A Community Participatory Approach to Creating Contextually Tailored mHealth Notifications: myBPmyLife Project

Abby Katherine Hellem, Amanda Casetti, Kaitlyn Bowie, Jessica R. Golbus, Beza Merid, Brahmajee K. Nallamothu, Michael P. Dorsch, Mark W. Newman, Lesli Skolarus

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalHealth promotion practice
DOIs
StateAccepted/In press - 2023

Keywords

  • cardiovascular disease
  • chronic disease
  • college/community partnerships
  • community-based participatory research
  • health equity
  • health research
  • health research
  • internet/electronic interventions
  • nutrition
  • physical activity/exercise
  • qualitative research
  • social determinants of health
  • technology
  • university/college health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing (miscellaneous)

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