TY  - JOUR
AU  - Fietta, Valentina
AU  - Rizzi, Silvia
AU  - De Luca, Chiara
AU  - Gios, Lorenzo
AU  - Pavesi, Maria Chiara
AU  - Gabrielli, Silvia
AU  - Monaro, Merylin
AU  - Forti, Stefano
PY  - 2024
DA  - 2024/10/18
TI  - A Chatbot-Based Version of the World Health Organization–Validated Self-Help Plus Intervention for Stress Management: Co-Design and Usability Testing
JO  - JMIR Hum Factors
SP  - e64614
VL  - 11
KW  - acceptance and commitment therapy
KW  - ACT
KW  - well-being
KW  - pregnancy
KW  - breast cancer
KW  - eHealth
KW  - mobile health
KW  - mHealth
KW  - development
KW  - usability
KW  - user-centered design
AB  - Background: Advancements in technology offer new opportunities to support vulnerable populations, such as pregnant women and women diagnosed with breast cancer, during physiologically and psychologically stressful periods. Objective: This study aims to adapt and co-design the World Health Organization’s Self-Help Plus intervention into a mobile health intervention for these target groups. Methods: On the basis of the Obesity-Related Behavioral Intervention Trials and Center for eHealth Research and Disease Management models, low-fidelity and high-fidelity prototypes were developed. Prototypes were evaluated by 13 domain experts from diverse sectors and 15 participants from the target groups to assess usability, attractiveness, and functionality through semantic differential scales, the User Version of the Mobile Application Rating Scale questionnaire, and semistructured interviews. Results: Feedback from participants indicated positive perceptions of the mobile health intervention, highlighting its ease of use, appropriate language, and attractive multimedia content. Areas identified for improvement included enhancing user engagement through reminders, monitoring features, and increased personalization. The quality of the content and adherence to initial protocols were positively evaluated. Conclusions: This research provides valuable insights for future studies aiming to enhance the usability, efficacy, and effectiveness of the app, suggesting the potential role of a chatbot-delivered Self-Help Plus intervention as a supportive tool for pregnant women and women with a breast cancer diagnosis. 
SN  - 2292-9495
UR  - https://humanfactors.jmir.org/2024/1/e64614
UR  - https://doi.org/10.2196/64614
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39355954
DO  - 10.2196/64614
ID  - info:doi/10.2196/64614
ER  -