Division of Health, Medicine and Rehabilitation, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
Department of Health, Medical and Caring Sciences, Linköping University, Linköping, Sweden.
JMIR Mhealth Uhealth. 2020 Aug 5;8(8):e19380. doi: 10.2196/19380.
Physical inactivity is globally recognized as a major risk factor for morbidity, particularly the incidence of noncommunicable diseases. Increasing physical activity (PA) is therefore a public health priority. Engaging in active transportation (AT) is a viable approach for promoting daily PA levels. Mobile health interventions enable the promotion of AT to a larger population. The Smart City Active Mobile Phone Intervention (SCAMPI) study was a randomized controlled trial designed to evaluate the ability of a behavior change program delivered via a smartphone app to motivate participants to increase their PA by engaging in AT.
This qualitative study aims to examine the acceptance and user experience of the app promoting AT that was used in the SCAMPI trial (the TRavelVU Plus app).
A total of 17 residents of Stockholm County (13 women; age range 25-61 years) who completed the 3-month app-based behavioral change program (delivered through the TRavelVU Plus app) in the SCAMPI randomized controlled trial during 2018 agreed to participate in a semistructured telephone-based interview. These participants were well representative of the whole intervention group (n=127) in terms of baseline characteristics such as age, sex, and area of residence. The interviews were audiorecorded, transcribed verbatim, and analyzed using an inductive qualitative content analysis.
The content analysis revealed 2 themes and 4 subcategories. The first theme, "main motivators: monitoring and messages," highlighted that monitoring AT and being able to set weekly goals using the app were the primary motivators reported by study participants. The second theme, "acceptable but modifiable," reflects that the app was well accepted and effectively encouraged many participants to use more AT. Nevertheless, there were functions in the app that require modification. For example, while the semiautomated travel tracking feature was appreciated, participants found it time-consuming and unreliable at times.
This study contributes novel insight into adults' experiences of using a mobile app to promote the use of AT. The results showed that the app was well accepted and that self-monitoring and goal setting were the main motivators to engage in more AT. The semiautomated tracking of AT was appreciated; however, it was also reported to be energy- and time-consuming when it failed to work. Thus, this feature should be improved going forward.
ClinicalTrials.gov NCT03086837; https://clinicaltrials.gov/ct2/show/NCT03086837.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12889-018-5658-4.
身体活动不足已被全球公认为导致发病的主要危险因素之一，尤其是非传染性疾病的发病率。因此，增加身体活动（PA）是公共卫生的重点。参与积极的交通方式（AT）是促进日常 PA 水平的可行方法。移动健康干预措施可以促进更多人群参与 AT。Smart City Active Mobile Phone Intervention (SCAMPI) 研究是一项随机对照试验，旨在评估通过智能手机应用程序提供的行为改变计划能否激励参与者通过参与 AT 来增加他们的 PA。
本定性研究旨在探讨在 SCAMPI 试验中使用的促进 AT 的应用程序（TRavelVU Plus 应用程序）的接受程度和用户体验。
2018 年，17 名斯德哥尔摩县居民（13 名女性；年龄 25-61 岁）完成了基于应用程序的行为改变 3 个月计划（通过 TRavelVU Plus 应用程序提供），他们同意参加基于电话的半结构化访谈，这些参与者是整个干预组（n=127）的代表，在年龄、性别和居住地等基线特征方面。访谈进行了录音、逐字记录，并使用归纳定性内容分析进行了分析。
内容分析揭示了 2 个主题和 4 个亚类别。第一个主题是“主要动机：监测和信息”，强调监测 AT 和使用应用程序设定每周目标是研究参与者报告的主要动机。第二个主题是“可接受但可修改”，反映应用程序被广泛接受，并有效地鼓励许多参与者更多地使用 AT。然而，应用程序中有一些功能需要修改。例如，虽然半自动化的旅行跟踪功能受到赞赏，但参与者发现它有时很耗时且不可靠。
本研究为成年人使用移动应用程序促进 AT 提供了新的见解。结果表明，该应用程序被广泛接受，自我监测和目标设定是参与更多 AT 的主要动机。对 AT 的半自动化跟踪受到赞赏；然而，当它无法工作时，它也被报告为能源和时间消耗。因此，这一功能需要在未来进行改进。
ClinicalTrials.gov NCT03086837；https://clinicaltrials.gov/ct2/show/NCT03086837。
国际注册报告标识符（IRRID）：RR2-10.1186/s12889-018-5658-4。
