Clinical and Health Psychology, Université Libre de Bruxelles, Brussels, Belgium.
Research Foundation - Flanders, Brussels, Belgium.
JMIR Mhealth Uhealth. 2019 Dec 20;7(12):e15707. doi: 10.2196/15707.
BACKGROUND: There is a limited understanding of components that should be included in digital interventions for 24-hour movement behaviors (physical activity [PA], sleep, and sedentary behavior [SB]). For intervention effectiveness, user engagement is important. This can be enhanced by a user-centered design to, for example, explore and integrate user preferences for intervention techniques and features. OBJECTIVE: This study aimed to examine adult users' preferences for techniques and features in mobile apps for 24-hour movement behaviors. METHODS: A total of 86 participants (mean age 37.4 years [SD 9.2]; 49/86, 57% female) completed a Web-based survey. Behavior change techniques (BCTs) were based on a validated taxonomy v2 by Abraham and Michie, and engagement features were based on a list extracted from the literature. Behavioral data were collected using Fitbit trackers. Correlations, (repeated measures) analysis of variance, and independent sample t tests were used to examine associations and differences between and within users by the type of health domain and users' behavioral intention and adoption. RESULTS: Preferences were generally the highest for information on the health consequences of movement behavior self-monitoring, behavioral feedback, insight into healthy lifestyles, and tips and instructions. Although the same ranking was found for techniques across behaviors, preferences were stronger for all but one BCT for PA in comparison to the other two health behaviors. Although techniques fit user preferences for addressing PA well, supplemental techniques may be able to address preferences for sleep and SB in a better manner. In addition to what is commonly included in apps, sleep apps should consider providing tips for sleep. SB apps may wish to include more self-regulation and goal-setting techniques. Few differences were found by users' intentions or adoption to change a particular behavior. Apps should provide more self-monitoring (P=.03), information on behavior health outcome (P=.048), and feedback (P=.04) and incorporate social support (P=.048) to help those who are further removed from healthy sleep. A virtual coach (P<.001) and video modeling (P=.004) may provide appreciated support to those who are physically less active. PA self-monitoring appealed more to those with an intention to change PA (P=.03). Social comparison and support features are not high on users' agenda and may not be needed from an engagement point of view. Engagement features may not be very relevant for user engagement but should be examined in future research with a less reflective method. CONCLUSIONS: The findings of this study provide guidance for the design of digital 24-hour movement behavior interventions. As 24-hour movement guidelines are increasingly being adopted in several countries, our study findings are timely to support the design of interventions to meet these guidelines.
背景:对于包含 24 小时活动行为(体力活动[PA]、睡眠和久坐行为[SB])的数字干预措施,人们对其组成部分的了解有限。为了提高干预效果,用户参与度很重要。这可以通过以用户为中心的设计来增强,例如,探索和整合用户对干预技术和功能的偏好。 目的:本研究旨在调查成年用户对移动应用程序中 24 小时活动行为的技术和功能的偏好。 方法:共有 86 名参与者(平均年龄 37.4 岁[SD 9.2];49/86,57%女性)完成了一项基于网络的调查。行为改变技术(BCTs)基于 Abraham 和 Michie 的经过验证的分类法 v2,参与功能基于从文献中提取的列表。使用 Fitbit 跟踪器收集行为数据。使用相关分析、(重复测量)方差分析和独立样本 t 检验来检查不同健康领域的用户之间以及用户内在的关联和差异,以及他们的行为意向和采用。 结果:自我监测移动行为健康后果、行为反馈、了解健康生活方式以及提示和建议的信息最受关注。尽管在所有行为中,技术的排名相同,但与其他两种健康行为相比,PA 的偏好更强。尽管技术符合用户对解决 PA 的偏好,但补充技术可能能够更好地解决睡眠和 SB 的偏好。除了应用程序中通常包含的内容外,睡眠应用程序还可以考虑提供有关睡眠的提示。SB 应用程序可能希望包含更多的自我调节和目标设定技术。用户改变特定行为的意图或采用几乎没有差异。应用程序应提供更多的自我监测(P=.03)、有关行为健康结果的信息(P=.048)和反馈(P=.04),并纳入社会支持(P=.048),以帮助那些远离健康睡眠的人。虚拟教练(P<.001)和视频建模(P=.004)可能为身体活动较少的人提供了赞赏的支持。PA 自我监测对那些有改变 PA 意向的人更有吸引力(P=.03)。社交比较和支持功能并不是用户的首要任务,从参与的角度来看,可能不需要这些功能。参与功能可能对用户参与度不是很重要,但应在未来的研究中使用更具反思性的方法进行检查。 结论:本研究的结果为设计数字 24 小时活动行为干预措施提供了指导。随着 24 小时活动指南在多个国家的日益采用,我们的研究结果及时支持了设计干预措施以满足这些指南的需求。
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