Search

The COVID-19 pandemic presented complex challenges to public health research involving human subjects, necessitating creative thinking to maintain safe and productive qualitative data collection. In this paper, we describe how an interdisciplinary team overcame these challenges by translating in-person workshops into at-home design probes to explore connections between university students' climate change attitudes and their health. Probes were purposively designed to facilitate and focus participation during lockdown with two key interactional components: (1) participant ⇔ probe, and (2) participant ⇔ physical environment. Thematic analysis of 18 completed probes (replete with elicitive drawing, etched stone, mapping, and writing activities) revealed a rich spectrum of climate change perceptions, eco-emotions, and key areas of impact. This case study provides insight into how pandemic-imposed restrictions presented a novel opportunity to reconceptualize how we collect qualitative data in public health research and summarizes the unique benefits of integrating such design-based approaches into the field moving forward. [ABSTRACT FROM AUTHOR]

Existing interventions promoting positive airway pressure (PAP) adherence focus only on the diagnosed individual, despite the fact that partners are often the most impacted by obstructive sleep apnea (OSA), and are delivered mostly by health professionals, with limited success. The goal of this work is to develop a prototype of OurSleepKit, a couple-focused mobile health (mHealth) tool to coach mutual engagement and promote adherence to PAP treatment. We used an iterative participatory approach working with future end users of OurSleepKit to support the development of this prototype. We conducted a total of 14 semi-structured in-depth open-ended dyadic interviews with OSA patients and their partners. Phase 1 of the development was to inform key functions of an engaging tool. Phase 2 focused on developing functions to engage positive conversation in the dyad and obtained feedback for this initial prototype. The OurSleepKit prototype was developed and demonstrated high acceptability and engagement. Three key functions included periodic assessments based on developmental stages of PAP treatment, a Coaching Board which provides customized and dynamically updated support content – primarily brief story-telling videos featuring real-life couples' experiences – and timely tailored prompts (for action, learning, and conversation) through push notifications in the evening to facilitate positive conversation in the dyad and offer in-the-moment support for PAP use. Going beyond the traditional and prevailing view of PAP use as an individual phenomenon, OurSleepKit is a novel mHealth intervention engaging both the patient and partner holding great promise to promote PAP adherence. [ABSTRACT FROM AUTHOR]