Poppe Louise, Van der Mispel Celien, De Bourdeaudhuij Ilse, Verloigne Maïté, Shadid Samyah, Crombez Geert
Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Department of Experimental-Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
PLoS One. 2017 Dec 21;12(12):e0190020. doi: 10.1371/journal.pone.0190020. eCollection 2017.
EHealth interventions are effective in changing health behaviours, such as increasing physical activity and altering dietary habits, but suffer from high attrition rates. In order to create interventions that are adapted to end-users, in-depth investigations about their opinions and preferences are required. As opinions and preferences may vary for different target groups, we explored these in two groups: the general population and a clinical sample.
Twenty adults from the general population (mean age = 42.65, 11 women) and twenty adults with type 2 diabetes (mean age = 64.30, 12 women) performed 'MyPlan 1.0', which is a self-regulation-based eHealth intervention designed to increase physical activity and the intake of fruit and vegetables in the general population. The opinions and preferences of end-users were explored using a think aloud procedure and a questionnaire. During a home visit, participants were invited to think aloud while performing 'MyPlan 1.0'. The thoughts were transcribed verbatim and inductive thematic analysis was applied.
Both groups had similar opinions regarding health behaviours and 'MyPlan 1.0'. Participants generally liked the website, but often experienced it as time-consuming. Furthermore, they regularly mentioned that a mobile application would be useful to remind them about their goals on a daily basis. Finally, users' ideas about how to pursue health behaviours often hindered them to correctly use the website.
Although originally created for the general population, 'MyPlan 1.0' can also be used in adults with type 2 diabetes. Nevertheless, more adaptations are needed to make the eHealth intervention more convenient and less time-consuming. Furthermore, users' ideas regarding a healthy lifestyle should be taken into account when designing online interventions.
电子健康干预措施在改变健康行为方面是有效的，比如增加身体活动量和改变饮食习惯，但存在高流失率的问题。为了创建适合终端用户的干预措施，需要对他们的意见和偏好进行深入调查。由于不同目标群体的意见和偏好可能存在差异，我们在两个群体中进行了探索：普通人群和临床样本。
20名普通成年人（平均年龄 = 42.65岁，11名女性）和20名2型糖尿病成年人（平均年龄 = 64.30岁，12名女性）使用了“MyPlan 1.0”，这是一种基于自我调节的电子健康干预措施，旨在增加普通人群的身体活动量以及水果和蔬菜的摄入量。通过出声思考法和问卷调查来探索终端用户的意见和偏好。在一次家访中，邀请参与者在使用“MyPlan 1.0”时出声思考。想法被逐字记录，并应用归纳主题分析。
两组在健康行为和“MyPlan 1.0”方面有相似的意见。参与者总体上喜欢该网站，但经常觉得它很耗时。此外，他们经常提到移动应用程序对每天提醒他们目标会很有用。最后，用户关于如何追求健康行为的想法常常阻碍他们正确使用该网站。
尽管“MyPlan 1.0”最初是为普通人群创建的，但也可用于2型糖尿病成年人。然而，需要更多调整以使电子健康干预更方便且耗时更少。此外，在设计在线干预措施时应考虑用户关于健康生活方式的想法。
