Comachio Josielli, Mesa-Castrillon Carlos Ivan, Beckenkamp Paula R, Roberts Katharine, Ho Emma Kwan-Yee, Field Rowena, Nelligan Rachel K, Ferreira Manuela L, Bennell Kim L, Gordon Christopher J, Ferreira Paulo
Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, NSW 2050 Australia.
Faculty of Medicine and Health, School of Rural Health, The University of Sydney, Orange, NSW 2800 Australia.
J Healthc Inform Res. 2024 Nov 29;9(1):67-87. doi: 10.1007/s41666-024-00179-0. eCollection 2025 Mar.
Effective management of chronic low back pain (LBP) often relies on maintaining a healthy lifestyle. Mobile health (mHealth) applications provide a unique opportunity to support LBP sufferers by integrating evidence-based health education into daily routines. However, many existing mHealth apps lack scientific rigour in their development, limiting their impact. This study reports on developing and usability testing My Back Exercise, an mHealth app designed to support individuals managing chronic LBP through a user-centred, theory-based approach. The development followed the Double Diamond framework and Software Development Life Cycle (SDLC) model, focusing on behaviour change theory to promote healthy lifestyle habits. Usability testing involved ten users and employed the System Usability Scale (SUS) and Mobile App Rating Scale (MARS) to assess engagement, functionality, aesthetics, and information quality. Additionally, a think-aloud approach captured real-time feedback and guided iterative improvements. Results showed that the app was well-received, achieving a SUS mean score of 79 (total score of 100) and a MARS mean score of 3.7 (out of 5.0). Key intervention components included exercises, sleep management, diet, and pain education, contributing to a holistic self-management tool. This study provides a transparent roadmap for the development of evidence-based digital health tools. The My Back Exercise app offers an innovative, holistic approach to help people self-manage chronic LBP using evidence-based methods.
The online version contains supplementary material available at 10.1007/s41666-024-00179-0.
慢性下腰痛(LBP)的有效管理通常依赖于保持健康的生活方式。移动健康(mHealth)应用程序提供了一个独特的机会,通过将循证健康教育融入日常生活来支持LBP患者。然而,许多现有的mHealth应用程序在开发过程中缺乏科学严谨性,限制了它们的影响。本研究报告了一款名为My Back Exercise的mHealth应用程序的开发和可用性测试,该应用程序旨在通过以用户为中心、基于理论的方法来支持慢性LBP患者进行自我管理。开发过程遵循双钻石框架和软件开发生命周期(SDLC)模型,重点关注行为改变理论以促进健康的生活方式习惯。可用性测试涉及10名用户,并使用系统可用性量表(SUS)和移动应用评分量表(MARS)来评估参与度、功能、美观性和信息质量。此外,出声思考法收集了实时反馈并指导了迭代改进。结果显示,该应用程序受到好评,SUS平均得分为79(满分100),MARS平均得分为3.7(满分5.0)。关键干预组件包括锻炼、睡眠管理、饮食和疼痛教育,构成了一个全面的自我管理工具。本研究为循证数字健康工具的开发提供了一个透明的路线图。My Back Exercise应用程序提供了一种创新的、全面的方法,以循证方法帮助人们自我管理慢性LBP。
在线版本包含可在10.1007/s41666-024-00179-0获取的补充材料。