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Giorgi Rossi P, Ferrari F, Amarri S, Bassi A, Bonvicini L, Dall'Aglio L, Della Giustina C, Fabbri A, Ferrari AM, Ferrari E, Fontana M, Foracchia M, Gallelli T, Ganugi G, Ilari B, Lo Scocco S, Maestri G, Moretti V, Panza C, Pinotti M, Prandini R, Storani S, Street ME, Tamelli M, Trowbridge H, Venturelli F, Volta A, Davoli AM. Describing the Process and Tools Adopted to Cocreate a Smartphone App for Obesity Prevention in Childhood: Mixed Method Study. JMIR Mhealth Uhealth 2020; 8:e16165. [PMID: 32357123 PMCID: PMC7308901 DOI: 10.2196/16165] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 02/04/2020] [Accepted: 02/21/2020] [Indexed: 11/26/2022] Open
Abstract
Background Childhood obesity prevention is a public health priority in industrialized countries. The Reggio Emilia Local Health Authority has implemented a program involving primary and secondary prevention as well as the care of obese children. There are many health-promoting mobile apps, but few are targeted to children and very few are sponsored by public health agencies. Objective The goal of the research was to describe the process and tools adopted to cocreate a mobile app sponsored by the Reggio Emilia Local Health Authority to be installed in parents’ phones aimed at promoting child health and preventing obesity. Methods After stakeholder mapping, a consulting committee including relevant actors, stakeholders, and users was formed. Key persons for childhood obesity prevention were interviewed, focus groups with parents and pediatricians were conducted, and community reporting storytelling was collected. The results of these activities were presented to the consulting committee in order to define the functionalities and contents of the mobile app. Results Three key trends emerged from community reporting: being active, playing, and being outdoors; time for oneself, family, and friends; and the pressures of life and work and not having time to be active and socialize. In focus groups, interviews, and labs, mothers showed a positive attitude toward using an app to manage their children's weight, while pediatricians expressed concerns that the app could increase their workload. When these findings were explored by the consulting committee, four key themes were extracted: strong relationships with peers, family members, and the community; access to safe outdoor spaces; children’s need for age-appropriate independence; and professional support should be nonjudgmental and stigma-free. It should be a dialogue that promotes family autonomy. The app functions related to these needs include the following: (1) newsletter with anticipatory guidance, recipes, and vaccination and well-child visit reminders; (2) regional map indicating where physical activity can be done; (3) information on how to manage emergencies (eg, falls, burns, fever); (4) module for reinforcing the counseling intervention conducted by pediatricians for overweight children; and (5) a function to build a balanced daily diet. Conclusions The pilot study we conducted showed that cocreation in health promotion is feasible, with the consulting committee being the key co-governance and cocreation tool. The involvement of stakeholders in this committee made it possible to expand the number of persons and institutions actively contributing to the project.
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Affiliation(s)
- Paolo Giorgi Rossi
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Francesca Ferrari
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Sergio Amarri
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Andrea Bassi
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Laura Bonvicini
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Luca Dall'Aglio
- Servizio Tecnologie Informatiche e Telematiche Interaziendale, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Claudia Della Giustina
- Servizio Igiene degli Alimenti e Nutrizione, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Alessandra Fabbri
- Servizio Igiene degli Alimenti e Nutrizione, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Anna Maria Ferrari
- Dipartimento di Salute Pubblica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Elena Ferrari
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marta Fontana
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marco Foracchia
- Servizio Tecnologie Informatiche e Telematiche Interaziendale, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Giulia Ganugi
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Barbara Ilari
- Medicina dello Sport e Prevenzione Cardiovascolare, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Sara Lo Scocco
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Gianluca Maestri
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Veronica Moretti
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Costantino Panza
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Mirco Pinotti
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Riccardo Prandini
- Dipartimento di scienze politiche e sociali, Università di Bologna, Bologna, Italy
| | - Simone Storani
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Maria Elisabeth Street
- Pediatria Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Marco Tamelli
- Servizio di igiene pubblica, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Francesco Venturelli
- Servizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Alessandro Volta
- Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Anna Maria Davoli
- Pediatra di libera scelta, Dipartimento di cure primarie, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
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- Cocreation of Service Innovation in Europe Project, Reggio Emilia, Italy
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