title: A Community-Engaged Approach to Developing a Mobile Cancer Prevention App: The mCPA Study Protocol.
abstract: BACKGROUND
  Rapid growth of mobile technologies has resulted in a proliferation of lifestyle-oriented mobile phone apps. However, most do not have a theoretical framework and few have been developed using a community-based participatory research approach. A community academic team will develop a theory-based, culturally tailored, mobile-enabled, Web-based app-the Mobile Cancer Prevention App (mCPA)-to promote adherence to dietary and physical activity guidelines.
  
  
  OBJECTIVE
  The aim of this study is to develop mCPA content with input from breast cancer survivors.
  
  
  METHODS
  Members of SISTAAH (Survivors Involving Supporters to Take Action in Advancing Health) Talk (N=12), treated for Stages I-IIIc breast cancer for less than 1 year, 75 years of age or younger, and English-speaking and writing, will be recruited to participate in the study. To develop the app content, breast cancer survivors will engage with researchers in videotaped and audiotaped sessions, including (1) didactic instructions with goals for, benefits of, and strategies to enhance dietary intake and physical activity, (2) guided discussions for setting individualized goals, monitoring progress, and providing or receiving feedback, (3) experiential nutrition education through cooking demonstrations, and (4) interactive physical activity focused on walking, yoga, and strength training. Qualitative (focus group discussions and key informant interviews) and quantitative (sensory evaluation) methods will be used to evaluate the participatory process and outcomes.
  
  
  RESULTS
  Investigators and participants anticipate development of an acceptable (frequency and duration of usage) feasible (structure, ease of use, features), and accessible mobile app available for intervention testing in early 2017.
  
  
  CONCLUSIONS
  Depending on the availability of research funding, mCPA testing, which will be initiated in Miami, will be extended to Chicago, Houston, Philadelphia, and Los Angeles.
authors.affiliation: Institute of Public & Preventive Health, Department of Family Medicine Medical College of Georgia, Georgia Regents University, Augusta, GA, United States. SESMITH@gru.edu.
authors.forename: Selina Ann
authors.identifier: http://orcid.org/0000-0003-4810-3853
authors.initials: SA
authors.lastname: Smith
authors.forename: Mary Smith
authors.identifier: http://orcid.org/0000-0002-1142-5026
authors.initials: MS
authors.lastname: Whitehead
authors.forename: Joyce
authors.identifier: http://orcid.org/0000-0003-1536-3325
authors.initials: J
authors.lastname: Sheats
authors.forename: Jeff
authors.identifier: http://orcid.org/0000-0002-0849-5234
authors.initials: J
authors.lastname: Mastromonico
authors.forename: Wonsuk
authors.identifier: http://orcid.org/0000-0003-2414-2399
authors.initials: W
authors.lastname: Yoo
authors.forename: Steven Scott
authors.identifier: http://orcid.org/0000-0003-1704-0466
authors.initials: SS
authors.lastname: Coughlin
keywords: African Americans; breast cancer survivors; cancer prevention guidelines; dietary intake; physical activity; smartphone applications