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A Physical Activity Just-in-time Adaptive Intervention Designed in Partnership With a Predominantly Black Community:

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Summary

This study virtually designed a just-in-time adaptive intervention (JITAI) to increase physical activity in a Black community. Community-academic partnerships ensured the JITAI addressed specific needs, promoting health equity.

Keywords:
blood pressurecommunity participatory designdesignhealth equityhealthy lifestylehypertensionjust-in-time adaptive interventionphysical activity

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Area of Science:

  • Digital Health
  • Community-Based Participatory Research
  • Health Equity

Background:

  • Hypertension disproportionately affects Black individuals, necessitating novel lifestyle interventions.
  • Promoting health equity requires tailored approaches for Black communities.

Purpose of the Study:

  • To virtually design a just-in-time adaptive intervention (JITAI) for increasing physical activity.
  • To collaborate with a low-income, predominantly Black community in the intervention design process.

Main Methods:

  • Virtual discovery interviews and empathy mapping were conducted, guided by the Behavior Change Wheel.
  • A community-academic participatory design team was formed for co-design activities.
  • Storyboarding and paper prototyping were utilized with community feedback.

Main Results:

  • Five community-academic partner design principles were established, emphasizing user-centered, tailored, and motivational design.
  • Mobile app push notifications will be personalized based on individual mobility, local resources, day, time, and weather.
  • Adaptive goal setting, supportive feedback, and social support will enhance user motivation.

Conclusions:

  • Early-stage virtual design of a JITAI was successfully completed in partnership with community members.
  • Community-engaged design ensures interventions address specific needs, potentially leading to greater health impacts.