A Qualitative Evaluation of the Acceptability of a Tailored Smartphone Alcohol Intervention for a Military Population: Information About Drinking for Ex-Serving Personnel (InDEx) App.


Journal

JMIR mHealth and uHealth
ISSN: 2291-5222
Titre abrégé: JMIR Mhealth Uhealth
Pays: Canada
ID NLM: 101624439

Informations de publication

Date de publication:
24 05 2019
Historique:
received: 27 09 2018
accepted: 30 03 2019
revised: 05 03 2019
entrez: 26 5 2019
pubmed: 28 5 2019
medline: 28 5 2019
Statut: epublish

Résumé

Alcohol consumption in the UK Armed Forces is higher than in the general population, and this pattern continues after leaving the service. Smartphone apps may be useful to increase ex-serving personnel's awareness of their alcohol consumption, support self-monitoring, and prompt a change in behavior. The study aimed to explore the acceptability of Information about Drinking in Ex-serving personnel (InDEx), a tailored smartphone app, combined with personalized short message service (SMS) text messaging designed to target ex-serving personnel who meet the criteria for hazardous alcohol use. The InDEx intervention included 4 key modules: (1) assessment and normative feedback, (2) self-monitoring and feedback, (3) goal setting and review, and (4) personalized SMS text messaging. A semistructured telephone interview study was conducted with ex-serving personnel after using the app for a 28-day period. Interviews were used to explore the acceptability of app modules and its functionality and the perceived changes in participant's drinking. Interview transcripts were analyzed using inductive thematic analysis. Overall, 94% (29/31) participants who used InDEx agreed to take part in a telephone interview. Overall, 4 themes were identified: Credibility, Meeting their needs, Simplicity, and Helpful for ex-serving personnel. The importance of credibility, functionality, and meeting the individual needs of ex-serving personnel was emphasized. Acceptability and engagement with specific modules of the app and text messages were influenced by the following: (1) if they felt it provided credible information, (2) whether the content was appropriately personalized to them, (3) the ease of use, and (4) beliefs about their own drinking behaviors. Participants recommended that the app would be most suitable for personnel about to leave the Armed Forces. InDEx was an acceptable smartphone app for ex-serving personnel for monitoring alcohol consumption and in providing meaningful feedback to the individual. Pages that met the participant's interests and provided real time personalized, credible feedback on their drinking and text messages tailored to participant's interactions with the app were particularly favored.

Sections du résumé

BACKGROUND
Alcohol consumption in the UK Armed Forces is higher than in the general population, and this pattern continues after leaving the service. Smartphone apps may be useful to increase ex-serving personnel's awareness of their alcohol consumption, support self-monitoring, and prompt a change in behavior.
OBJECTIVE
The study aimed to explore the acceptability of Information about Drinking in Ex-serving personnel (InDEx), a tailored smartphone app, combined with personalized short message service (SMS) text messaging designed to target ex-serving personnel who meet the criteria for hazardous alcohol use.
METHODS
The InDEx intervention included 4 key modules: (1) assessment and normative feedback, (2) self-monitoring and feedback, (3) goal setting and review, and (4) personalized SMS text messaging. A semistructured telephone interview study was conducted with ex-serving personnel after using the app for a 28-day period. Interviews were used to explore the acceptability of app modules and its functionality and the perceived changes in participant's drinking. Interview transcripts were analyzed using inductive thematic analysis.
RESULTS
Overall, 94% (29/31) participants who used InDEx agreed to take part in a telephone interview. Overall, 4 themes were identified: Credibility, Meeting their needs, Simplicity, and Helpful for ex-serving personnel. The importance of credibility, functionality, and meeting the individual needs of ex-serving personnel was emphasized. Acceptability and engagement with specific modules of the app and text messages were influenced by the following: (1) if they felt it provided credible information, (2) whether the content was appropriately personalized to them, (3) the ease of use, and (4) beliefs about their own drinking behaviors. Participants recommended that the app would be most suitable for personnel about to leave the Armed Forces.
CONCLUSIONS
InDEx was an acceptable smartphone app for ex-serving personnel for monitoring alcohol consumption and in providing meaningful feedback to the individual. Pages that met the participant's interests and provided real time personalized, credible feedback on their drinking and text messages tailored to participant's interactions with the app were particularly favored.

Identifiants

pubmed: 31127726
pii: v7i5e12267
doi: 10.2196/12267
pmc: PMC6555114
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e12267

Subventions

Organisme : Medical Research Council
ID : G0701681
Pays : United Kingdom
Organisme : Medical Research Council
ID : G0701818
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N028244/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N00616X/1
Pays : United Kingdom
Organisme : Department of Health
ID : RP-PG-0609-10162
Pays : United Kingdom
Organisme : Department of Health
ID : 13/86/03
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N028244/2
Pays : United Kingdom

Informations de copyright

©Jo-Anne Puddephatt, Daniel Leightley, Laura Palmer, Norman Jones, Toktam Mahmoodi, Colin Drummond, Roberto J Rona, Nicola T Fear, Matt Field, Laura Goodwin. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 24.05.2019.

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Auteurs

Jo-Anne Puddephatt (JA)

Department of Psychological Sciences, Institute of Life and Human Sciences, University of Liverpool, Liverpool, United Kingdom.

Daniel Leightley (D)

King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

Laura Palmer (L)

King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

Norman Jones (N)

Academic Department of Military Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

Toktam Mahmoodi (T)

Department of Informatics, King's College London, London, United Kingdom.

Colin Drummond (C)

Addictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
South London and Maudsley NHS Foundation Trust, London, United Kingdom.

Roberto J Rona (RJ)

King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

Nicola T Fear (NT)

King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Academic Department of Military Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

Matt Field (M)

Department of Psychology, University of Sheffield, Sheffield, United Kingdom.

Laura Goodwin (L)

Department of Psychological Sciences, Institute of Life and Human Sciences, University of Liverpool, Liverpool, United Kingdom.

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