Graham Andrea K, Neubert Sarah W, Chang Angela, Liu Jianyi, Fu Emily, Green Emilie A, Kornfield Rachel, Nicholas Jennifer
Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Front Digit Health. 2021 Jun 4;3:651749. doi: 10.3389/fdgth.2021.651749. eCollection 2021.
Weight loss apps to date have not directly addressed binge eating. To inform the design of a new mobile behavioral intervention that addresses binge eating and weight management, we applied user-centered design methods to qualitatively assess how target intervention consumers experience these conditions in their day-to-day lives. The participants were 22 adults with self-reported obesity (body mass index ≥30) and recurrent binge eating (≥12 episodes in 3 months) who were interested in losing weight and reducing binge eating. The participants completed a digital diary study, which is a user-centered design technique for capturing individuals' day-to-day experiences in relevant contexts. Qualitative data describing the participants' experiences with binge eating and obesity were analyzed using thematic analysis. The results were then used to create personas (i.e., character archetypes of different intervention consumers). The participants described triggers for binge eating and indicated that binge eating and excess weight negatively impact their mental health, physical health, and quality of life. The resulting personas reflected five different struggles individuals with these health problems experience in managing their binge eating and weight. Individuals with binge eating and obesity have varying precipitants of problematic eating as well as varying motivations for and challenges to behavior change. To meet the needs of all who seek intervention, an ideal intervention design will account for variations in these factors and be relevant to diverse experiences. Insights from the diary study and resulting personas will inform the next phases of the user-centered design process of iteratively designing prototypes and testing the intervention in practice.
到目前为止,减肥应用程序尚未直接解决暴饮暴食问题。为了为一种新的针对暴饮暴食和体重管理的移动行为干预措施的设计提供信息,我们采用了以用户为中心的设计方法,以定性评估目标干预措施的消费者在日常生活中如何体验这些情况。参与者是22名自我报告患有肥胖症(体重指数≥30)且反复暴饮暴食(3个月内≥12次发作)的成年人,他们有兴趣减肥并减少暴饮暴食。参与者完成了一项数字日记研究,这是一种以用户为中心的设计技术,用于捕捉个人在相关背景下的日常经历。使用主题分析对描述参与者暴饮暴食和肥胖经历的定性数据进行了分析。然后,这些结果被用于创建人物角色(即不同干预措施消费者的角色原型)。参与者描述了暴饮暴食的触发因素,并指出暴饮暴食和超重对他们的心理健康、身体健康和生活质量产生负面影响。由此产生的人物角色反映了患有这些健康问题的个体在管理暴饮暴食和体重方面所经历的五种不同挣扎。患有暴饮暴食和肥胖症的个体有不同的问题饮食诱发因素,以及行为改变的不同动机和挑战。为了满足所有寻求干预措施的人的需求,理想的干预设计将考虑这些因素的差异,并与不同的经历相关。日记研究和由此产生的人物角色所提供的见解将为以用户为中心的设计过程的下一阶段提供信息,即迭代设计原型并在实践中测试干预措施。
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