"You get what you need when you need it": A mixed methods examination of the feasibility and acceptability of a tailored digital tool to promote physical activity among women in midlife.
"You get what you need when you need it": A mixed methods examination of the feasibility and acceptability of a tailored digital tool to promote physical activity among women in midlife.
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DOI：
10.1177/20552076231210654
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发表时间：
2023-01
期刊：
影响因子：
3.9
通讯作者：
Guetterman, Timothy C.
中科院分区：
文献类型：
--
作者：
Arigo, Danielle;Lassiter, Jonathan Mathias;Baga, Kiri;Jackson, Daija A.;Lobo, Andrea F.;Guetterman, Timothy C.
在中年(40-60岁)，女性经历了无数的变化，这些变化增加了她们患心血管疾病(CVD)的风险，包括体力活动(PA)减少。女性指出，缺乏对PA的社会支持，以及缺乏可以充当榜样的积极同龄人，是关键障碍。网络应用程序等数字工具可以提供对这些社会投入的接触；它们也可以在日常生活中使用，需要适度的时间投资。然而，由于很少有工具被设计来满足患有心血管疾病风险的中年女性的独特需求，我们的研究团队之前构建了一个为这一人群量身定做的Web应用程序。在这项研究中，我们使用融合的混合方法设计，在确定的最终用户样本中，对该Web应用程序的可行性、可用性和可接受性进行深入的理解。参与者(N = 27岁，MAGE = 53岁，MBMI = 32.6 kg/m2)在每天开始时使用Web应用程序，持续7天，并在测试期结束时完成1小时的定性访谈。综合两级多级别模型(定量)和专题分析(定性)的结果表明，新的网络应用程序在患有心血管疾病风险的中年妇女中的可行性、可用性和可接受性得到支持，并确定了改善用户体验的关键机会。调查结果还说明了内容选择的实用性，可以满足妇女在日常生活中的需要，并突出了妇女对优先考虑其观点的PA资源的渴望。
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 (N = 27, MAge = 53 years, MBMI = 32.6 kg/m2) 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.
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