Wageningen Food & Biobased Research, Wageningen University & Research, Wageningen, Netherlands.
Wageningen Economic Research, Wageningen University & Research, Wageningen, Netherlands.
JMIR Mhealth Uhealth. 2023 Jun 20;11:e39515. doi: 10.2196/39515.
BACKGROUND: Nutrition apps seem to be promising tools for supporting consumers toward healthier eating habits. There is a wide variety of nutrition apps available; however, users often discontinue app use at an early stage before a permanent change in dietary behavior can be achieved. OBJECTIVE: The main objective of this study was to identify, from both a user and nonuser perspective, which functionalities should be included in nutrition apps to increase intentions to start and maintain use of these apps. A secondary objective was to gain insight into reasons to quit using nutrition apps at an early stage. METHODS: This study used a mixed methods approach and included a qualitative and a quantitative study. The qualitative study (n=40) consisted of a home-use test with 6 commercially available nutrition apps, followed by 6 focus group discussions (FGDs) to investigate user experiences. The quantitative study was a large-scale survey (n=1420), which was performed in a representative sample of the Dutch population to quantify the FGDs' results. In the survey, several app functionalities were rated on 7-point Likert scales ranging from 1 (very unimportant) to 7 (very important). RESULTS: A total of 3 different phases of app use, subdivided into 10 user-centric app aspects and 46 associated app functionalities, were identified as relevant nutrition app elements in the FGDs. Relevance was confirmed in the survey, as all user-centric aspects and almost all app functionalities were rated as important to include in a nutrition app. In the starting phase, a clear introduction (mean 5.45, SD 1.32), purpose (mean 5.40, SD 1.40), and flexible food tracking options (mean 5.33, SD 1.45) were the most important functionalities. In the use phase, a complete and reliable food product database (mean 5.58, SD 1.41), easy navigation (mean 5.56, SD 1.36), and limited advertisements (mean 5.53, SD 1.51) were the most important functionalities. In the end phase, the possibility of setting realistic goals (mean 5.23, SD 1.44), new personal goals (mean 5.13, SD 1.45), and continuously offering new information (mean 4.88, SD 1.44) were the most important functionalities. No large differences between users, former users, and nonusers were found. The main reason for quitting a nutrition app in the survey was the high time investment (14/38, 37%). This was also identified as a barrier in the FGDs. CONCLUSIONS: Nutrition apps should be supportive in all 3 phases of use (start, use, and end) to increase consumers' intentions to start and maintain the use of these apps and achieve a change in dietary behavior. Each phase includes several key app functionalities that require specific attention from app developers. High time investment is an important reason to quit nutrition app use at an early stage.
背景:营养类应用程序似乎是支持消费者养成更健康饮食习惯的有前途的工具。有各种各样的营养应用程序可供选择;然而,用户通常在实现饮食行为的永久性改变之前,在早期就停止使用应用程序。
目的:本研究的主要目的是从用户和非用户的角度确定营养应用程序中应包含哪些功能,以增加用户开始和维持使用这些应用程序的意愿。次要目的是了解在早期阶段停止使用营养应用程序的原因。
方法:本研究采用混合方法,包括定性和定量研究。定性研究(n=40)包括对 6 种商业上可用的营养应用程序进行家庭使用测试,然后进行 6 次焦点小组讨论(FGD),以调查用户体验。定量研究是一项大规模调查(n=1420),在荷兰人口的代表性样本中进行,以量化 FGD 的结果。在调查中,对多项应用程序功能进行了 7 点李克特量表评分,从 1(非常不重要)到 7(非常重要)。
结果:在 FGD 中确定了总共 3 个不同的应用程序使用阶段,细分为 10 个以用户为中心的应用程序方面和 46 个相关应用程序功能,这些是营养应用程序的相关元素。在调查中得到了确认,因为所有以用户为中心的方面和几乎所有的应用程序功能都被评为营养应用程序中应包含的重要功能。在启动阶段,明确的介绍(均值 5.45,SD 1.32)、目的(均值 5.40,SD 1.40)和灵活的食物跟踪选项(均值 5.33,SD 1.45)是最重要的功能。在使用阶段,完整且可靠的食物产品数据库(均值 5.58,SD 1.41)、易于导航(均值 5.56,SD 1.36)和有限的广告(均值 5.53,SD 1.51)是最重要的功能。在结束阶段,设定现实目标的可能性(均值 5.23,SD 1.44)、新的个人目标(均值 5.13,SD 1.45)和持续提供新信息(均值 4.88,SD 1.44)是最重要的功能。在用户、前用户和非用户之间没有发现大的差异。调查中停止使用营养应用程序的主要原因是时间投入过高(14/38,37%)。这在 FGD 中也被认为是一个障碍。
结论:营养应用程序应在使用的所有 3 个阶段(开始、使用和结束)提供支持,以增加消费者开始和维持使用这些应用程序并实现饮食行为改变的意愿。每个阶段都包含几个需要应用程序开发人员特别关注的关键应用程序功能。高时间投入是早期停止使用营养应用程序的一个重要原因。
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