for CV disease prevention among AAs. We aimed to translate a behavioral theory–informed, evidence-based, face-to-face health education program into an mHealth lifestyle intervention for AAs. We describe the design and development of a culturally relevant, CV health and wellness digital application (app) and pilot testing using a community-based participatory research (CBPR) approach with AA churches. Methods This mixed methods study used a 4-phase iterative development process for intervention design with the AA community. Phase 1 included focus groups with AA community members and church partners (n = 23) to gain insight regarding potential app end user preferences. In Phase 2, the interdisciplinary research team synthesized Phase 1 input for preliminary app design and content development. Phase 3 consisted of a sequential 3-meet-ing series with church partners (n = 13) for iterative app prototyping (assessment, cultural tailoring, final review). Phase 4, a single group pilot study among AA church congregants (n = 50), assessed app acceptability, usability, and satisfaction. Results Phase 1 focus groups indicated general and health-related apps preferences: multifunctional, high-quality graphics/visuals, evidence-based, yet simple health information and social networking capability. Phase 2 integrated these preferences into the preliminary app prototype. Phase 3 feedback was used to refine the app prototype for pilot testing. Phase 4 pilot testing indicated high app acceptability, usability, and satisfaction. Conclusions This study illustrates integration of formative and CBPR approaches to design a culturally relevant, mHealth lifestyle intervention to address CV health disparities among AAs. Given the positive app perceptions, our study supports the use of an iterative development process by others interested in implementing an mHealth lifestyle intervention for racial/ethnic minority communities.
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U2 - 10.1371/journal.pone.0218724
DO - 10.1371/journal.pone.0218724
M3 - Article
C2 - 31430294
AN - SCOPUS:85070928592
SN - 1932-6203
VL - 14
JO - PloS one
JF - PloS one
IS - 8
M1 - e0218724
ER -