Content analysis of qualitative interviews for user-centered design of a prototype mobile health app for direct support professionals' resilience

Background: Direct support professionals support people with intellectual and developmental disabilities with essential health and community living needs. Despite an unrelenting workforce shortage crisis, limited evidencebased resources exist for their support. Resilience, or the ability to thrive in the face of challenges, is a target for health care professional wellbeing initiatives. As an "invisible" workforce interspersed throughout various community-based settings, direct support professionals may benefit from resources provided via mobile health apps. Objectives: To assess direct support professionals' acceptability of and preferences for the design of a mobile health app prototype to support their resilience, DSP Thrive. Method: This concept generation and prototype design study employed a two-phase qualitative-descriptive design. Phase 1 assessed direct support professionals' acceptability of and preferences for a mobile health app for direct support professional resilience. Phase 2 elicited feedback on mock-up images of an initial prototype. Data were collected via qualitative interviews (n = 13), and transcripts were analyzed using content analysis. Results: Phase 1: Direct support professionals identified three primary opportunities for an app to support their resilience: learning via educational resources, practicing resilience strategies, and cultivating a peer support network. Based on these findings, the DSP Thrive app prototype was designed with Learn, Practice, and Connect functions. Phase 2: User feedback on walk-throughs of mock-up images indicated initial acceptability of the prototype design with considerations for further development identified. Conclusions: Engaging direct support professionals in user-centered design of mobile health apps may help to bridge the gap to resilience resources for this essential workforce population.