Smokers' and drinkers' choice of smartphone applications and expectations of engagement: a think aloud and interview study
Smokers' and drinkers' choice of smartphone applications and expectations of engagement: a think aloud and interview study
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DOI：
10.1186/s12911-017-0422-8
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发表时间：
2017-02-28
影响因子：
3.5
通讯作者：
Michie, Susan
中科院分区：
文献类型：
--
作者：
Perski, Olga;Blandford, Ann;Michie, Susan
背景：公共卫生组织，如英国国家卫生服务局和美国国家卫生研究院，提供对公开认可的智能手机应用程序（app）的在线图书馆的访问；然而，几乎没有证据表明用户依赖这一指导。相反，寻找新应用程序的最常见方法之一是搜索在线商店。目前市场上有数百款与戒烟和饮酒相关的应用程序，吸烟者和饮酒者必须在使用之前主动选择下载哪款应用程序。对这一选择的影响还有待确定。本研究旨在调查1)影响用户选择戒烟或戒酒应用程序的设计特征，以及2)被认为对用户参与很重要的设计特征。方法：对使用应用程序戒烟/减少饮酒感兴趣的成年吸烟者（n = 10）和饮酒者（n = 10）被要求在网上商店搜索并寻找他们选择的戒烟或减少酒精的应用程序，同时大声思考。采用了半结构化的访谈技巧，让参与者详细阐述他们的陈述。解释主义的理论框架为分析提供了依据。口头报告录音，逐字转录，并使用归纳主题分析进行分析。结果：参与者根据应用的外观和感觉来选择应用，根据其他人的评分和品牌认知度（“社会证明”）来判断应用的质量，以及判断应用的标题是否现实和相关。监测和反馈、目标设定、奖励和提示被认为对参与、培养动机和自主性很重要。量身定制的内容、非评判性的沟通风格、隐私和准确性被视为参与、培养个人相关性和信任感的重要因素。在社交媒体上分享进步以及在社交场合使用渴望管理技巧被认为不具有吸引力，因为他们担心别人的负面反应。结论：戒烟或戒酒应用程序的选择可能受到其直接外观和感觉、“社会证明”和看起来现实的标题的影响。增强动机、自主性、个人相关性和可信度的设计特征可能对用户粘性很重要。
Background: Public health organisations such as the National Health Service in the United Kingdom and the National Institutes of Health in the United States provide access to online libraries of publicly endorsed smartphone applications (apps); however, there is little evidence that users rely on this guidance. Rather, one of the most common methods of finding new apps is to search an online store. As hundreds of smoking cessation and alcohol-related apps are currently available on the market, smokers and drinkers must actively choose which app to download prior to engaging with it. The influences on this choice are yet to be identified. This study aimed to investigate 1) design features that shape users' choice of smoking cessation or alcohol reduction apps, and 2) design features judged to be important for engagement.Methods: Adult smokers (n = 10) and drinkers (n = 10) interested in using an app to quit/cut down were asked to search an online store to identify and explore a smoking cessation or alcohol reduction app of their choice whilst thinking aloud. Semi-structured interview techniques were used to allow participants to elaborate on their statements. An interpretivist theoretical framework informed the analysis. Verbal reports were audio recorded, transcribed verbatim and analysed using inductive thematic analysis.Results: Participants chose apps based on their immediate look and feel, quality as judged by others' ratings and brand recognition ('social proof'), and titles judged to be realistic and relevant. Monitoring and feedback, goal setting, rewards and prompts were identified as important for engagement, fostering motivation and autonomy. Tailoring of content, a non-judgmental communication style, privacy and accuracy were viewed as important for engagement, fostering a sense of personal relevance and trust. Sharing progress on social media and the use of craving management techniques in social settings were judged not to be engaging because of concerns about others' negative reactions.Conclusions: Choice of a smoking cessation or alcohol reduction app may be influenced by its immediate look and feel, 'social proof' and titles that appear realistic. Design features that enhance motivation, autonomy, personal relevance and credibility may be important for engagement.