Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study.
Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study.
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DOI：
10.2196/jmir.2583
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发表时间：
2013-04-18
影响因子：
7.4
通讯作者：
Yardley L
中科院分区：
文献类型：
--
作者：
Dennison L;Morrison L;Conway G;Yardley L
学者和临床医生越来越有兴趣利用智能手机应用程序（app）作为提供健康行为干预的手段。尽管市场上越来越多的与健康相关的应用程序，但对这些应用程序的开发和评估的学术研究还处于相对早期的阶段。现有的一些研究探讨了不同人群对使用手机解决健康问题的看法，一些研究开始报告用户对特定应用程序的反馈。然而，关于用户（和潜在用户）体验的深入研究，以及对应用程序正在或即将具备的各种功能和技术的看法，仍然很少。特别是，缺乏对年轻人的研究，这是一个不幸的遗漏，考虑到这一群体包括大量的移动技术采用者。目前的研究旨在探索年轻人对与健康行为改变相关的应用程序的看法。它寻求他们的经验和对可能支持健康行为改变的功能的看法，以及有助于对此类应用产生兴趣和意愿的问题。对英国一所大学的19名学生和工作人员进行了四个焦点小组的调查。参与者包括13名女性和6名男性，平均年龄为23.79岁（SD 7.89）。焦点小组讨论的重点是参与者使用智能手机应用程序来支持健康生活方式的经历，以及他们对这些应用程序的功能和功能的兴趣和感受。对焦点群体进行记录、转录，并使用归纳主题分析进行分析。研究结果表明，目前健康的年轻人对那些试图支持与健康相关的行为改变的应用程序有一定的兴趣。准确性和合法性、安全性、所需的努力以及对情绪的直接影响成为影响应用使用的重要因素。记录和跟踪行为和目标的能力以及“在旅途中”获取建议和信息的能力都受到重视。上下文感知功能和社交媒体功能往往被认为是不必要的和令人讨厌的。这项研究为通过智能手机应用程序提供与健康相关的行为干预所涉及的机遇和挑战提供了见解。研究结果表明，应用程序开发人员在创建健康行为应用程序时可能希望考虑一些有价值的功能和特征。调查结果还强调了几个主要挑战，这些挑战似乎需要进一步考虑和研究，以确保开发出有效且被广泛接受的行为改变应用程序。
There is increasing interest from academics and clinicians in harnessing smartphone applications (apps) as a means of delivering behavioral interventions for health. Despite the growing availability of a range of health-related apps on the market, academic research on the development and evaluation of such apps is in the relatively early stages. A few existing studies have explored the views of various populations on using mobile phones for health-related issues and some studies are beginning to report user feedback on specific apps. However, there remains little in depth research on users’ (and potential users’) experiences and views on a wide range of features and technologies that apps are, or will soon be, capable of. In particular, research on young adults is lacking, which is an unfortunate omission considering that this group comprises of a good number of mobile technology adoptors. The current study sought to explore young adults’ perspectives on apps related to health behavior change. It sought their experiences and views of features that might support health behavior change and issues that contribute to interest in and willingness to use such apps. Four focus groups were conducted with 19 students and staff at a University in the United Kingdom. Participants included 13 females and 6 males with a mean age of 23.79 (SD 7.89). The focus group discussions centred on participants’ experiences of using smartphone apps to support a healthy lifestyle, and their interest in and feelings about features and capabilities of such apps. The focus groups were recorded, transcribed, and analyzed using inductive thematic analysis. Study findings suggested that young, currently healthy adults have some interest in apps that attempt to support health-related behavior change. Accuracy and legitimacy, security, effort required, and immediate effects on mood emerged as important influences on app usage. The ability to record and track behavior and goals and the ability to acquire advice and information “on the go” were valued. Context-sensing capabilities and social media features tended to be considered unnecessary and off-putting. This study provided insight into the opportunities and challenges involved in delivering health-related behavioral interventions through smartphone apps. The findings suggested a number of valued features and characteristics that app developers may wish to consider when creating health behavior apps. Findings also highlighted several major challenges that appeared to need further consideration and research to ensure the development of effective and well-accepted behavior change apps.
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