scholarly journals Development of a Web-Based and Mobile App to Support Physical Activity in Individuals With Rheumatoid Arthritis: Results From the Second Step of a Co-Design Process

2015 ◽  
Vol 4 (1) ◽  
pp. e22 ◽  
Author(s):  
Åsa Revenäs ◽  
Christina H Opava ◽  
Cathrin Martin ◽  
Ingrid Demmelmaier ◽  
Christina Keller ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Design Process ◽  
Mobile App ◽  
Second Step ◽  
Web Based

scholarly journals Smartphone Apps Targeting Physical Activity in People With Rheumatoid Arthritis: Systematic Quality Appraisal and Content Analysis

10.2196/18495 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e18495 ◽  
Author(s):  
Lindsay M Bearne ◽  
Mandeep Sekhon ◽  
Rebecca Grainger ◽  
Anthony La ◽  
Mehrdad Shamali ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Rating Scale ◽  
Mobile App ◽  
Information Support ◽  
World Health ◽  
Smartphone Apps ◽  
High Quality ◽  
App Store ◽  
Google Play

Background Rheumatoid arthritis (RA) is a disabling, inflammatory joint condition affecting 0.5%-1% of the global population. Physical activity (PA) and exercise are recommended for people with RA, but uptake and adherence tend to be low. Smartphone apps could assist people with RA to achieve PA recommendations. However, it is not known whether high quality, evidence-informed PA apps that include behavior change techniques (BCTs) previously identified as effective for PA adherence are available for people with RA. Objective This study aims to systematically identify apps that include goals to facilitate PA for adults with RA and assess app quality and content for the inclusion of relevant BCTs against recommendations for cardiorespiratory, resistance, flexibility, and neuromotor PA and exercise. Methods A systematic search of the Apple App Store and Google Play Store in the United Kingdom was conducted to identify English language apps that promote PA for adults with RA. Two researchers independently assessed app quality (mobile app rating scale [MARS]; range 0-5) and content (BCT Taxonomy version 1, World Health Organization, the American College of Sports Medicine, and the European League against Rheumatism recommendations for PA). The completeness of reporting of PA prescription was evaluated using a modified version of the Consensus on Exercise Reporting Template (CERT; range 0-14). Results A total of 14,047 apps were identified. Following deduplication, 2737 apps were screened for eligibility; 6 apps were downloaded (2 on the Apple App Store and 4 on the Google Play Store), yielding 4 unique apps. App quality varied (MARS score 2.25-4.17). Only 1 app was congruent with all aspects of the PA recommendations. All apps completely or partially recommended flexibility and resistance exercises, 3 apps completely or partially advised some form of neuromotor exercise, but only 2 offered full or partial guidance on cardiorespiratory exercise. Completeness of exercise reporting was mixed (CERT scores 7-14 points) and 3-7 BCTs were identified. Two BCTs were common to all apps (information about health consequences and instruction on how to perform behavior). Higher quality apps included a greater number of BCTs and were more closely aligned to PA guidance. No published trials evaluating the effect of the included apps were identified. Conclusions This review identifies 4 PA apps of mixed quality and content for use by people with RA. Higher quality apps were more closely aligned to PA guidance and included a greater number of BCTs. One high-quality app (Rheumatoid Arthritis Information Support and Education) included 7 BCTs and was fully aligned with PA and exercise guidance. The effect of apps on PA adherence should be established before implementation.

scholarly journals A Mobile App Adopting an Identity Focus to Promote Physical Activity (MoveDaily): Iterative Design Study (Preprint)

2019 ◽  
Author(s):  
Floris Hooglugt ◽  
Geke D S Ludden
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Conceptual Design ◽  
Mobile App ◽  
Design Phase ◽  
Design Study ◽  
Web Based ◽  
Iterative Design ◽  
Conceptual Design Phase ◽  
Oriented Approach

BACKGROUND Web-based and mobile interventions to influence physical activity behavior have had limited effects on sustained behavior change. One reason may be that the interventions aim to change largely habitual behavior. Following an identity-oriented approach could be a successful strategy to behavior change because people are committed to behave in line with their self-perception of identity. OBJECTIVE In this paper, we take a closer look at the role of motivation in long-term adherence to lifestyle interventions. The paper outlines a method for web-based or mobile intervention development that allows exploration of integrating behavior change theory into the design process. We will describe the development of a mobile app that allows people to be self-determined and to value and self-regulate physical activity by adopting an identity-oriented approach. METHODS This paper describes a Research through Design (RtD) process in which design activities are carried out as part of the knowledge-generating process. Two RtD phases were completed, followed by a conceptual design phase. In the first RtD phase, 8 participants used diary cards to study initial attitudes toward starting with small changes in physical activity. In the second RtD phase, 26 participants used a web-based app to study changes in physical activity. We used an adapted version of the Self-Report Habit Index (SRHI) to evaluate individuals’ perceptions of a particular behavior with respect to the three facets of a habit. The conceptual design phase consolidated the results from first two RtD phases into a design of a mobile app that combines an identity approach with gamification principles. The conceptual design was evaluated in a user-experience study with 4 participants. RESULTS In the first RtD phase, we found that interacting daily with diary cards and reflecting on physical activity patterns is a promising strategy but works better through a digital medium. In the second RtD phase, SHRI ratings from all participants generally increased each week. In the conceptual design phase, we found that the concept of the mobile app was positively evaluated by participants. However, participants mentioned that terms such as “identity” do not resonate with them and that scenarios could be simpler. CONCLUSIONS This paper provides deeper insights into designing for electronic health (eHealth) interventions and services and suggests a new way that motivation can be shaped by the design of an intervention and adherence to physical activity. To the best of our knowledge, this was the first iterative design study in which the effects of adopting an identity approach to both motivation and physical activity were included and observed. Initial promising results were found for using a web-based intervention where habits and identification with the personal importance of a behavior were repetitively triggered.

scholarly journals P102 Identifying physical activity mobile applications for people with rheumatoid arthritis: a content analysis and quality appraisal

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Lindsay Bearne ◽  
Mandeep Sekhon ◽  
Rebecca Grainger ◽  
Anthony La ◽  
Mehrdad Shamali ◽  
...  
Keyword(s):  
Public Health ◽  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Behaviour Change ◽  
Mobile Applications ◽  
Exercise Prescription ◽  
Mobile App ◽  
High Quality ◽  
Physical Activity And Exercise ◽  
Google Play

Abstract Background Physical activity and exercise (PA) are recommended for people with rheumatoid arthritis (RA), although adherence to PA tends to be low. Accessible, tailored interventions are needed to help people with RA change their behaviour to achieve public health PA recommendations and improve health outcomes. Use of smartphones and mobile applications (apps) is increasing and apps may assist people to reach PA recommendations. However, the availability, quality and content of evidence-based PA apps for people with RA is unknown. This study assessed the features, content and quality of apps targeting PA for adults with RA by i) systematically identifying apps ii) summarising their features and content iii) comparing their content to physical activity and exercise guidelines and iv) rating app quality. Methods A systematic search of the UK Apple AppStore and Google Play store was conducted to identify apps designed to facilitate PA in adults with RA between 19th-20th June 2019. Apps were excluded if they were i) not in English ii) for use by clinicians only or ii) solely focused on advertising a clinic/product. No fee restrictions were applied. Android and iOS apps were downloaded to smartphones, features/functionality described, content coded using Consensus on Exercise Reporting Template (CERT) and behaviour change technique taxonomy V1 (BCTTv1) and apps rated using the Mobile App Rating Scale (MARS range 0-5) by two independent reviewers. App features were compared with public health PA guidelines (150 minutes moderate PA/week or equivalent plus twice weekly resistance exercise) and American College of Sports Medicine recommendations for exercise prescription. Results Initially, 14,047 apps were identified. Following de-duplication, 2,737 apps were screened for eligibly and six apps were downloaded (two UK Apple AppStore, four Google Play store), yielding four unique apps. Only one app provided PA recommendations broadly aligned with public health PA guidelines and no apps aligned to ACSM exercise prescription guidelines or offered information on tailoring of PA to disease symptoms or health status. Apps included between 4-13 behaviour change techniques (BCTs) and three BCTs were common to all apps (demonstration of behaviour, instructions on how to perform behaviour, information about health consequences). Overall, MARS scores ranged between 2.25-4.17. Conclusion There is a lack of high-quality mobile apps which can be tailored to support PA for people with RA. Whilst all included apps incorporated some BCTs previously identified as effective for PA promotion, only one, high quality app provided PA recommendations which broadly aligned with public health PA guidelines but offered limited options for tailoring PA or exercise. Collaboration between adults with RA, clinicians, and app developers is needed to produce evidence informed apps, with embedded BCTs, which can be tailored to support people with RA achieve PA recommendations. Disclosures L. Bearne None. M. Sekhon None. R. Grainger None. A. La None. M. Shamali None. A. Amirova None. E. Godfrey None. C. White None.

scholarly journals A Mobile App Adopting an Identity Focus to Promote Physical Activity (MoveDaily): Iterative Design Study

10.2196/16720 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e16720 ◽  
Author(s):  
Floris Hooglugt ◽  
Geke D S Ludden
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Conceptual Design ◽  
Mobile App ◽  
Design Phase ◽  
Design Study ◽  
Web Based ◽  
Iterative Design ◽  
Conceptual Design Phase ◽  
Oriented Approach

Background Web-based and mobile interventions to influence physical activity behavior have had limited effects on sustained behavior change. One reason may be that the interventions aim to change largely habitual behavior. Following an identity-oriented approach could be a successful strategy to behavior change because people are committed to behave in line with their self-perception of identity. Objective In this paper, we take a closer look at the role of motivation in long-term adherence to lifestyle interventions. The paper outlines a method for web-based or mobile intervention development that allows exploration of integrating behavior change theory into the design process. We will describe the development of a mobile app that allows people to be self-determined and to value and self-regulate physical activity by adopting an identity-oriented approach. Methods This paper describes a Research through Design (RtD) process in which design activities are carried out as part of the knowledge-generating process. Two RtD phases were completed, followed by a conceptual design phase. In the first RtD phase, 8 participants used diary cards to study initial attitudes toward starting with small changes in physical activity. In the second RtD phase, 26 participants used a web-based app to study changes in physical activity. We used an adapted version of the Self-Report Habit Index (SRHI) to evaluate individuals’ perceptions of a particular behavior with respect to the three facets of a habit. The conceptual design phase consolidated the results from first two RtD phases into a design of a mobile app that combines an identity approach with gamification principles. The conceptual design was evaluated in a user-experience study with 4 participants. Results In the first RtD phase, we found that interacting daily with diary cards and reflecting on physical activity patterns is a promising strategy but works better through a digital medium. In the second RtD phase, SHRI ratings from all participants generally increased each week. In the conceptual design phase, we found that the concept of the mobile app was positively evaluated by participants. However, participants mentioned that terms such as “identity” do not resonate with them and that scenarios could be simpler. Conclusions This paper provides deeper insights into designing for electronic health (eHealth) interventions and services and suggests a new way that motivation can be shaped by the design of an intervention and adherence to physical activity. To the best of our knowledge, this was the first iterative design study in which the effects of adopting an identity approach to both motivation and physical activity were included and observed. Initial promising results were found for using a web-based intervention where habits and identification with the personal importance of a behavior were repetitively triggered.

scholarly journals A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing (Preprint)

2019 ◽  
Author(s):  
Francisco Monteiro-Guerra ◽  
Gabriel Ruiz Signorelli ◽  
Shreya Tadas ◽  
Enrique Dorronzoro Zubiete ◽  
Octavio Rivera Romero ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Behavior Change ◽  
Cancer Survivors ◽  
Real Time ◽  
Design Process ◽  
Breast Cancer Survivors ◽  
Rating Scale ◽  
Mobile App ◽  
System Usability Scale

BACKGROUND Existing evidence supports the many benefits of physical activity (PA) in breast cancer survival. However, few breast cancer survivors adhere to the recommended levels of activity. A PA coaching app that provides personalized feedback, guidance, and motivation to the user might have the potential to engage these individuals in a more active lifestyle, in line with the general recommendations. To develop a successful tool, it is important to involve the end users in the design process and to make theoretically grounded design decisions. OBJECTIVE This study aimed to execute the design process and early prototype evaluation of a personalized PA coaching app for posttreatment breast cancer survivors. In particular, the study explored a design combining behavioral theory and tailored coaching strategies. METHODS The design process was led by a multidisciplinary team, including technical and health professionals, and involved input from a total of 22 survivors. The process comprised 3 stages. In stage 1, the literature was reviewed and 14 patients were interviewed to understand the needs and considerations of the target population toward PA apps. In stage 2, the global use case for the tool was defined, the features were ideated and refined based on theory, and a digital interactive prototype was created. In stage 3, the prototype went through usability testing with 8 patients and was subjected to quality and behavior change potential evaluations by 2 human-computer interaction experts. RESULTS The design process has led to the conceptualization of a personalized coaching app for walking activities that addresses the needs of breast cancer survivors. The main features of the tool include a training plan and schedule, adaptive goal setting, real-time feedback and motivation during walking sessions, activity status through the day, activity history, weekly summary reports, and activity challenges. The system was designed to measure users’ cadence during walking, use this measure to infer their training zone, and provide real-time coaching to control the intensity of the walking sessions. The outcomes from user testing and expert evaluation of the digital prototype were very positive, with scores from the system usability scale, mobile app rating scale, and app behavior change scale of 95 out of 100, 4.6 out of 5, and 15 out of 21, respectively. CONCLUSIONS Implementing a user-centered design approach for the development and early evaluation of an app brings essential considerations to tailor the solution to the user’s needs and context. In addition, informing the design on behavioral and tailored coaching theories supports the conceptualization of the PA coaching system. This is critical for optimizing the usability, acceptability, and long-term effectiveness of the tool. After successful early in-laboratory testing, the app will be developed and evaluated in a pilot study in a real-world setting.

scholarly journals A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

10.2196/17552 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e17552
Author(s):  
Francisco Monteiro-Guerra ◽  
Gabriel Ruiz Signorelli ◽  
Shreya Tadas ◽  
Enrique Dorronzoro Zubiete ◽  
Octavio Rivera Romero ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Behavior Change ◽  
Cancer Survivors ◽  
Real Time ◽  
Design Process ◽  
Breast Cancer Survivors ◽  
Rating Scale ◽  
Mobile App ◽  
System Usability Scale

Background Existing evidence supports the many benefits of physical activity (PA) in breast cancer survival. However, few breast cancer survivors adhere to the recommended levels of activity. A PA coaching app that provides personalized feedback, guidance, and motivation to the user might have the potential to engage these individuals in a more active lifestyle, in line with the general recommendations. To develop a successful tool, it is important to involve the end users in the design process and to make theoretically grounded design decisions. Objective This study aimed to execute the design process and early prototype evaluation of a personalized PA coaching app for posttreatment breast cancer survivors. In particular, the study explored a design combining behavioral theory and tailored coaching strategies. Methods The design process was led by a multidisciplinary team, including technical and health professionals, and involved input from a total of 22 survivors. The process comprised 3 stages. In stage 1, the literature was reviewed and 14 patients were interviewed to understand the needs and considerations of the target population toward PA apps. In stage 2, the global use case for the tool was defined, the features were ideated and refined based on theory, and a digital interactive prototype was created. In stage 3, the prototype went through usability testing with 8 patients and was subjected to quality and behavior change potential evaluations by 2 human-computer interaction experts. Results The design process has led to the conceptualization of a personalized coaching app for walking activities that addresses the needs of breast cancer survivors. The main features of the tool include a training plan and schedule, adaptive goal setting, real-time feedback and motivation during walking sessions, activity status through the day, activity history, weekly summary reports, and activity challenges. The system was designed to measure users’ cadence during walking, use this measure to infer their training zone, and provide real-time coaching to control the intensity of the walking sessions. The outcomes from user testing and expert evaluation of the digital prototype were very positive, with scores from the system usability scale, mobile app rating scale, and app behavior change scale of 95 out of 100, 4.6 out of 5, and 15 out of 21, respectively. Conclusions Implementing a user-centered design approach for the development and early evaluation of an app brings essential considerations to tailor the solution to the user’s needs and context. In addition, informing the design on behavioral and tailored coaching theories supports the conceptualization of the PA coaching system. This is critical for optimizing the usability, acceptability, and long-term effectiveness of the tool. After successful early in-laboratory testing, the app will be developed and evaluated in a pilot study in a real-world setting.

scholarly journals Smartphone Apps Targeting Physical Activity in People With Rheumatoid Arthritis: Systematic Quality Appraisal and Content Analysis (Preprint)

2020 ◽  
Author(s):  
Lindsay M Bearne ◽  
Mandeep Sekhon ◽  
Rebecca Grainger ◽  
Anthony La ◽  
Mehrdad Shamali ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Rating Scale ◽  
Mobile App ◽  
Information Support ◽  
World Health ◽  
Smartphone Apps ◽  
High Quality ◽  
App Store ◽  
Google Play

BACKGROUND Rheumatoid arthritis (RA) is a disabling, inflammatory joint condition affecting 0.5%-1% of the global population. Physical activity (PA) and exercise are recommended for people with RA, but uptake and adherence tend to be low. Smartphone apps could assist people with RA to achieve PA recommendations. However, it is not known whether high quality, evidence-informed PA apps that include behavior change techniques (BCTs) previously identified as effective for PA adherence are available for people with RA. OBJECTIVE This study aims to systematically identify apps that include goals to facilitate PA for adults with RA and assess app quality and content for the inclusion of relevant BCTs against recommendations for cardiorespiratory, resistance, flexibility, and neuromotor PA and exercise. METHODS A systematic search of the Apple App Store and Google Play Store in the United Kingdom was conducted to identify English language apps that promote PA for adults with RA. Two researchers independently assessed app quality (mobile app rating scale [MARS]; range 0-5) and content (BCT Taxonomy version 1, World Health Organization, the American College of Sports Medicine, and the European League against Rheumatism recommendations for PA). The completeness of reporting of PA prescription was evaluated using a modified version of the Consensus on Exercise Reporting Template (CERT; range 0-14). RESULTS A total of 14,047 apps were identified. Following deduplication, 2737 apps were screened for eligibility; 6 apps were downloaded (2 on the Apple App Store and 4 on the Google Play Store), yielding 4 unique apps. App quality varied (MARS score 2.25-4.17). Only 1 app was congruent with all aspects of the PA recommendations. All apps completely or partially recommended flexibility and resistance exercises, 3 apps completely or partially advised some form of neuromotor exercise, but only 2 offered full or partial guidance on cardiorespiratory exercise. Completeness of exercise reporting was mixed (CERT scores 7-14 points) and 3-7 BCTs were identified. Two BCTs were common to all apps (information about health consequences and instruction on how to perform behavior). Higher quality apps included a greater number of BCTs and were more closely aligned to PA guidance. No published trials evaluating the effect of the included apps were identified. CONCLUSIONS This review identifies 4 PA apps of mixed quality and content for use by people with RA. Higher quality apps were more closely aligned to PA guidance and included a greater number of BCTs. One high-quality app (Rheumatoid Arthritis Information Support and Education) included 7 BCTs and was fully aligned with PA and exercise guidance. The effect of apps on PA adherence should be established before implementation.

scholarly journals Web-based rehabilitation interventions for people with rheumatoid arthritis: A systematic review

2018 ◽  
Vol 25 (5) ◽  
pp. 263-275 ◽  
Author(s):  
Cynthia Srikesavan ◽  
Catherine Bryer ◽  
Usama Ali ◽  
Esther Williamson
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Adverse Effects ◽  
Self Efficacy ◽  
Self Management ◽  
Access To Health Services ◽  
Web Based ◽  
Quality Of Evidence

Background Rehabilitation approaches for people with rheumatoid arthritis include joint protection, exercises and self-management strategies. Health interventions delivered via the web have the potential to improve access to health services overcoming time constraints, physical limitations, and socioeconomic and geographic barriers. The objective of this review is to determine the effects of web-based rehabilitation interventions in adults with rheumatoid arthritis. Methods Randomised controlled trials that compared web-based rehabilitation interventions with usual care, waiting list, no treatment or another web-based intervention in adults with rheumatoid arthritis were included. The outcomes were pain, function, quality of life, self-efficacy, rheumatoid arthritis knowledge, physical activity and adverse effects. Methodological quality was assessed using the Cochrane Risk of Bias tool and quality of evidence with the Grading of Recommendations Assessment, Development and Evaluation approach. Results Six source documents from four trials ( n = 567) focusing on self-management, health information or physical activity were identified. The effects of web-based rehabilitation interventions on pain, function, quality of life, self-efficacy, rheumatoid arthritis knowledge and physical activity are uncertain because of the very low quality of evidence mostly from small single trials. Adverse effects were not reported. Conclusion Large, well-designed trials are needed to evaluate the clinical and cost-effectiveness of web-based rehabilitation interventions in rheumatoid arthritis.

Sign in / Sign up

Export Citation Format

Share Document