文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

基于个人动机为老年人量身定制有说服力的电子健康策略:网络调查研究

Tailoring Persuasive Electronic Health Strategies for Older Adults on the Basis of Personal Motivation: Web-Based Survey Study.

作者信息

van Velsen Lex, Broekhuis Marijke, Jansen-Kosterink Stephanie, Op den Akker Harm

机构信息

eHealth Group, Roessingh Research and Development, Enschede, Netherlands.

Biomedical Signals and Systems Group, University of Twente, Enschede, Netherlands.

出版信息

J Med Internet Res. 2019 Sep 6;21(9):11759. doi: 10.2196/11759.


DOI:10.2196/11759
PMID:31493323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6788334/
Abstract

BACKGROUND: Persuasive design, in which the aim is to change attitudes and behaviors by means of technology, is an important aspect of electronic health (eHealth) design. However, selecting the right persuasive feature for an individual is a delicate task and is likely to depend on individual characteristics. Personalization of the persuasive strategy in an eHealth intervention therefore seems to be a promising approach. OBJECTIVE: This study aimed to develop a method that allows us to model motivation in older adults with respect to leading a healthy life and a strategy for personalizing the persuasive strategy of an eHealth intervention, based on this user model. METHODS: We deployed a Web-based survey among older adults (aged >60 years) in the Netherlands. In the first part, we administered an adapted version of the revised Sports Motivation Scale (SMS-II) as input for the user models. Then, we provided each participant with a selection of 5 randomly chosen mock-ups (out of a total of 11), each depicting a different persuasive strategy. After showing each strategy, we asked participants how much they appreciated it. The survey was concluded by addressing demographics. RESULTS: A total of 212 older adults completed the Web-based survey, with a mean age of 68.35 years (SD 5.27 years). Of 212 adults, 45.3% were males (96/212) and 54.7% were female (116/212). Factor analysis did not allow us to replicate the 5-factor structure for motivation, as targeted by the SMS-II. Instead, a 3-factor structure emerged with a total explained variance of 62.79%. These 3 factors are intrinsic motivation, acting to derive satisfaction from the behavior itself (5 items; Cronbach alpha=.90); external regulation, acting because of externally controlled rewards or punishments (4 items; Cronbach alpha=.83); and a-motivation, a situation where there is a lack of intention to act (2 items; r=0.50; P<.001). Persuasive strategies were appreciated differently, depending on the type of personal motivation. In some cases, demographics played a role. CONCLUSIONS: The personal type of motivation of older adults (intrinsic, externally regulated, and/or a-motivation), combined with their educational level or living situation, affects an individual's like or dislike for a persuasive eHealth feature. We provide a practical approach for profiling older adults as well as an overview of which persuasive features should or should not be provided to each profile. Future research should take into account the coexistence of multiple types of motivation within an individual and the presence of a-motivation.

摘要

背景:劝导式设计旨在通过技术手段改变态度和行为,是电子健康(eHealth)设计的一个重要方面。然而,为个体选择合适的劝导特征是一项微妙的任务,可能取决于个体特征。因此,在电子健康干预中对劝导策略进行个性化似乎是一种很有前景的方法。 目的:本研究旨在开发一种方法,使我们能够针对老年人健康生活的动机进行建模,并基于此用户模型制定一种对电子健康干预的劝导策略进行个性化的策略。 方法:我们在荷兰对老年人(年龄>60岁)开展了一项基于网络的调查。在第一部分,我们使用修订后的运动动机量表(SMS-II)的改编版作为用户模型的输入。然后,我们为每位参与者提供从总共11个中随机选择的5个原型,每个原型描绘一种不同的劝导策略。展示每种策略后,我们询问参与者对其的欣赏程度。调查最后涉及人口统计学信息。 结果:共有212名老年人完成了基于网络的调查,平均年龄为68.35岁(标准差5.27岁)。在212名成年人中,45.3%为男性(96/212),54.7%为女性(116/212)。因子分析未能让我们复制SMS-II所针对的动机的五因素结构。相反,出现了一个三因素结构,总解释方差为62.79%。这三个因素分别是内在动机,即从行为本身获得满足感(5个项目;克朗巴哈系数=0.90);外部调节,即由于外部控制的奖励或惩罚而行动(4个项目;克朗巴哈系数=0.83);以及无动机,即缺乏行动意图的情况(2个项目;r=0.50;P<0.001)。根据个人动机类型的不同,对劝导策略的欣赏程度也不同。在某些情况下,人口统计学因素也起作用。 结论:老年人的个人动机类型(内在动机、外部调节动机和/或无动机),再加上他们的教育水平或生活状况,会影响个体对劝导性电子健康特征的喜欢或不喜欢。我们提供了一种对老年人进行剖析的实用方法,以及针对每个剖析结果应提供或不应提供哪些劝导特征的概述。未来的研究应考虑个体内多种动机类型的共存以及无动机的存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/d44271735272/jmir_v21i9e11759_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/171c8ff25681/jmir_v21i9e11759_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/549a0b725054/jmir_v21i9e11759_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/c6dc032b3f03/jmir_v21i9e11759_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/bee2136f69a5/jmir_v21i9e11759_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/d44271735272/jmir_v21i9e11759_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/171c8ff25681/jmir_v21i9e11759_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/549a0b725054/jmir_v21i9e11759_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/c6dc032b3f03/jmir_v21i9e11759_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/bee2136f69a5/jmir_v21i9e11759_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd6/6788334/d44271735272/jmir_v21i9e11759_fig5.jpg

相似文献

[1]
Tailoring Persuasive Electronic Health Strategies for Older Adults on the Basis of Personal Motivation: Web-Based Survey Study.

J Med Internet Res. 2019-9-6

[2]
Persuasive System Design Principles and Behavior Change Techniques to Stimulate Motivation and Adherence in Electronic Health Interventions to Support Weight Loss Maintenance: Scoping Review.

J Med Internet Res. 2019-6-21

[3]
Evaluation of the Perceived Persuasiveness Questionnaire: User-Centered Card-Sort Study.

J Med Internet Res. 2020-10-23

[4]
Identifying Persuasive Design Principles and Behavior Change Techniques Supporting End User Values and Needs in eHealth Interventions for Long-Term Weight Loss Maintenance: Qualitative Study.

J Med Internet Res. 2020-11-30

[5]
The Intersection of Persuasive System Design and Personalization in Mobile Health: Statistical Evaluation.

JMIR Mhealth Uhealth. 2022-9-14

[6]
Exploring the Use of the Behavior Change Technique Taxonomy and the Persuasive System Design Model in Defining Parent-Focused eHealth Interventions: Scoping Review.

J Med Internet Res. 2023-6-21

[7]
Persuasive user experiences of a health Behavior Change Support System: A 12-month study for prevention of metabolic syndrome.

Int J Med Inform. 2016-12

[8]
Unraveling Mobile Health Exercise Interventions for Adults: Scoping Review on the Implementations and Designs of Persuasive Strategies.

JMIR Mhealth Uhealth. 2021-1-18

[9]
Care Providers' Perspectives on the Design of Assistive Persuasive Behaviors for Socially Assistive Robots.

J Am Med Dir Assoc. 2024-8

[10]
Examining Internet and eHealth Practices and Preferences: Survey Study of Australian Older Adults With Subjective Memory Complaints, Mild Cognitive Impairment, or Dementia.

J Med Internet Res. 2017-10-25

引用本文的文献

[1]
Designing a Nurse-Led eHealth Cardiac Rehabilitation Program: Insights From Participant Experiences and Qualitative Feedback.

Public Health Nurs. 2025

[2]
Rapid Review on the Concept of Positive Health and Its Implementation in Practice.

Healthcare (Basel). 2024-3-16

[3]
Exploring participant perceptions of a virtually supported home exercise program for people with multiple myeloma using a novel eHealth application: a qualitative study.

Support Care Cancer. 2023-4-25

[4]
The influence of health information attention and app usage frequency of older adults on persuasive strategies in mHealth education apps.

Digit Health. 2023-3-30

[5]
How to Prevent the Drop-Out: Understanding Why Adults Participate in Summative eHealth Evaluations.

J Healthc Inform Res. 2023-3-4

[6]
Personas for Better Targeted eHealth Technologies: User-Centered Design Approach.

JMIR Hum Factors. 2022-3-15

[7]
Personality-targeted persuasive gamified systems: exploring the impact of application domain on the effectiveness of behaviour change strategies.

User Model User-adapt Interact. 2022

[8]
Automatic topic selection for long-term interaction with embodied conversational agents in health coaching: A micro-randomized trial.

Internet Interv. 2022-2-6

[9]
Evaluation of a virtual coaching system eHealth intervention: A mixed methods observational cohort study in the Netherlands.

Internet Interv. 2022-2-5

[10]
Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach.

Int J Environ Res Public Health. 2021-12-30

本文引用的文献

[1]
Sociodemographic Factors Influencing the Use of eHealth in People with Chronic Diseases.

Int J Environ Res Public Health. 2019-2-21

[2]
How do eHealth Programs for Adolescents With Depression Work? A Realist Review of Persuasive System Design Components in Internet-Based Psychological Therapies.

J Med Internet Res. 2017-8-9

[3]
Key Components in eHealth Interventions Combining Self-Tracking and Persuasive eCoaching to Promote a Healthier Lifestyle: A Scoping Review.

J Med Internet Res. 2017-8-1

[4]
eHealth Literacy: Patient Engagement in Identifying Strategies to Encourage Use of Patient Portals Among Older Adults.

Popul Health Manag. 2017-12

[5]
The relationship between persuasive technology principles, adherence and effect of web-Based interventions for mental health: A meta-analysis.

Int J Med Inform. 2016-12

[6]
Persuasive user experiences of a health Behavior Change Support System: A 12-month study for prevention of metabolic syndrome.

Int J Med Inform. 2016-12

[7]
Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study.

BMJ Open. 2016-1-12

[8]
Selective Engagement of Cognitive Resources: Motivational Influences on Older Adults' Cognitive Functioning.

Perspect Psychol Sci. 2014-7

[9]
Self-Determination Theory Applied to Health Contexts: A Meta-Analysis.

Perspect Psychol Sci. 2012-7

[10]
How to Increase Reach and Adherence of Web-Based Interventions: A Design Research Viewpoint.

J Med Internet Res. 2015-7-10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索