TY - JOUR
T1 - A Community Participatory Approach to Creating Contextually Tailored mHealth Notifications
T2 - myBPmyLife Project
AU - Hellem, Abby Katherine
AU - Casetti, Amanda
AU - Bowie, Kaitlyn
AU - Golbus, Jessica R.
AU - Merid, Beza
AU - Nallamothu, Brahmajee K.
AU - Dorsch, Michael P.
AU - Newman, Mark W.
AU - Skolarus, Lesli
N1 - Funding Information:
The work was supported by the American Heart Association SFRN Grant: 20-SFRN35370008.
Publisher Copyright:
© 2023 Society for Public Health Education.
PY - 2023
Y1 - 2023
N2 - Just-in-time adaptive interventions (JITAIs) are a novel approach to mobile health (mHealth) interventions, sending contextually tailored behavior change notifications to participants when they are more likely to engage, determined by data from wearable devices. We describe a community participatory approach to JITAI notification development for the myBPmyLife Project, a JITAI focused on decreasing sodium consumption and increasing physical activity to reduce blood pressure. Eighty-six participants were interviewed, 50 at a federally qualified health center (FQHC) and 36 at a university clinic. Participants were asked to provide encouraging physical activity and low-sodium diet notifications and provided feedback on researcher-generated notifications to inform revisions. Participant notifications were thematically analyzed using an inductive approach. Participants noted challenging vocabulary, phrasing, and culturally incongruent suggestions in some of the researcher-generated notifications. Community-generated notifications were more direct, used colloquial language, and contained themes of grace. The FQHC participants’ notifications expressed more compassion, religiosity, and addressed health-related social needs. University clinic participants’ notifications frequently focused on office environments. In summary, our participatory approach to notification development embedded a distinctive community voice within our notifications. Our approach may be generalizable to other communities and serve as a model to create tailored mHealth notifications to their focus population.
AB - Just-in-time adaptive interventions (JITAIs) are a novel approach to mobile health (mHealth) interventions, sending contextually tailored behavior change notifications to participants when they are more likely to engage, determined by data from wearable devices. We describe a community participatory approach to JITAI notification development for the myBPmyLife Project, a JITAI focused on decreasing sodium consumption and increasing physical activity to reduce blood pressure. Eighty-six participants were interviewed, 50 at a federally qualified health center (FQHC) and 36 at a university clinic. Participants were asked to provide encouraging physical activity and low-sodium diet notifications and provided feedback on researcher-generated notifications to inform revisions. Participant notifications were thematically analyzed using an inductive approach. Participants noted challenging vocabulary, phrasing, and culturally incongruent suggestions in some of the researcher-generated notifications. Community-generated notifications were more direct, used colloquial language, and contained themes of grace. The FQHC participants’ notifications expressed more compassion, religiosity, and addressed health-related social needs. University clinic participants’ notifications frequently focused on office environments. In summary, our participatory approach to notification development embedded a distinctive community voice within our notifications. Our approach may be generalizable to other communities and serve as a model to create tailored mHealth notifications to their focus population.
KW - cardiovascular disease
KW - chronic disease
KW - college/community partnerships
KW - community-based participatory research
KW - health equity
KW - health research
KW - health research
KW - internet/electronic interventions
KW - nutrition
KW - physical activity/exercise
KW - qualitative research
KW - social determinants of health
KW - technology
KW - university/college health
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U2 - 10.1177/15248399221141687
DO - 10.1177/15248399221141687
M3 - Article
AN - SCOPUS:85147431864
SN - 1524-8399
JO - Health promotion practice
JF - Health promotion practice
ER -