Hultman Lisa, Eklund Caroline, von Heideken Wågert Petra, Söderlund Anne, Lindén Maria, Elfström Magnus L
Division of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås/Eskilstuna, Sweden.
Division of Intelligent Future Technologies, School of Innovation, Design and Engineering, Mälardalen University, Västerås/Eskilstuna, Sweden.
JMIR Form Res. 2025 Jan 20;9:e63567. doi: 10.2196/63567.
Having a great amount of sedentary time is common among older adults and increases with age. There is a strong need for tools to reduce sedentary time and promote adherence to reduced sedentary time, for which eHealth interventions have the potential to be useful. Interventions for reducing sedentary time in older adults have been found to be more effective when elements of self-management are included. When creating new eHealth interventions, accessibility and effectiveness can be increased by including end users as co-designers in the development process.
The aim was to explore the desired features of an eHealth intervention including self-management for reducing sedentary time and promoting adherence to reduced sedentary time in older adults transitioning from working life to retirement. Further, the aim was to develop a digital prototype of such an eHealth intervention.
The study used the participatory design approach to include end users, researchers, and a web designer as equal partners. Three workshops were conducted with 6 older adults transitioning to retirement, 2 researchers, and 1 web designer. Thematic analysis was used to analyze the data from the workshops.
Participants expressed a desire for an easy-to-use eHealth intervention, which could be accessed from mobile phones, tablets, and computers, and could be individualized to the user. The most important features for reducing sedentary time were those involving finding joyful activities, setting goals, and getting information regarding reduced sedentary time. Participants expressed that the eHealth intervention would need to first provide the user with knowledge regarding sedentary time, then offer features for measuring sedentary time and for setting goals, and lastly provide support in finding joyful activities to perform in order to avoid being sedentary. According to the participants, an eHealth intervention including self-management for reducing sedentary time in older adults in the transition to retirement should be concise, accessible, and enjoyable. A digital prototype of such an eHealth intervention was developed.
The developed eHealth intervention including self-management for reducing sedentary time in older adults transitioning to retirement is intended to facilitate behavior change by encouraging the user to participate in autonomously motivated activities. It uses several behavior change techniques, such as goal setting and action planning through mental contrasting and implementation intention, as well as shaping knowledge. Its active components for reducing sedentary time can be explained using the integrated behavior change model. Further research is needed to evaluate the feasibility and effectiveness of the eHealth intervention.
大量久坐时间在老年人中很常见，且会随着年龄增长而增加。迫切需要一些工具来减少久坐时间，并促进对减少久坐时间的坚持，电子健康干预措施在这方面可能会有所帮助。当自我管理元素被纳入时，减少老年人久坐时间的干预措施已被发现更有效。在创建新的电子健康干预措施时，将最终用户作为共同设计者纳入开发过程可以提高其可及性和有效性。
旨在探索一种电子健康干预措施的期望特征，该措施包括自我管理，用于减少老年人从工作生活过渡到退休后的久坐时间，并促进对减少久坐时间的坚持。此外，目的是开发这种电子健康干预措施的数字原型。
该研究采用参与式设计方法，将最终用户、研究人员和一名网页设计师作为平等伙伴。与6名即将退休的老年人、2名研究人员和1名网页设计师进行了三次研讨会。采用主题分析法对研讨会上的数据进行分析。
参与者表示希望有一个易于使用的电子健康干预措施，该措施可以通过手机、平板电脑和电脑访问，并且可以根据用户进行个性化设置。减少久坐时间的最重要特征是那些涉及找到有趣活动、设定目标以及获取有关减少久坐时间信息的特征。参与者表示，电子健康干预措施首先需要向用户提供有关久坐时间的知识，然后提供测量久坐时间和设定目标的功能，最后在寻找有趣活动以避免久坐方面提供支持。根据参与者的说法，一种包括自我管理以减少即将退休的老年人久坐时间的电子健康干预措施应该简洁、易于访问且令人愉快。开发了这种电子健康干预措施的数字原型。
所开发的包括自我管理以减少即将退休的老年人久坐时间的电子健康干预措施旨在通过鼓励用户参与自主激励的活动来促进行为改变。它使用了多种行为改变技术，如通过心理对比和实施意图进行目标设定和行动计划，以及塑造知识。其减少久坐时间的积极成分可以用综合行为改变模型来解释。需要进一步研究来评估该电子健康干预措施的可行性和有效性。
