Evidence map›Paper›PMID 33755025›Full record

ArticleJMIR mHealth and uHealth2021

Challenges of and Solutions for Developing Tailored Video Interventions That Integrate Multiple Digital Assets to Promote Engagement and Improve Health Outcomes: Tutorial.

Camilla Harshbarger, Olivia Burrus, Sivakumar Rangarajan, John Bollenbacher, Brittany Zulkiewicz, Rohit Verma, Carla A Galindo, Megan A Lewis

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Camilla HarshbargerDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.ORCID 0000-0002-0233-2274
Olivia BurrusCenter for Communication Science, Research Triangle International, Research Triangle Park, NC, United States.ORCID 0000-0002-8820-343X
Sivakumar RangarajanPublic Health Division, SeKON Enterprise Inc, Atlanta, GA, United States.ORCID 0000-0001-7188-3603
John BollenbacherCritical Focus Creative, Durham, NC, United States.ORCID 0000-0002-2281-8028
Brittany ZulkiewiczCenter for Communication Science, Research Triangle International, Research Triangle Park, NC, United States.ORCID 0000-0002-9018-2068
Rohit VermaOffice of the Associate Director for Communication, Centers for Disease Control and Prevention, Atlanta, GA, United States.ORCID 0000-0001-5897-2310
Carla A GalindoDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.ORCID 0000-0001-6652-1384
Megan A LewisTranslational Health Sciences Division, Research Triangle International, Seattle, WA, United States.ORCID 0000-0002-1670-9298

Funding

Positive Health Check Evaluation Trial Yr. 5U18PS004967 · PS · RESEARCH TRIANGLE INSTITUTE · PI LEWIS, MEGAN A · 2015 to 2019
$5.3M
ACL HHS U18PS004967NCHHSTP CDC HHS U18 PS004967
6 · The paper itself

Abstract

backgroundVideo is a versatile and popular medium for digital health interventions. As mobile device and app technology advances, it is likely that video-based interventions will become increasingly common. Although clinic waiting rooms are complex and busy environments, they offer the opportunity to facilitate engagement with video-based digital interventions as patients wait to see their providers. However, to increase efficiency in public health, leverage the scalability and low cost of implementing digital interventions, and keep up with rapidly advancing technology and user needs, more design and development guidance is needed for video-based tailored interventions.

objectiveWe provide a tutorial for digital intervention researchers and developers to efficiently design and develop video-based tailored digital health interventions. We describe the challenges and solutions encountered with Positive Health Check (PHC), a hybrid app used to deliver a brief, interactive, individually tailored video-based HIV behavioral counseling intervention. PHC uses video clips and multimedia digital assets to deliver intervention content, including interactive tailored messages and graphics, a repurposed animated video, and patient and provider handouts generated in real time by PHC.

methodsWe chronicle multiple challenges and solutions for the following: (1) using video as a medium to enhance user engagement, (2) navigating the complexity of linking a database of video clips with other digital assets, and (3) identifying the main steps involved in building an app that will seamlessly deliver to users individually tailored messages, graphics, and handouts.

resultsWe leveraged video to enhance user engagement by featuring "video doctors," full-screen video, storyboards, and streamlined scripts. We developed an approach to link the database of video clips with other digital assets through script coding and flow diagrams of algorithms to deliver a tailored user experience. We identified the steps to app development by using keyframes to design the integration of video and digital assets, using agile development methods to gather iterative feedback from multidisciplinary teams, and creating an intelligent data-driven back-end solution to tailor message delivery to individual users.

conclusionsVideo-based digital health interventions will continue to play an important role in the future of HIV prevention and treatment, as well as other clinical health practices. However, facilitating the adoption of an HIV video intervention in HIV clinical settings is a work in progress. Our experience in designing and developing PHC presented unique challenges due to the extensive use of a large database of videos tailored individually to each user. Although PHC focuses on promoting the health and well-being of persons with HIV, the challenges and solutions presented in this tutorial are transferable to the design and development of video-based digital health interventions focused on other areas of health.

Indexed as

CounselingDelivery of Health CareFeedbackHumansART adherencecomputer based interventionsdigital interventionsHIV video interventioninteractive technologiesmobile interventionspatient-provider communication

Identifiers

PMID33755025
PMCPMC8294466

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.