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Harshbarger C, Burrus O, Rangarajan S, et al. Challenges of and Solutions for Developing Tailored Video Interventions That Integrate Multiple Digital Assets to Promote Engagement and Improve Health Outcomes: Tutorial. JMIR Mhealth Uhealth. 2021;9(3):e21128doi: 10.2196/21128.
Harshbarger, C., Burrus, O., Rangarajan, S., Bollenbacher, J., Zulkiewicz, B., Verma, R., Galindo, C. A., & Lewis, M. A. (2021). Challenges of and Solutions for Developing Tailored Video Interventions That Integrate Multiple Digital Assets to Promote Engagement and Improve Health Outcomes: Tutorial. JMIR mHealth and uHealth, 9(3), e21128. https://doi.org/10.2196/21128
Harshbarger, Camilla, et al. "Challenges of and Solutions for Developing Tailored Video Interventions That Integrate Multiple Digital Assets to Promote Engagement and Improve Health Outcomes: Tutorial." JMIR mHealth and uHealth vol. 9,3 (2021): e21128. doi: https://doi.org/10.2196/21128
Harshbarger C, Burrus O, Rangarajan S, Bollenbacher J, Zulkiewicz B, Verma R, Galindo CA, Lewis MA. Challenges of and Solutions for Developing Tailored Video Interventions That Integrate Multiple Digital Assets to Promote Engagement and Improve Health Outcomes: Tutorial. JMIR Mhealth Uhealth. 2021 Mar 23;9(3):e21128. doi: 10.2196/21128. PMID: 33755025; PMCID: PMC8294466.
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JMIR Mhealth Uhealth. 2021 Mar 23;9(3):e21128. doi: 10.2196/21128.

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

JMIR mHealth and uHealth

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

Affiliations

  1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
  2. Center for Communication Science, Research Triangle International, Research Triangle Park, NC, United States.
  3. Public Health Division, SeKON Enterprise Inc, Atlanta, GA, United States.
  4. Critical Focus Creative, Durham, NC, United States.
  5. Office of the Associate Director for Communication, Centers for Disease Control and Prevention, Atlanta, GA, United States.
  6. Translational Health Sciences Division, Research Triangle International, Seattle, WA, United States.

PMID: 33755025 PMCID: PMC8294466 DOI: 10.2196/21128

Abstract

BACKGROUND: Video 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.

OBJECTIVE: We 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.

METHODS: We 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.

RESULTS: We 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.

CONCLUSIONS: Video-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.

©Camilla Harshbarger, Olivia Burrus, Sivakumar Rangarajan, John Bollenbacher, Brittany Zulkiewicz, Rohit Verma, Carla A Galindo, Megan A Lewis. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 23.03.2021.

Keywords: ART adherence; HIV video intervention; computer based interventions; digital interventions; interactive technologies; mobile interventions; patient-provider communication

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