Penfornis Kristell M, Albers Nele, Brinkman Willem-Paul, Neerincx Mark A, Evers Andrea Wm, Gebhardt Winifred A, Meijer Eline
Unit Health-, Medical and Neuropsychology, Institute of Psychology, Leiden University, Leiden, The Netherlands.
Department of Intelligent Systems, Delft University of Technology, Delft, The Netherlands.
JMIR Form Res. 2025 Jun 20;9:e63893. doi: 10.2196/63893.
BACKGROUND: Smoking and physical inactivity compromise health, especially in combination. Interventions to promote smoking cessation and increased physical activity (PA) often lack impact, especially in the long term. Digital future-self interventions (FSIs), which prompt individuals to imagine who they do and do not want to become (ie, their desired and undesired future selves), show promise in encouraging sustainable changes in both behaviors. However, knowledge of user experiences with digital FSIs is limited. A deeper understanding of these experiences could help optimize FSIs, enhancing their efficacy in supporting smoking cessation and increased PA sustainably. OBJECTIVE: This study examined behavioral, cognitive, and affective experiences with digital FSIs focused on smoking, PA, or both. Potential differences in user experiences based on behavior (smoking vs PA), polarity (desired vs undesired future self), and modality (verbal vs visual description of future selves) were explored. METHODS: Secondary analyses of quantitative and qualitative survey data from 3 studies using digital FSIs as a means to encourage smoking cessation or increase PA were conducted. In study 1, participants (N=144) thought about how it would be to complete the FSI. In studies 2 (N=447) and 3 (N=87), they completed an FSI. Each study highlighted different aspects of user experiences with FSIs, namely, behavioral (eg, time spent), cognitive (eg, mental effort exerted), or affective (eg, emotions) experiences. Quantitative and qualitative findings were integrated for a comprehensive interpretation. RESULTS: Regarding behavioral experiences, participants completed future-self tasks promptly (mean 6.64, SD 8.30 minutes), spent less time completing the desired- versus undesired-future-self (P<.001; η=0.227) and verbal versus visual (P=.03; η=0.060; quantitative) tasks, and integrated the tasks into their lives (qualitative). Despite tasks being preparatory and not actively encouraging behavior change, multiple participants reported implementing changes in their smoking or PA (qualitative). Regarding cognitive experiences, moderate effort (mean 5.85/10, SD 2.56) was exerted on the tasks regardless of behavior (P=.69; η=0.002), modality (P=.45; η=0.004), or polarity (P=.69; η=0.002; quantitative). Experiences of task difficulty were inconsistent across studies, individuals, and tasks, although mental visualization and describing one's future self using images were consistently reported as challenging (quantitative and qualitative). Future-self tasks were reported to prompt cognitive processes such as contemplating consequences of smoking and PA behavior (qualitative). Regarding affective experiences, desired- and undesired-future-self tasks elicited different emotions (P<.001; η=0.630; quantitative). Desired-future-self tasks were perceived as enjoyable and happiness inducing, whereas undesired-future-self tasks were perceived as confronting and unpleasant, evoking feelings of sadness, fear, and anger (quantitative and qualitative). CONCLUSIONS: Digital FSIs appeared to be a time-efficient, feasible, and acceptable way of strengthening identities as a means to encourage smoking cessation and PA. Findings support continued implementation of digital FSIs, although further research is required to optimize their operationalization. Avenues in that regard are proposed and discussed.
背景:吸烟和缺乏身体活动会损害健康,尤其是两者同时存在时。促进戒烟和增加身体活动(PA)的干预措施往往缺乏效果,尤其是从长期来看。数字未来自我干预(FSIs)促使个体想象自己想要成为和不想成为的人(即他们期望和不期望的未来自我),在鼓励这两种行为的可持续改变方面显示出前景。然而,关于用户对数字FSIs体验的了解有限。对这些体验的更深入理解有助于优化FSIs,提高其在支持戒烟和持续增加身体活动方面的功效。 目的:本研究考察了聚焦于吸烟、身体活动或两者的数字FSIs的行为、认知和情感体验。探讨了基于行为(吸烟与身体活动)、极性(期望与不期望的未来自我)和形式(未来自我的语言与视觉描述)的用户体验的潜在差异。 方法:对3项研究的定量和定性调查数据进行二次分析,这些研究使用数字FSIs作为鼓励戒烟或增加身体活动的手段。在研究1中,参与者(N = 144)思考完成FSI会是什么样子。在研究2(N = 447)和研究3(N = 87)中,他们完成了一项FSI。每项研究都突出了用户对FSIs体验的不同方面,即行为(如花费的时间)、认知(如付出的脑力)或情感(如情绪)体验。对定量和定性研究结果进行整合以进行全面解读。 结果:关于行为体验,参与者迅速完成了未来自我任务(平均6.64分钟,标准差8.30分钟),完成期望未来自我与不期望未来自我任务所花时间更少(P <.001;η = 0.227),完成语言与视觉任务所花时间更少(P =.03;η = 0.060;定量),并将任务融入到他们的生活中(定性)。尽管任务是准备性的,并未积极鼓励行为改变,但多名参与者报告在吸烟或身体活动方面实施了改变(定性)。关于认知体验,无论行为(P =.69;η = 0.002)、形式(P =.45;η = 0.004)或极性(P =.69;η = 0.002;定量)如何,在任务上付出的努力适中(平均5.85/10,标准差2.56)。尽管在不同研究、个体和任务中,任务难度体验不一致,但心理可视化以及用图像描述自己的未来自我一直被报告具有挑战性(定量和定性)。据报告,未来自我任务促使了诸如思考吸烟和身体活动行为后果等认知过程(定性)。关于情感体验,期望和不期望未来自我任务引发了不同的情绪(P <.001;η = 0.630;定量)。期望未来自我任务被视为令人愉快且能引发幸福感,而不期望未来自我任务被视为具有挑战性且令人不快,会引发悲伤、恐惧和愤怒的情绪(定量和定性)。 结论:数字FSIs似乎是一种高效、可行且可接受的强化身份认同的方式,以此作为鼓励戒烟和身体活动的手段。研究结果支持继续实施数字FSIs,尽管需要进一步研究以优化其实施方式。提出并讨论了这方面的途径。
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