Promoting cardiovascular health and wellness among African-Americans

Community participatory approach to design an innovative mobile-health intervention

LaPrincess Brewer, Sharonne N. Hayes, Amber R. Caron, David A. Derby, Nicholas S. Breutzman, Amy Wicks, Jeyakumar Raman, Christina M. Smith, Karen S. Schaepe, Ruth E. Sheets, Sarah M. Jenkins, Kandace A. Lackore, Jacqueline Johnson, Clarence Jones, Carmen Radecki Breitkopf, Lisa A. Cooper, Christi Ann Patten

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article numbere0218724
JournalPloS one
Volume14
Issue number8
DOIs
StatePublished - Jan 1 2019

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Telemedicine
African Americans
Health
Religious buildings
lifestyle
Life Style
Community-Based Participatory Research
focus groups
Focus Groups
prototypes
cardiovascular diseases
Cardiovascular Diseases
Testing
Social Networking
health information
interdisciplinary research
health education
mHealth
testing
disease prevention

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Promoting cardiovascular health and wellness among African-Americans : Community participatory approach to design an innovative mobile-health intervention. / Brewer, LaPrincess; Hayes, Sharonne N.; Caron, Amber R.; Derby, David A.; Breutzman, Nicholas S.; Wicks, Amy; Raman, Jeyakumar; Smith, Christina M.; Schaepe, Karen S.; Sheets, Ruth E.; Jenkins, Sarah M.; Lackore, Kandace A.; Johnson, Jacqueline; Jones, Clarence; Radecki Breitkopf, Carmen; Cooper, Lisa A.; Patten, Christi Ann.

In: PloS one, Vol. 14, No. 8, e0218724, 01.01.2019.

Research output: Contribution to journalArticle

Brewer, L, Hayes, SN, Caron, AR, Derby, DA, Breutzman, NS, Wicks, A, Raman, J, Smith, CM, Schaepe, KS, Sheets, RE, Jenkins, SM, Lackore, KA, Johnson, J, Jones, C, Radecki Breitkopf, C, Cooper, LA & Patten, CA 2019, 'Promoting cardiovascular health and wellness among African-Americans: Community participatory approach to design an innovative mobile-health intervention', PloS one, vol. 14, no. 8, e0218724. https://doi.org/10.1371/journal.pone.0218724
Brewer, LaPrincess ; Hayes, Sharonne N. ; Caron, Amber R. ; Derby, David A. ; Breutzman, Nicholas S. ; Wicks, Amy ; Raman, Jeyakumar ; Smith, Christina M. ; Schaepe, Karen S. ; Sheets, Ruth E. ; Jenkins, Sarah M. ; Lackore, Kandace A. ; Johnson, Jacqueline ; Jones, Clarence ; Radecki Breitkopf, Carmen ; Cooper, Lisa A. ; Patten, Christi Ann. / Promoting cardiovascular health and wellness among African-Americans : Community participatory approach to design an innovative mobile-health intervention. In: PloS one. 2019 ; Vol. 14, No. 8.
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abstract = "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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AU - Brewer, LaPrincess

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 - Radecki Breitkopf, Carmen

AU - Cooper, Lisa A.

AU - Patten, Christi Ann

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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.

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