Use of the Healthy Lifestyle Coaching Chatbot App to Promote Stair-Climbing Habits Among Office Workers: Exploratory Randomized Controlled Trial
Use of the Healthy Lifestyle Coaching Chatbot App to Promote Stair-Climbing Habits Among Office Workers: Exploratory Randomized Controlled Trial
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DOI：
10.2196/15085
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发表时间：
2020-05-19
影响因子：
5
通讯作者：
Kim, Jeongeun
中科院分区：
文献类型：
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作者：
Piao, Meihua;Ryu, Hyeongju;Kim, Jeongeun
背景：由于生活忙碌，缺乏锻炼时间是上班族的普遍现象。由于职业限制和休假困难，有必要为工人提供定期锻炼的有效方法。维持生活习惯，增加日常生活中的非运动活动，可以解决运动时间不足的问题。健康生活方式辅导聊天机器人是一款基于习惯形成模型的通讯应用程序，可用作提供健康行为干预的工具，强调可持续性和参与的重要性。目的：本研究旨在评估通过通讯应用程序提供的健康生活方式辅导聊天机器人干预的效果，旨在帮助办公室工作人员形成爬楼梯习惯。方法：从2018年2月1日至2018年4月30日，总共网上招募后，共有106人参加了试用。参与者被随机分配到干预组（n=57）或对照组（n=49）。干预组在整个 12 周内接受线索以及内在和外在奖励。然而，对照组在前 4 周没有获得内在奖励，仅在第五周至第十二周获得与干预组相同的所有奖励。每周评估参与者的自我报告习惯指数（SRHI），并在试验开始和结束时测量体力活动水平。采用SPSS Statistics version 21（IBM Corp）进行统计分析。结果：对照组在不提供内在奖励的情况下干预4周后，干预组SRHI评分变化为13.54（SD 14.99），对照组为6.42（SD 9.42），组间差异显着（P=.04）。当两组都给予所有奖励时，从第五周到第十二周，干预组和对照组的 SRHI 评分变化相当，分别为 12.08 (SD 10.87) 和 15.88 (SD 13.29) (P=.21)。然而，干预 12 周后，各组之间的体力活动水平显示出显着差异 (P=.045)。 结论：这项研究提供的证据表明，内在奖励对于提高干预的可持续性和有效性非常重要。健康生活方式辅导聊天机器人程序可以成为一种经济高效的健康习惯养成方法。
Background: Lack of time for exercise is common among office workers given their busy lives. Because of occupational restrictions and difficulty in taking time off, it is necessary to suggest effective ways for workers to exercise regularly. Sustaining lifestyle habits that increase nonexercise activity in daily life can solve the issue of lack of exercise time. Healthy Lifestyle Coaching Chatbot is a messenger app based on the habit formation model that can be used as a tool to provide a health behavior intervention that emphasizes the importance of sustainability and involvement.Objective: This study aimed to assess the efficacy of the Healthy Lifestyle Coaching Chatbot intervention presented via a messenger app aimed at stair-climbing habit formation for office workers.Methods: From February 1, 2018, to April 30, 2018, a total of 106 people participated in the trial after online recruitment. Participants were randomly assigned to the intervention group (n=57) or the control group (n=49). The intervention group received cues and intrinsic and extrinsic rewards for the entire 12 weeks. However, the control group did not receive intrinsic rewards for the first 4 weeks and only received all rewards as in the intervention group from the fifth to twelfth week. The Self-Report Habit Index (SRHI) of participants was evaluated every week, and the level of physical activity was measured at the beginning and end of the trial. SPSS Statistics version 21 (IBM Corp) was used for statistical analysis.Results: After 4 weeks of intervention without providing the intrinsic rewards in the control group, the change in SRHI scores was 13.54 (SD 14.99) in the intervention group and 6.42 (SD 9.42) in the control group, indicating a significant difference between the groups (P=.04). When all rewards were given to both groups, from the fifth to twelfth week, the change in SRHI scores of the intervention and control groups was comparable at 12.08 (SD 10.87) and 15.88 (SD 13.29), respectively (P=.21). However, the level of physical activity showed a significant difference between the groups after 12 weeks of intervention (P=.045).Conclusions: This study provides evidence that intrinsic rewards are important to enhance the sustainability and effectiveness of an intervention. The Healthy Lifestyle Coaching Chatbot program can be a cost-effective method for healthy habit formation.