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. 2020 Nov 17;4(11):e21450. doi: 10.2196/21450

Table 2.

Core themes and subthemes.

Themes Subthemes
Theme 1: Overall impression
  • Promotion of healthy behaviors by self-monitoring

  • Accessible and instructional health content

  • Influence on healthy lifestyle adoption of the church

  • Technical difficulties with self-monitoring

Theme 2: Content usefulness

Education modules: General
  • Thought-provoking and self-reflective

  • Descriptive on cardiovascular health

  • Easy to comprehend health information


Education modules: Videos
  • Engaging presentations

  • Convenient and succinct

  • Effective visual learning


Education modules: Premodule and postmodule self-assessments
  • Complementary to video series


Education modules: Brochure content
  • Reinforcement and summary tool

  • Time-consuming

  • Technical difficulties with access


Recipes
  • Inspired action toward healthy eating

  • Better understanding of benefits of healthy eating


Sharing board
  • Motivational to healthy lifestyle change

  • Support network

  • Information exchange between participants


Testimonials
  • Preferred heart disease survivors or those making healthy lifestyle changes


Self-monitoring (diet and physical activity)
  • Fostered personal accountability toward a healthy lifestyle

Theme 3: App format

General
  • Fulfilled expectations for continued engagement

  • Diversity of health care professionals within the education modules


Attentiveness to nuanced cultural perspectives
  • Importance of linking faith to health for the African American community

  • Cardiovascular health disparities affecting African Americans

  • Implications of visual representations of African Americans

Theme 4: App implementation

Facilitators for use
  • Positive messaging supported engagement

  • Focus on benefits of healthy lifestyle

  • Simple navigation

  • Visual display of education module progress

  • Education module variety of activities appealed to differing learning styles

  • Overview of cardiovascular risk factors at start of education modules

  • Consolidation of cardiovascular health information through mobile technology


Barriers to use
  • Cumbersome data entry and log-in process

  • Inability to download app on other personal mobile devices

Theme 5: App impact
  • Positive changes to dietary patterns

  • Better awareness of long-term benefits and motivation to make healthy lifestyle changes

  • Team-based lifestyle changes among couples and across generations

  • Positive influence on the patient-provider relationship

  • Health promotion within the church congregation

Theme 6: Suggestions for app improvement
  • Visuals to see progress of diet and physical activity self-monitoring/tracking

  • Automatic syncing function from other diet and physical activity apps

  • Additional functions for education modules and sharing board

  • Individual tailoring of the app to encourage app use and increase its relevance