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Participatory Technology Development to Enhance Community Resilience
Author(s) -
Armen C. Arevian,
Jennifer O’Hora,
Felica Jones,
Joseph Mango,
Loretta Jones,
Pluscedia Williams,
Juanita BookerVaughns,
Andrea Jones,
Esmeralda Pulido,
Denishia Banner-Jackson,
Kenneth B. Wells
Publication year - 2018
Publication title -
ethnicity and disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.767
H-Index - 67
eISSN - 1945-0826
pISSN - 1049-510X
DOI - 10.18865/ed.28.s2.493
Subject(s) - stakeholder , community based participatory research , citizen journalism , psychology , participatory action research , community development , medical education , participatory development , participatory design , sustainability , community engagement , applied psychology , knowledge management , public relations , medicine , sociology , computer science , political science , engineering , world wide web , anthropology , law , biology , mechanical engineering , parallels , ecology
Objective: To assess the feasibility of a novel, partnered technology development process to co-create mobile health applica­tions (apps) addressing community health priorities, using psychoeducation of cogni­tive behavioral therapy (CBT) principles for enhancing resilience as an example.Design: Stakeholder engagement, work­groups, pilot feasibility study using mixed methods during October 2013 through January 2016 over three phases: 1) defining the vision of the project and increasing technical capacity, 2) co-development and pilot testing of the app, and 3) planning for sustainability.Setting: An academic-community partner­ship in South Los Angeles, California.Participants: Eight stakeholders; 30 pilot participants from the community.Main Outcome Measures: Qualitative analysis of audio-recordings of the app development process and stakeholder inter­views, surveys of stakeholders’ perception of the development process, app use data, and feedback from pilot participants.Results: The participatory technology development process resulted in creation and pilot-testing of a resiliency-focused text messaging app. Of the 1,107 messages sent, 23 out of 30 (77%) app users responded to explore interactive content. Stakeholders reported increased perceived competency in creating mobile apps and that the process fostered a culture of co-leadership. There was also sustained engagement in mobile app development by stakeholders beyond the initial project period.Conclusions: This is the first study, to our knowledge, to demonstrate the feasibility of participatory technology development, an approach involving direct participation in the development, tailoring and maintenance of a mobile app by a broad set of stakehold­ers with high representation from racial/ ethnic minorities from an under-resourced community. Participatory technology devel­opment is a promising approach for creating sustainable, relevant and engaging health technologies across different technological, clinical and community settings.Ethn Dis. 2018:28(Suppl 2):493-502; doi:10.18865/ed.28.S2.493.

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