@文章{信息:doi/10.2196/40045，作者=“Rosenfeld, Eve A和Lyman, Cassondra和Roberts, John E”，标题=“基于移动健康应用程序的开发——基于抑郁症反刍干预(RuminAid):混合方法焦点小组评估”，期刊=“JMIR Form Res”，年=“2022”，月=“12”，日=“13”，卷=“6”，数=“12”，页=“e40045”，关键词=“抑郁症;沉思;移动健康;移动健康;以证据为基础的治疗;焦点小组;心理健康;手机应用程序;背景:抑郁症是一种常见的心理健康状况，对公共卫生造成了重大负担。抑郁症有有效的治疗方法; however, access to evidence-based care remains limited. Mobile health (mHealth) apps offer an avenue for improving access. However, few mHealth apps are informed by evidence-based treatments and even fewer are empirically evaluated before dissemination. To address this gap, we developed RuminAid, an mHealth app that uses evidence-based treatment components to reduce depression by targeting a single key depressogenic process---rumination. Objective: The primary objective of this study was to collect qualitative and quantitative feedback that could be used to improve the design of RuminAid before the software development phase. Methods: We reviewed empirically supported interventions for depression and rumination and used the key aspects of each to create a storyboard version of RuminAid. We distributed an audio-guided presentation of the RuminAid storyboard to 22 individuals for viewing and solicited user feedback on app content, design, and perceived functionality across 7 focus group sessions. Results: The consumer-rated quality of the storyboard version of RuminAid was in the acceptable to good range. Indeed, most participants reported that they thought RuminAid would be an engaging, functional, and informational app. Likewise, they endorsed overwhelming positive beliefs about the perceived impact of RuminAid; specifically, 96{\%} (21/22) believed that RuminAid will help depressed ruminators with depression and rumination. Nevertheless, the results highlighted the need for improved app aesthetics (eg, a more appealing color scheme and modern design). Conclusions: Focus group members reported that the quality of information was quite good and had the potential to help adults who struggle with depression and rumination but expressed concern that poor aesthetics would interfere with users' desire to continue using the app. To address these comments, we hired a graphic designer and redesigned each screen to improve visual appeal. We also removed time gating from the app based on participant feedback and findings from related research. These changes helped elevate RuminAid and informed its initial software build for a pilot trial that focused on evaluating its feasibility and acceptability. ", issn="2561-326X", doi="10.2196/40045", url="https://formative.www.mybigtv.com/2022/12/e40045", url="https://doi.org/10.2196/40045", url="http://www.ncbi.nlm.nih.gov/pubmed/36512400" }