Arigo Danielle, Lassiter Jonathan Mathias, Baga Kiri, Jackson Daija A, Lobo Andrea F, Guetterman Timothy C
Department of Psychology, Rowan University, Glassboro, NJ, USA.
Department of Family Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA.
Digit Health. 2023 Nov 9;9:20552076231210654. doi: 10.1177/20552076231210654. eCollection 2023 Jan-Dec.
During midlife (ages 40-60), women experience myriad changes that elevate their risk for cardiovascular disease (CVD), including decreased physical activity (PA). Women cite lack of social support for PA and lack of active peers who can serve as role models as key barriers. Digital tools such as web applications can provide exposure to these social inputs; they are also accessible in daily life and require modest time investment. However, as few tools have been designed to meet the unique needs of women in midlife with CVD risk, our research team previously built a web application that is tailored for this population. In the present study, we used a convergent mixed methods design to develop a deep understanding of the feasibility, usability, and acceptability of this web application in a sample of identified end users. Participants ( = 27, = 53 years, = 32.6 kg/m) used the web application at the start of each day for 7 days and completed a 1-hour qualitative interview at the end of this test period. Integration of findings from two-level multilevel models (quantitative) and thematic analysis (qualitative) indicated support for the feasibility, usability, and acceptability of the new web application among women in midlife with CVD risk conditions and identified critical opportunities for improving the user experience. Findings also speak to the utility of options for content selection that can meet women's needs in daily life and highlight women's desire for PA resources that prioritize their perspectives.
在中年时期(40至60岁),女性会经历无数变化,这些变化增加了她们患心血管疾病(CVD)的风险,包括身体活动(PA)减少。女性指出,缺乏对身体活动的社会支持以及缺乏可作为榜样的活跃同龄人是主要障碍。诸如网络应用程序之类的数字工具可以提供这些社会因素的影响;它们在日常生活中也易于使用,并且所需的时间投入较少。然而,由于很少有工具是专门为有心血管疾病风险的中年女性的独特需求而设计的,我们的研究团队之前构建了一个针对这一人群的网络应用程序。在本研究中,我们采用了收敛性混合方法设计,以深入了解该网络应用程序在特定最终用户样本中的可行性、可用性和可接受性。参与者(n = 27,年龄 = 53岁,体重指数 = 32.6 kg/m²)在每天开始时使用该网络应用程序,持续7天,并在测试期结束时完成了一次1小时的定性访谈。对二级多水平模型(定量)和主题分析(定性)结果的整合表明,新的网络应用程序在有心血管疾病风险状况的中年女性中具有可行性、可用性和可接受性,并确定了改善用户体验的关键机会。研究结果还表明了内容选择选项的实用性,这些选项可以满足女性在日常生活中的需求,并突出了女性对优先考虑她们观点的身体活动资源的渴望。