Activity Monitors as Support for Older Persons' Physical Activity in Daily Life: Qualitative Study of the Users' Experiences.

Activity Monitors as Support for Older Persons' Physical Activity in Daily Life: Qualitative Study of the Users' Experiences.
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DOI:
10.2196/mhealth.8345
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发表时间:
2018-02-01
影响因子:
5
通讯作者:
Johansson AC
Johansson AC
中科院分区:
医学2区
文献类型:
--
作者:
Ehn M;Eriksson LC;Åkerberg N;Johansson AC

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福尔斯是对老年人健康和独立性的主要威胁。定期的体育活动(PA)可以预防40%的跌倒伤害。挑战在于激励和支持老年人积极参加体育活动。劝导系统可以为旨在建立和保持健康习惯的人提供宝贵的支持。然而,这些系统需要支持有效的行为改变技术(BCT),以增加老年人的PA,并满足老年用户的需求和偏好。因此,让用户作为新系统的共同设计者参与进来可能是富有成效的。预先研究用户对类似解决方案的体验,可以促进未来以用户为中心的新型说服系统的设计。本研究旨在探讨老年人在日常生活中如何使用活动监测仪(AM)作为PA的支持。本研究主要探讨以下问题:(1)不同年龄、不同平衡功能的老年人在日常生活中使用可穿戴式运动辅助设备的总体体验如何?(2)用户认为哪些方面与使测量在长期前景中有意义和有用有关?(3)用户认为哪些需求和要求与活动监测器的长期有用性更相关?这项定性访谈研究包括8名社区居住的老年人(中位年龄:83岁)。研究人员调查了参与者使用两种商业AM和平板电脑应用程序9天的体验。使用过程中的活动日志和使用后的访谈被用来收集用户体验。日记中的评论进行了总结,并采用归纳内容分析法对访谈进行了分析。使用者(n=8)认为,通过使用AM,他们对自己的PA的认识有所增加。然而,AM对用户的PA动机和活动行为的影响在参与者之间存在差异。日记显示,自我估计的身体努力在参与者之间变化,并且随着时间的推移而变化。此外,参与者报告了不同类型的完成活动;最常报告的是谈话散步。为了有意义,测量需要为用户提供他或她当前的活动行为是否足以达到活动目标的可靠接收。此外,达到目标时的表扬被描述为激励反馈。为了有用,这些设备必须易于操作。在这项研究中,用户认为可穿戴设备易于操作,而平板电脑被认为难以操纵。用户在日记中报告称,器械在总测试天数的78%(58/74)中运行正常。活动监测器可以支持老年人的PA的价值。然而,解决方案对更广泛的老年人群体的潜力可以大大增加。改进的领域包括可靠性,可用性和内容支持有效的BCT方面增加老年人的PA。
Falls are a major threat to the health and independence of seniors. Regular physical activity (PA) can prevent 40% of all fall injuries. The challenge is to motivate and support seniors to be physically active. Persuasive systems can constitute valuable support for persons aiming at establishing and maintaining healthy habits. However, these systems need to support effective behavior change techniques (BCTs) for increasing older adults’ PA and meet the senior users’ requirements and preferences. Therefore, involving users as codesigners of new systems can be fruitful. Prestudies of the user’s experience with similar solutions can facilitate future user-centered design of novel persuasive systems. The aim of this study was to investigate how seniors experience using activity monitors (AMs) as support for PA in daily life. The addressed research questions are as follows: (1) What are the overall experiences of senior persons, of different age and balance function, in using wearable AMs in daily life?; (2) Which aspects did the users perceive relevant to make the measurements as meaningful and useful in the long-term perspective?; and (3) What needs and requirements did the users perceive as more relevant for the activity monitors to be useful in a long-term perspective? This qualitative interview study included 8 community-dwelling older adults (median age: 83 years). The participants’ experiences in using two commercial AMs together with tablet-based apps for 9 days were investigated. Activity diaries during the usage and interviews after the usage were exploited to gather user experience. Comments in diaries were summarized, and interviews were analyzed by inductive content analysis. The users (n=8) perceived that, by using the AMs, their awareness of own PA had increased. However, the AMs’ impact on the users’ motivation for PA and activity behavior varied between participants. The diaries showed that self-estimated physical effort varied between participants and varied for each individual over time. Additionally, participants reported different types of accomplished activities; talking walks was most frequently reported. To be meaningful, measurements need to provide the user with a reliable receipt of whether his or her current activity behavior is sufficient for reaching an activity goal. Moreover, praise when reaching a goal was described as motivating feedback. To be useful, the devices must be easy to handle. In this study, the users perceived wearables as easy to handle, whereas tablets were perceived difficult to maneuver. Users reported in the diaries that the devices had been functional 78% (58/74) of the total test days. Activity monitors can be valuable for supporting seniors’ PA. However, the potential of the solutions for a broader group of seniors can significantly be increased. Areas of improvement include reliability, usability, and content supporting effective BCTs with respect to increasing older adults’ PA.
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