Formative research to develop a lifestyle application (app) for African American breast cancer survivors
Identifieur interne : 008758 ( Ncbi/Merge ); précédent : 008757; suivant : 008759Formative research to develop a lifestyle application (app) for African American breast cancer survivors
Auteurs : Selina A. Smith [États-Unis] ; Mary S. Whitehead [États-Unis] ; Joyce Q. Sheats [États-Unis] ; Brittney Fontenot [États-Unis] ; Ernest Alema-Mensah [États-Unis] ; Benjamin Ansa [États-Unis]Source :
- Journal of the Georgia Public Health Association [ 2471-9773 ] ; 2016.
Abstract
There is a proliferation of lifestyle-oriented mobile technologies; however, few have targeted users. Through intervention mapping, investigators and community partners completed Steps 1–3 (needs assessment, formulation of change objectives, and selection of theory-based methods) of a process to develop a mobile cancer prevention application (app) for cancer prevention. The aim of this qualitative study was to complete Step 4 (intervention development) by eliciting input from African American (AA) breast cancer survivors (BCSs) to guide app development.
Four focus group discussions (n=60) and three individual semi-structured interviews (n=36) were conducted with AA BCSs (40–72 years of age) to assess barriers and strategies for lifestyle change. All focus groups and interviews were recorded and transcribed verbatim. Data were analyzed with NVivo qualitative data analysis software version 10, allowing categories, themes, and patterns to emerge.
Three categories and related themes emerged from the analysis: 1) perceptions about modifiable risk factors; 2) strategies related to adherence to cancer prevention guidelines; and 3) app components to address barriers to adherence. Participant perceptions, strategies, and recommended components guided development of the app.
For development of a mobile cancer prevention app, these findings will assist investigators in targeting features that are usable, acceptable, and accessible for AA BCSs.
Url:
DOI: 10.21633/jgpha.6.103
PubMed: 27583307
PubMed Central: 5003317
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Smith</name><affiliation wicri:level="2"><nlm:aff id="A1">Institute of Public and Preventive Health, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Institute of Public and Preventive Health, Augusta University, Augusta</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Whitehead, Mary S" sort="Whitehead, Mary S" uniqKey="Whitehead M" first="Mary S." last="Whitehead">Mary S. 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Smith</name><affiliation wicri:level="2"><nlm:aff id="A1">Institute of Public and Preventive Health, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Institute of Public and Preventive Health, Augusta University, Augusta</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Whitehead, Mary S" sort="Whitehead, Mary S" uniqKey="Whitehead M" first="Mary S." last="Whitehead">Mary S. Whitehead</name><affiliation wicri:level="2"><nlm:aff id="A3">SISTAAH Talk Breast Cancer Support Group, Mami, FL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>SISTAAH Talk Breast Cancer Support Group, Mami</wicri:cityArea></affiliation></author><author><name sortKey="Sheats, Joyce Q" sort="Sheats, Joyce Q" uniqKey="Sheats J" first="Joyce Q." last="Sheats">Joyce Q. Sheats</name><affiliation wicri:level="2"><nlm:aff id="A1">Institute of Public and Preventive Health, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Institute of Public and Preventive Health, Augusta University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Fontenot, Brittney" sort="Fontenot, Brittney" uniqKey="Fontenot B" first="Brittney" last="Fontenot">Brittney Fontenot</name><affiliation wicri:level="2"><nlm:aff id="A1">Institute of Public and Preventive Health, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Institute of Public and Preventive Health, Augusta University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Alema Mensah, Ernest" sort="Alema Mensah, Ernest" uniqKey="Alema Mensah E" first="Ernest" last="Alema-Mensah">Ernest Alema-Mensah</name><affiliation wicri:level="2"><nlm:aff id="A4">Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Ansa, Benjamin" sort="Ansa, Benjamin" uniqKey="Ansa B" first="Benjamin" last="Ansa">Benjamin Ansa</name><affiliation wicri:level="2"><nlm:aff id="A1">Institute of Public and Preventive Health, Augusta University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Institute of Public and Preventive Health, Augusta University, Augusta</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of the Georgia Public Health Association</title><idno type="eISSN">2471-9773</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">There is a proliferation of lifestyle-oriented mobile technologies; however, few have targeted users. Through intervention mapping, investigators and community partners completed Steps 1–3 (needs assessment, formulation of change objectives, and selection of theory-based methods) of a process to develop a mobile cancer prevention application (app) for cancer prevention. The aim of this qualitative study was to complete Step 4 (intervention development) by eliciting input from African American (AA) breast cancer survivors (BCSs) to guide app development.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Four focus group discussions (n=60) and three individual semi-structured interviews (n=36) were conducted with AA BCSs (40–72 years of age) to assess barriers and strategies for lifestyle change. All focus groups and interviews were recorded and transcribed verbatim. Data were analyzed with NVivo qualitative data analysis software version 10, allowing categories, themes, and patterns to emerge.</p></sec><sec id="S3"><title>Results</title><p id="P3">Three categories and related themes emerged from the analysis: 1) perceptions about modifiable risk factors; 2) strategies related to adherence to cancer prevention guidelines; and 3) app components to address barriers to adherence. Participant perceptions, strategies, and recommended components guided development of the app.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">For development of a mobile cancer prevention app, these findings will assist investigators in targeting features that are usable, acceptable, and accessible for AA BCSs.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ajzen, I" uniqKey="Ajzen I">I Ajzen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ansa, B" uniqKey="Ansa B">B Ansa</name></author><author><name sortKey="Yoo, W" uniqKey="Yoo W">W Yoo</name></author><author><name sortKey="Whitehead, M" uniqKey="Whitehead M">M Whitehead</name></author><author><name sortKey="Coughlin, S" uniqKey="Coughlin S">S Coughlin</name></author><author><name sortKey="Smith, S" uniqKey="Smith S">S Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101666414</journal-id><journal-id journal-id-type="pubmed-jr-id">44247</journal-id><journal-id journal-id-type="nlm-ta">J Ga Public Health Assoc</journal-id><journal-id journal-id-type="iso-abbrev">J Ga Public Health Assoc</journal-id><journal-title-group><journal-title>Journal of the Georgia Public Health Association</journal-title></journal-title-group><issn pub-type="epub">2471-9773</issn></journal-meta><article-meta><article-id pub-id-type="pmid">27583307</article-id><article-id pub-id-type="pmc">5003317</article-id><article-id pub-id-type="doi">10.21633/jgpha.6.103</article-id><article-id pub-id-type="manuscript">NIHMS811242</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Formative research to develop a lifestyle application (app) for African American breast cancer survivors</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Smith</surname><given-names>Selina A.</given-names></name><degrees>PhD, MDiv</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Whitehead</surname><given-names>Mary S.</given-names></name><degrees>MPH, CHES</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Sheats</surname><given-names>Joyce Q.</given-names></name><degrees>RN, MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Fontenot</surname><given-names>Brittney</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Alema-Mensah</surname><given-names>Ernest</given-names></name><degrees>PhD, DMin</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Ansa</surname><given-names>Benjamin</given-names></name><degrees>MD, MSCR</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Institute of Public and Preventive Health, Augusta University, Augusta, GA</aff><aff id="A2"><label>2</label>Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA</aff><aff id="A3"><label>3</label>SISTAAH Talk Breast Cancer Support Group, Mami, FL</aff><aff id="A4"><label>4</label>Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA</aff><author-notes><corresp id="cor1"><bold>Corresponding Author</bold>: Dr. Benjamin Ansa, CJ2300 1120 15<sup>th</sup> Street, Augusta, GA 30912, 706-721-6141, <email>BANSA@augusta.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>19</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="ppub"><season>Summer</season><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>29</day><month>8</month><year>2016</year></pub-date><volume>6</volume><issue>1</issue><fpage>50</fpage><lpage>59</lpage><pmc-comment>elocation-id from pubmed: 10.21633/jgpha.6.103</pmc-comment>
<permissions><license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivatives License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work ("first published in the Journal of the Georgia Public Health Association…") is properly cited with original URL and bibliographic citation information. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.gapha.jgpha.org/">http://www.gapha.jgpha.org/</ext-link>, as well as this copyright and license information must be included.</license-p></license></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">There is a proliferation of lifestyle-oriented mobile technologies; however, few have targeted users. Through intervention mapping, investigators and community partners completed Steps 1–3 (needs assessment, formulation of change objectives, and selection of theory-based methods) of a process to develop a mobile cancer prevention application (app) for cancer prevention. The aim of this qualitative study was to complete Step 4 (intervention development) by eliciting input from African American (AA) breast cancer survivors (BCSs) to guide app development.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Four focus group discussions (n=60) and three individual semi-structured interviews (n=36) were conducted with AA BCSs (40–72 years of age) to assess barriers and strategies for lifestyle change. All focus groups and interviews were recorded and transcribed verbatim. Data were analyzed with NVivo qualitative data analysis software version 10, allowing categories, themes, and patterns to emerge.</p></sec><sec id="S3"><title>Results</title><p id="P3">Three categories and related themes emerged from the analysis: 1) perceptions about modifiable risk factors; 2) strategies related to adherence to cancer prevention guidelines; and 3) app components to address barriers to adherence. Participant perceptions, strategies, and recommended components guided development of the app.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">For development of a mobile cancer prevention app, these findings will assist investigators in targeting features that are usable, acceptable, and accessible for AA BCSs.</p></sec></abstract><kwd-group><kwd>Lifestyle modification</kwd><kwd>intervention mapping</kwd><kwd>cancer prevention guidelines</kwd><kwd>breast cancer survivors</kwd><kwd>smartphone app</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><p id="P120">SISTAAH Talk App Intervention Map</p></caption><graphic xlink:href="nihms811242f1"></graphic></fig><table-wrap id="T1" position="float" orientation="portrait"><label>Table 1</label><caption><p id="P121">Community advisory board representation</p></caption><table frame="box" rules="all"><thead><tr><th align="left" rowspan="1" colspan="1">Community Coalitions & Support Groups by City</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1"><bold>Miami</bold></td></tr><tr><td align="left" rowspan="1" colspan="1">Florida Resources for Enhancing & Sustaining Health</td></tr><tr><td align="left" rowspan="1" colspan="1">SISTAAH Talk</td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Chicago</bold></td></tr><tr><td align="left" rowspan="1" colspan="1">National Black Leadership Initiative on Cancer</td></tr><tr><td align="left" rowspan="1" colspan="1">Sisters Working it Out</td></tr><tr><td align="left" rowspan="1" colspan="1">CT Joiner Foundation</td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Houston</bold></td></tr><tr><td align="left" rowspan="1" colspan="1">National Black Leadership Initiative on Cancer</td></tr><tr><td align="left" rowspan="1" colspan="1">Angels Surviving Cancer, Inc.</td></tr><tr><td align="left" rowspan="1" colspan="1">Reconstruction of a Survivor</td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Los Angeles</bold></td></tr><tr><td align="left" rowspan="1" colspan="1">Black Women for Wellness</td></tr><tr><td align="left" rowspan="1" colspan="1">Sisters Breast Cancer Survivors Network</td></tr><tr><td align="left" rowspan="1" colspan="1">Celebrate Life</td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Philadelphia</bold></td></tr><tr><td align="left" rowspan="1" colspan="1">National Black Leadership Initiative on Cancer</td></tr><tr><td align="left" rowspan="1" colspan="1">Women of Faith and Hope</td></tr><tr><td align="left" rowspan="1" colspan="1">Linda Creed Breast Cancer.Org</td></tr></tbody></table></table-wrap><table-wrap id="T2" position="float" orientation="landscape"><label>Table 2</label><caption><p id="P122">SISTAAH Talk app theoretical components</p></caption><table frame="box" rules="all"><thead><tr><th align="left" rowspan="1" colspan="1">Component</th><th align="center" colspan="3" rowspan="1">Health Belief Model<xref ref-type="table-fn" rid="TFN1">a</xref></th><th align="center" colspan="2" rowspan="1">Theory of Planned Behavior<xref ref-type="table-fn" rid="TFN2">b</xref></th></tr><tr><th align="left" rowspan="1" colspan="1"></th><th align="center" rowspan="1" colspan="1">HBM1</th><th align="center" rowspan="1" colspan="1">HBM2</th><th align="center" rowspan="1" colspan="1">HBM3</th><th align="center" rowspan="1" colspan="1">TPB4</th><th align="center" rowspan="1" colspan="1">TPB5</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Education</td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1">Instructions</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1">Goal setting</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td></tr><tr><td align="left" rowspan="1" colspan="1">Social support</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1">Provide feedback</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td></tr><tr><td align="left" rowspan="1" colspan="1">Prompt review</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td></tr><tr><td align="left" rowspan="1" colspan="1">Self-monitoring</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td></tr><tr><td align="left" rowspan="1" colspan="1">Teach use of cues</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1">Action planning</td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1"></td><td align="center" rowspan="1" colspan="1">✓</td><td align="center" rowspan="1" colspan="1"></td></tr></tbody></table><table-wrap-foot><fn id="TFN1"><label>a</label><p id="P123">Health Belief Model: HBM1 (perceived costs); HBM2 (health benefits); HBM3 (cues for action).</p></fn><fn id="TFN2"><label>b</label><p id="P124">Theory of Planned Behavior: TPB4 (subjective norms/social support); TPB5 (behavior control).</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" position="float" orientation="portrait"><label>Table 3</label><caption><p id="P125">Sociodemographic characteristics of SISTAAH Talk coaches</p></caption><table frame="box" rules="cols"><thead><tr><th align="left" rowspan="1" colspan="1">Characteristics</th><th align="center" rowspan="1" colspan="1">Participants (n=12)</th></tr><tr><th align="center" colspan="2" valign="bottom" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1"><bold>Mean age, years (range)</bold></td><td align="center" rowspan="1" colspan="1">50 (40–72)</td></tr><tr><td align="center" colspan="2" valign="bottom" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Educational Level</bold></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1"> High school or less</td><td align="center" rowspan="1" colspan="1">3 (25.0)</td></tr><tr><td align="left" rowspan="1" colspan="1"> College</td><td align="center" rowspan="1" colspan="1">7 (58.3)</td></tr><tr><td align="left" rowspan="1" colspan="1"> Graduate</td><td align="center" rowspan="1" colspan="1">2 (16.7)</td></tr><tr><td align="center" colspan="2" valign="bottom" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Marital Status (percent)</bold></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1"> Single</td><td align="center" rowspan="1" colspan="1">3(25.0)</td></tr><tr><td align="left" rowspan="1" colspan="1"> Married</td><td align="center" rowspan="1" colspan="1">4(33.0)</td></tr><tr><td align="left" rowspan="1" colspan="1"> Widow/Divorced</td><td align="center" rowspan="1" colspan="1">5(42.0)</td></tr><tr><td align="center" colspan="2" valign="bottom" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Annual Income (%)</bold></td><td align="center" rowspan="1" colspan="1"></td></tr><tr><td align="left" rowspan="1" colspan="1"> $0-$24,999</td><td align="center" rowspan="1" colspan="1">4(33.0)</td></tr><tr><td align="left" rowspan="1" colspan="1"> $25,000-$49,000</td><td align="center" rowspan="1" colspan="1">5(42.0)</td></tr><tr><td align="left" rowspan="1" colspan="1"> ≥$50,000</td><td align="center" rowspan="1" colspan="1">3(33.0)</td></tr><tr><td align="center" colspan="2" valign="bottom" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1"><bold>Mean years (range) since diagnosis of breast cancer</bold></td><td align="center" rowspan="1" colspan="1">8.7 (2–26)</td></tr></tbody></table></table-wrap><table-wrap id="T4" position="float" orientation="portrait"><label>Table 4</label><caption><p id="P126">Strategies and participant app component preferences</p></caption><table frame="box" rules="all"><thead><tr><th align="left" rowspan="1" colspan="1">App Component</th><th align="left" rowspan="1" colspan="1">Strategy</th><th align="left" rowspan="1" colspan="1">Quotes</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">WCRF/AICR cancer prevention<break></break>guidelines</td><td align="left" valign="top" rowspan="1" colspan="1">Educational materials</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“Because as a cancer survivor, I think we need</italic><break></break><italic>that kind of education. Because there are so many</italic><break></break><italic>programs teaching how to work out; but as breast</italic><break></break><italic>cancer survivors, need special education that will</italic><break></break><italic>not traumatize our bodies.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Food and exercise diary</td><td align="left" valign="top" rowspan="1" colspan="1">Dietary intake and physical<break></break>activity progress</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“I want an app to chart or journal what I have</italic><break></break><italic>been eating and doing—to give me ideas and</italic><break></break><italic>guidance.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Email reminders</td><td align="left" valign="top" rowspan="1" colspan="1">Feedback<break></break>Instructions</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“I like email reminders and tips for eating every</italic><break></break><italic>day, reminding me to drink water, to eat fruits</italic><break></break><italic>and vegetables.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Body mass index calculator</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring of body weight</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“The best app is one that calculates how fat you</italic><break></break><italic>are. Having a BMI calculator is a must!’</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Healthy weight range</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring of body weight<break></break>Goal setting</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“Healthy weight in my community is different</italic><break></break><italic>from for other women. I need to know how much I</italic><break></break><italic>should weight to prevent my breast cancer from</italic><break></break><italic>coming back—I need a goal.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Energy/calorie requirement<break></break>calculator</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring of portion<break></break>control<break></break>Goal setting</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“Apps that have restaurant information and the</italic><break></break><italic>calculation of the calories for any of the foods</italic><break></break><italic>you eat are best.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Food group recommendations</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring of fruits and<break></break>vegetables; red and processed<break></break>meats; whole grains</td><td align="left" valign="top" rowspan="1" colspan="1">“<italic>It would help if the app allowed me to track my</italic><break></break><italic>progress—tell me if I am eating the right number</italic><break></break><italic>of foods to prevent cancer.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Recipes—pictures of foods,<break></break>YouTube videos</td><td align="left" valign="top" rowspan="1" colspan="1">Educational materials<break></break>Instructions</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“The ones (apps) with links to other websites was</italic><break></break><italic>very good.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Exercise—instructions,<break></break>YouTube videos</td><td align="left" valign="top" rowspan="1" colspan="1">Educational materials<break></break>Instructions</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“More information, especially about physical</italic><break></break><italic>activity.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Tracking negative<break></break>thoughts/stress</td><td align="left" valign="top" rowspan="1" colspan="1">Stress reduction</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“I learned how to release my stress, to breathe</italic><break></break><italic>that’s a good thing and also not to stress our</italic><break></break><italic>body, to go further than we can. We need to</italic><break></break><italic>include this in the app.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Links to FaceBook, Twitter</td><td align="left" valign="top" rowspan="1" colspan="1">Social support<break></break>Feedback</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“Another thing I like is when you can talk with</italic><break></break><italic>certain people—people going through what you</italic><break></break><italic>are going though; experts like nutritionists and</italic><break></break><italic>fitness experts.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Internet website links</td><td align="left" valign="top" rowspan="1" colspan="1">Resources</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“If it’s too much information, someone like me</italic><break></break><italic>who is new to using apps, if it’s too technical, the</italic><break></break><italic>user will give up.” It’s important to make the app</italic><break></break><italic>‘user-friendly’ and link out to other resources.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Reminders to log food and<break></break>activity</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring<break></break>Goal setting</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“The best app is one that communicates with</italic><break></break><italic>you—that sends you reminders to track your</italic><break></break><italic>progress.”</italic></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Flags for lapses in diet and<break></break>physical activity goal adherence</td><td align="left" valign="top" rowspan="1" colspan="1">Self-monitoring<break></break>Goal setting</td><td align="left" valign="top" rowspan="1" colspan="1"><italic>“Once I set a goal, I usually stick to it. But some</italic><break></break><italic>things that I think that I am doing right, I am not</italic><break></break><italic>really doing right. I need someone to tell me.”</italic></td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Géorgie (États-Unis)</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Smith, Selina A" sort="Smith, Selina A" uniqKey="Smith S" first="Selina A." last="Smith">Selina A. Smith</name></region><name sortKey="Alema Mensah, Ernest" sort="Alema Mensah, Ernest" uniqKey="Alema Mensah E" first="Ernest" last="Alema-Mensah">Ernest Alema-Mensah</name><name sortKey="Ansa, Benjamin" sort="Ansa, Benjamin" uniqKey="Ansa B" first="Benjamin" last="Ansa">Benjamin Ansa</name><name sortKey="Fontenot, Brittney" sort="Fontenot, Brittney" uniqKey="Fontenot B" first="Brittney" last="Fontenot">Brittney Fontenot</name><name sortKey="Sheats, Joyce Q" sort="Sheats, Joyce Q" uniqKey="Sheats J" first="Joyce Q." last="Sheats">Joyce Q. Sheats</name><name sortKey="Smith, Selina A" sort="Smith, Selina A" uniqKey="Smith S" first="Selina A." last="Smith">Selina A. Smith</name><name sortKey="Whitehead, Mary S" sort="Whitehead, Mary S" uniqKey="Whitehead M" first="Mary S." last="Whitehead">Mary S. Whitehead</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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