Brons Annette, Braam Katja, Broekema Aline, Timmerman Annieck, Millenaar Karel, Engelbert Raoul, Kröse Ben, Visser Bart
Digital Life Center, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.
Department of Information and Computing Sciences, Utrecht University, Utrecht, Netherlands.
JMIR Form Res. 2022 Jul 25;6(7):e34121. doi: 10.2196/34121.
Children with asthma can decrease the impact of their disease by improving their physical activity (PA). However, health care providers lack interventions for children with asthma that effectively increase their PA levels and achieve behavior change. A technology-supported approach can positively influence PA and physical functioning in children.
The aims of this study were to develop a technology-supported intervention that facilitates health care providers in promoting PA for children (aged 8 to 12 years) with asthma and to systematically describe this developmental process.
Intervention mapping (IM) was applied to develop a blended and technology-supported intervention in cocreation with children with asthma, their parents, and health care providers. In accordance with the IM framework, the following steps were performed: conduct a needs assessment; define the intervention outcome, performance objectives, and change objectives; select theory-based intervention methods and strategies; create components of the intervention and conduct pilot tests; create an implementation plan; and create an evaluation plan.
We developed the blended intervention Foxfit that consists of an app with a PA monitor for children (aged 8 to 12 years) with asthma and a web-based dashboard for their health care provider. The intervention focuses on PA in everyday life to improve social participation. Foxfit contains components based on behavior change principles and gamification, including goal setting, rewards, action planning, monitoring, shaping knowledge, a gamified story, personal coaching and feedback, and a tailored approach. An evaluation plan was created to assess the intervention's usability and feasibility for both children and health care providers.
The IM framework was very useful for systematically developing a technology-supported intervention and for describing the translational process from scientific evidence, the needs and wishes of future users, and behavior change principles into this intervention. This has led to the technology-supported intervention Foxfit that facilitates health care providers in promoting PA in children with asthma. The structured description of the development process and functional components shows the way behavior change techniques are incorporated in the intervention.
International Clinical Trial Registry Platform NTR6658; https://tinyurl.com/3rxejksf.
哮喘患儿可通过增加身体活动（PA）来减轻疾病影响。然而，医疗保健提供者缺乏有效的干预措施来提高哮喘患儿的PA水平并实现行为改变。技术支持的方法可对儿童的PA和身体功能产生积极影响。
本研究旨在开发一种技术支持的干预措施，以帮助医疗保健提供者促进8至12岁哮喘患儿的PA，并系统地描述这一开发过程。
采用干预映射（IM）方法，与哮喘患儿、其父母和医疗保健提供者共同创建一种混合的、技术支持的干预措施。根据IM框架，执行以下步骤：进行需求评估；定义干预结果、绩效目标和变化目标；选择基于理论的干预方法和策略；创建干预组件并进行试点测试；创建实施计划；创建评估计划。
我们开发了混合干预措施Foxfit，它包括一个供8至12岁哮喘患儿使用的带有PA监测器的应用程序，以及一个供其医疗保健提供者使用的基于网络的仪表板。该干预措施侧重于日常生活中的PA，以提高社会参与度。Foxfit包含基于行为改变原则和游戏化的组件，包括目标设定、奖励、行动计划、监测、塑造知识、游戏化故事、个人指导和反馈以及量身定制的方法。创建了一个评估计划，以评估该干预措施对儿童和医疗保健提供者的可用性和可行性。
IM框架对于系统地开发技术支持的干预措施以及描述从科学证据、未来用户的需求和愿望以及行为改变原则到该干预措施的转化过程非常有用。这导致了技术支持的干预措施Foxfit的产生，它有助于医疗保健提供者促进哮喘患儿的PA。对开发过程和功能组件的结构化描述展示了行为改变技术在干预措施中的融入方式。
国际临床试验注册平台NTR6658；https://tinyurl.com/3rxejksf 。
