دورية أكاديمية
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Preventing Cardiovascular Disease Among Urban African Americans With a Mobile Health App (the MOYO App): Protocol for a Usability Study.

التفاصيل البيبلوغرافية
العنوان: Preventing Cardiovascular Disease Among Urban African Americans With a Mobile Health App (the MOYO App): Protocol for a Usability Study.
المؤلفون: Taylor HA Jr; Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, United States., Francis S; Nucleus Health Communications, Atlanta, GA, United States., Evans CR; Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, United States., Harvey M; Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, United States., Newton BA; Nucleus Health Communications, Atlanta, GA, United States., Jones CP; Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, United States., Akintobi TH; Cardiovascular Research Institute, Morehouse School of Medicine, Atlanta, GA, United States., Clifford G; Emory University, Atlanta, GA, United States.; Georgia Institute of Technology, Atlanta, GA, United States.
المصدر: JMIR research protocols [JMIR Res Protoc] 2020 Jul 09; Vol. 9 (7), pp. e16699. Date of Electronic Publication: 2020 Jul 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Print ISSN: 1929-0748 (Print) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications
مستخلص: Background: Cardiovascular disease (CVD) disparities are a particularly devastating manifestation of health inequity. Despite advancements in prevention and treatment, CVD is still the leading cause of death in the United States. Additionally, research indicates that African American (AA) and other ethnic-minority populations are affected by CVD at earlier ages than white Americans. Given that AAs are the fastest-growing population of smartphone owners and users, mobile health (mHealth) technologies offer the unparalleled potential to prevent or improve self-management of chronic disease among this population.
Objective: To address the unmet need for culturally tailored primordial prevention CVD-focused mHealth interventions, the MOYO app was cocreated with the involvement of young people from this priority community. The overall project aims to develop and evaluate the effectiveness of a novel smartphone app designed to reduce CVD risk factors among urban-AAs, 18-29 years of age.
Methods: The theoretical underpinning will combine the principles of community-based participatory research and the agile software development framework. The primary outcome goals of the study will be to determine the usability, acceptability, and functionality of the MOYO app, and to build a cloud-based data collection infrastructure suitable for digital epidemiology in a disparity population. Changes in health-related parameters over a 24-week period as determined by both passive (eg, physical activity levels, sleep duration, social networking) and active (eg, use of mood measures, surveys, uploading pictures of meals and blood pressure readings) measures will be the secondary outcome. Participants will be recruited from a majority AA "large city" school district, 2 historically black colleges or universities, and 1 urban undergraduate college. Following baseline screening for inclusion (administered in person), participants will receive the beta version of the MOYO app. Participants will be monitored during a 24-week pilot period. Analyses of varying data including social network dynamics, standard metrics of activity, percentage of time away from a given radius of home, circadian rhythm metrics, and proxies for sleep will be performed. Together with external variables (eg, weather, pollution, and socioeconomic indicators such as food access), these metrics will be used to train machine-learning frameworks to regress them on the self-reported quality of life indicators.
Results: This 5-year study (2015-2020) is currently in the implementation phase. We believe that MOYO can build upon findings of classical epidemiology and longitudinal studies like the Jackson Heart Study by adding greater granularity to our knowledge of the exposures and behaviors that affect health and disease, and creating a channel for outreach capable of launching interventions, clinical trials, and enhancements of health literacy.
Conclusions: The results of this pilot will provide valuable information about community cocreation of mHealth programs, efficacious design features, and essential infrastructure for digital epidemiology among young AA adults.
International Registered Report Identifier (irrid): DERR1-10.2196/16699.
(©Herman A Taylor Jr, Sherilyn Francis, Chad Ray Evans, Marques Harvey, Brittney A Newton, Camara P Jones, Tabia Henry Akintobi, Gari Clifford. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 09.07.2020.)
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معلومات مُعتمدة: P50 HL117929 United States HL NHLBI NIH HHS; UL1 TR002378 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: African Americans; agile design; cardiovascular; community-based participatory research; mHealth
تواريخ الأحداث: Date Created: 20200717 Latest Revision: 20200928
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7380980
DOI: 10.2196/16699
PMID: 32673258
قاعدة البيانات: MEDLINE
الوصف
تدمد:1929-0748
DOI:10.2196/16699