Development of Smartrek a Theory Driven Mobile App to Prevent Alcohol Use Among College Students

2.50
Hdl Handle:
http://hdl.handle.net/10755/621867
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Development of Smartrek a Theory Driven Mobile App to Prevent Alcohol Use Among College Students
Author(s):
Kazemi, Donna
Lead Author STTI Affiliation:
Gamma Iota
Author Details:
Donna Kazemi, PhD, MSN, CNE, FIAAN, Professional Experience: 2008-present Assistant Professor, SON, CHHS, University of North Carolina at Charlotte 2002-2008 Lecturer faculties, School of Nursing (SON), College of Health and Human Services (CHHS), University of North Carolina Charlotte (UNCC) 2001-2002 Program Director, Rowan Cabarrus Community College, Practical Nursing program A faculty member in the School of Nursing at the University of North Carolina- Charlotte. Her program of research has focused on addictive behaviors has focused upon applied and clinically relevant research among populations at high risk for developing substance abuse such as young adults, college students, military personnel, and traditionally underserved ethnic minority populations. Author Summary: Dr. Donna M. Kazemi, PhD, MSN, RN, CNE is an Associate Professor in the School of Nursing at the University of North Carolina at Charlotte. Her program of research and teaching has focused on the assessment, treatment and prevention of alcohol induced disorders among vulnerable populations such as young adults, college students, military personnel, and underserved ethnic minority populations.
Abstract:

Background Hazardous alcohol consumption use and its related consequences is a foremost global public health issue facing individuals, families, and society contributing to significant morbidity among youth college students. More than one third of college students report engaging in heavy episodic drinking (4+/5+ drinks in a single sitting for females/males) at least once in the past two weeks, and 8% (females) to 20% (males) consume at least twice on a binge (i.e., 8+/10+ drinks) Alarming numbers of college students drink heavily, often in binges, bringing negative consequences such as blackout, rape, HIV-related sexual risk-taking, academic failure, suicide and violence The most recent survey conducted by the 2015 National College Health Association found that among the 34,208 students who responded, 63% reported drinking in the last 30 days. Alcohol is the most commonly used substance, with one out of three young adults reporting binge drinking Binge drinking is associated with substantial negative consequences including annual rates of 646,000 physical assaults, 97,000 sexual assaults, 599,000 unintentional injuries, and 1,825 deaths. Excessive alcohol use is one of the greatest societal medical burdens with an annual cost exceeding $250 billion per year.

Today’s college students are the first generation raised in a media environment; known as ‘Net Generation’, they have always had access to digital technologies In the United States, 91% of adults use a mobile phone with over 50% owning Smartphones. Those in “Generation Z” who have extensive access to digital technology view communication using this technology. Technologies such as mobile apps, text messaging and online chat increase receptivity to new information and verbalization in this age group. Mobile apps represent a novel growing market, and environment in which to disseminate health behavior change interventions. App features are delivered as individual components (e.g., text only) or in combination. New technologies, such as smartphones, offer more efficient delivery to college students, who access their phones multiple times a day

Given the familiarity and comfort that students have with mobile phones and their willingness to adopt new trends, there are exciting opportunity to use mHealth to deliver interventions. One approach to reducing high-risk drinking is Motivational Intervention (MI), a person-centered approach to strengthening motivation for change. MI is an empirically supported, evidence-based intervention for students aged 18-25 that uses a directive but non-confrontational approach with personalized feedback to resolve ambivalence and reduce alcohol misuse and its harms. A growing body of research demonstrates the effectiveness of computerized MI deliveries. Computerized interventions simulate face-to-face interventions by giving personalized feedback on characteristics related to behavior change. In addition, web interventions that incorporate personalized feedback and harm reduction strategies have shown some promise with mandated college students and could be of use with students during the summer months. The widespread use of evidence-based Brief Motivational Interviewing (BMI) on campuses has been hindered by logistical issues and the financial costs of implementation. Interventions have been developed to reduce alcohol use among student that would be related in real-life, real-time situations. There is mounting evidence that mobile-based technology is a promising approach for reducing substance use and warrants further investigation.

Objective: The objectives of this current study were 1) to translate the motivational intervention to mobile delivery, 2) based on the translations to design and develop a smartphone (SP) application (or “app”) to deliver a modified intervention through mobile phones and use electronic communications (e.g., text messaging) for interactions and 3) once development of the app was completed, we then tested the app by conducting theater testing and field testing to determine acceptability with the college population. Thus we designed an innovative app by refining the original MI to address drinking by college students and tested college students’ responses to and acceptance of delivery of our adapted app.

We aim to develop a mobile app intervenient based on in motivational interviewing that will 1) development of a mobile intervention that would be applied in real-life, real-time environments to reduce hazardous drinking amongst college students. We developed a smartphone (SP) application (or “app”) to deliver a modified intervention through mobile phones and use electronic communications (e.g., text messaging) for interactions. 2) Once modifications are complete, we examined the feasibility of the intervention by conducting theater testing and field testing to determine acceptability with the college population.

Methods: Using components of intervention mapping as a guide we designed a Smartphone app by translating Motivational Intervention techniques conducted in three phases, 1) first in phase 1 we adapted the MI constructs for mobile delivery and developed preliminary app designs, 2) then based on the preliminary designs we developed the app and system server, and 3) finally in phase 3 we tested the app by conducting theater and field testing (n=20) to determine feasibility and acceptability among college students.

Results: The components of motivational interviewing (MI) and MI spirit were integrated into the SmarTrek features (e.g., engaging, focusing, evoking, planning, acceptance, compassion, and partnership). A suite of mobile features was developed based on ME and EMI constructs which enable effective change of the students drinking behaviors. The mobile app features that were developed within this framework included integrated tools of surveys and assessments, personalized feedback reports, real-time email communication (Coach), motivational text messaging, and educational games. SmarTrek average overall usability score was 5.97 out of 7 (SD=1.20, Cronbach's α=0.916). Looking at the three sub-scales, the usefulness of the APP was measured using 4 items and the average score was 5.68 (SD=1.06, α=0.781). Ease of use was measured using 15 items and the average score was 6.03 (SD=1.24, α=0.951). The satisfactory was measured using 7 items and the average score was 6.02 (SD=1.20, α=0.648). 90% of the participants would like to recommend the APP to friends; 50% of the participants agreed/strongly agree that they drank less while using the APP; 60% at least agreed on a positive effect of the APP; 80% of the participants would like to continue using the strategies learned and 40% participants thought they were motivated to reduce drinking while using the APP.

Conclusion: SmarTrek was developed and tested with multiple features to deliver BMI to college students with risky alcohol behaviors. The integration of theory into SmarTrek a mHealth self-monitoring app provides support for future research to feasibly assimilate theoretical constructs into existing hazardous drinking among college students. This important work would best be accomplished by a global multi-disciplinary collaboration to include nurses, health service providers, computer scientists, mathematicians, internet technical specialists, government/community services, and public citizens.

Keywords:
Hazardous Alcohol Consumption; SBIRT Mobile-based Interventions; mHealth
Repository Posting Date:
17-Jul-2017
Date of Publication:
17-Jul-2017
Other Identifiers:
INRC17PST25
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleDevelopment of Smartrek a Theory Driven Mobile App to Prevent Alcohol Use Among College Studentsen_US
dc.contributor.authorKazemi, Donnaen
dc.contributor.departmentGamma Iotaen
dc.author.detailsDonna Kazemi, PhD, MSN, CNE, FIAAN, Professional Experience: 2008-present Assistant Professor, SON, CHHS, University of North Carolina at Charlotte 2002-2008 Lecturer faculties, School of Nursing (SON), College of Health and Human Services (CHHS), University of North Carolina Charlotte (UNCC) 2001-2002 Program Director, Rowan Cabarrus Community College, Practical Nursing program A faculty member in the School of Nursing at the University of North Carolina- Charlotte. Her program of research has focused on addictive behaviors has focused upon applied and clinically relevant research among populations at high risk for developing substance abuse such as young adults, college students, military personnel, and traditionally underserved ethnic minority populations. Author Summary: Dr. Donna M. Kazemi, PhD, MSN, RN, CNE is an Associate Professor in the School of Nursing at the University of North Carolina at Charlotte. Her program of research and teaching has focused on the assessment, treatment and prevention of alcohol induced disorders among vulnerable populations such as young adults, college students, military personnel, and underserved ethnic minority populations.en
dc.identifier.urihttp://hdl.handle.net/10755/621867-
dc.description.abstract<p><strong>Background</strong> Hazardous alcohol consumption use and its related consequences is a foremost global public health issue facing individuals, families, and society contributing to significant morbidity among youth college students. More than one third of college students report engaging in heavy episodic drinking (4+/5+ drinks in a single sitting for females/males) at least once in the past two weeks<strong>,</strong><sup> </sup>and 8% (females) to 20% (males) consume at least twice on a binge (i.e., 8+/10+ drinks) Alarming numbers of college students drink heavily, often in binges, bringing negative consequences such as blackout, rape, HIV-related sexual risk-taking, academic failure, suicide and violence The most recent survey conducted by the 2015 National College Health Association found that among the 34,208 students who responded, 63% reported drinking in the last 30 days. Alcohol is the most commonly used substance, with one out of three young adults reporting binge drinking Binge drinking is associated with substantial negative consequences including annual rates of 646,000 physical assaults, 97,000 sexual assaults, 599,000 unintentional injuries, and 1,825 deaths. Excessive alcohol use is one of the greatest societal medical burdens with an annual cost exceeding $250 billion per year.</p> <p>Today’s college students are the first generation raised in a media environment; known as ‘Net Generation’, they have always had access to digital technologies In the United States, 91% of adults use a mobile phone with over 50% owning Smartphones. Those in “Generation Z” who have extensive access to digital technology view communication using this technology. Technologies such as mobile apps, text messaging and online chat increase receptivity to new information<sup> </sup>and verbalization in this age group. Mobile apps represent a novel growing market, and environment in which to disseminate health behavior change interventions. App features are delivered as individual components (e.g., text only) or in combination. New technologies, such as smartphones, offer more efficient delivery to college students, who access their phones multiple times a day</p> <p>Given the familiarity and comfort that students have with mobile phones and their willingness to adopt new trends, there are exciting opportunity to use mHealth to deliver interventions. One approach to reducing high-risk drinking is Motivational Intervention (MI), a person-centered approach to strengthening motivation for change. MI is an empirically supported, evidence-based intervention for students aged 18-25 that uses a directive but non-confrontational approach with personalized feedback to resolve ambivalence and reduce alcohol misuse and its harms. A growing body of research demonstrates the effectiveness of computerized MI deliveries.<sup> </sup>Computerized interventions simulate face-to-face interventions by giving personalized feedback on characteristics related to behavior change. In addition, web interventions that incorporate personalized feedback and harm reduction strategies have shown some promise with mandated college students and could be of use with students during the summer months. The widespread use of evidence-based Brief Motivational Interviewing (BMI) on campuses has been hindered by logistical issues and the financial costs of implementation. Interventions have been developed to reduce alcohol use among student that would be related in real-life, real-time situations. There is mounting evidence that mobile-based technology is a promising approach for reducing substance use and warrants further investigation.<strong><br /></strong></p> <p><strong>Objective:</strong> The objectives of this current study were 1) to translate the motivational intervention to mobile delivery, 2) based on the translations to design and develop a smartphone (SP) application (or “app”) to deliver a modified intervention through mobile phones and use electronic communications (e.g., text messaging) for interactions and 3) once development of the app was completed, we then tested the app by conducting theater testing and field testing to determine acceptability with the college population. Thus we designed an innovative app by refining the original MI to address drinking by college students and tested college students’ responses to and acceptance of delivery of our adapted app.</p> <p>We aim to develop a mobile app intervenient based on in motivational interviewing that will 1) development of a mobile intervention that would be applied in real-life, real-time environments to reduce hazardous drinking amongst college students. We developed a smartphone (SP) application (or “app”) to deliver a modified intervention through mobile phones and use electronic communications (e.g., text messaging) for interactions. 2) Once modifications are complete, we examined the feasibility of the intervention by conducting theater testing and field testing to determine acceptability with the college population.</p> <p><strong>Methods</strong>: Using components of intervention mapping as a guide we designed a Smartphone app by translating Motivational Intervention techniques conducted in three phases, 1) first in phase 1 we adapted the MI constructs for mobile delivery and developed preliminary app designs, 2) then based on the preliminary designs we developed the app and system server, and 3) finally in phase 3 we tested the app by conducting theater and field testing (<em>n</em>=20) to determine feasibility and acceptability among college students.</p> <p><strong>Results:</strong> The components of motivational interviewing (MI) and MI spirit were integrated into the SmarTrek features (e.g., engaging, focusing, evoking, planning, acceptance, compassion, and partnership). A suite of mobile features was developed based on ME and EMI constructs which enable effective change of the students drinking behaviors. The mobile app features that were developed within this framework included integrated tools of surveys and assessments, personalized feedback reports, real-time email communication (Coach), motivational text messaging, and educational games. SmarTrek average overall usability score was 5.97 out of 7 (SD=1.20, Cronbach's α=0.916). Looking at the three sub-scales, the usefulness of the APP was measured using 4 items and the average score was 5.68 (SD=1.06, α=0.781). Ease of use was measured using 15 items and the average score was 6.03 (SD=1.24, α=0.951). The satisfactory was measured using 7 items and the average score was 6.02 (SD=1.20, α=0.648). 90% of the participants would like to recommend the APP to friends; 50% of the participants agreed/strongly agree that they drank less while using the APP; 60% at least agreed on a positive effect of the APP; 80% of the participants would like to continue using the strategies learned and 40% participants thought they were motivated to reduce drinking while using the APP.<strong></strong></p> <p><strong>Conclusion:</strong> SmarTrek was developed and tested with multiple features to deliver BMI to college students with risky alcohol behaviors. The integration of theory into SmarTrek a mHealth self-monitoring app provides support for future research to feasibly assimilate theoretical constructs into existing hazardous drinking among college students. This important work would best be accomplished by a global multi-disciplinary collaboration to include nurses, health service providers, computer scientists, mathematicians, internet technical specialists, government/community services, and public citizens.</p>en
dc.subjectHazardous Alcohol Consumptionen
dc.subjectSBIRT Mobile-based Interventionsen
dc.subjectmHealthen
dc.date.available2017-07-17T15:33:35Z-
dc.date.issued2017-07-17-
dc.date.accessioned2017-07-17T15:33:35Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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