Patients' experiences of using a smartphone application to increase physical activity: the SMART MOVE qualitative study in primary care.
Patients' experiences of using a smartphone application to increase physical activity: the SMART MOVE qualitative study in primary care.
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DOI：
10.3399/bjgp14x680989
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发表时间：
2014-08
期刊：
影响因子：
--
通讯作者：
Glynn LG
中科院分区：
文献类型：
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作者：
Casey M;Hayes PS;Glynn F;OLaighin G;Heaney D;Murphy AW;Glynn LG
众所周知，定期的身体活动有助于预防和治疗许多非传染性疾病。智能手机应用程序（应用程序）已被证明可以增加初级保健中的身体活动，但对使用这种技术的患者的看法或这种技术如何改变行为知之甚少。探讨患者在初级保健中使用智能手机促进体力活动的观点和经验。这项定性研究嵌入了SMART MOVE随机对照试验，该试验使用应用程序（Accupedo-Pro计步器）在爱尔兰西部的三个初级保健中心促进身体活动。录音和转录半结构化的采访，有目的的样本12名参与者形成的调查的基础。采用框架分析法对数据进行分析。分析中出现了四个主题：通过锻炼改变关系;有说服力的技术工具;可用性;以及级联效应。该应用程序似乎促进了积极变化的顺序和协同过程，这发生在参与者和他们的运动行为之间的关系中;研究称之为“知道-检查-移动”效应。可用性挑战包括增加电池消耗和调整随身携带智能手机。还有证据表明，参与者的家庭和社区也产生了连带效应。尽管存在技术挑战，但应用程序有潜力以独特的方式积极改变参与者与运动的关系。这些干预措施还可能在其更广泛的家庭和社区内产生连带效应。
Regular physical activity is known to help prevent and treat numerous non-communicable diseases. Smartphone applications (apps) have been shown to increase physical activity in primary care but little is known regarding the views of patients using such technology or how such technology may change behaviour. To explore patients’ views and experiences of using smartphones to promote physical activity in primary care. This qualitative study was embedded within the SMART MOVE randomised controlled trial, which used an app (Accupedo-Pro Pedometer) to promote physical activity in three primary care centres in the west of Ireland. Taped and transcribed semi-structured interviews with a purposeful sample of 12 participants formed the basis of the investigation. Framework analysis was used to analyse the data. Four themes emerged from the analysis: transforming relationships with exercise; persuasive technology tools; usability; and the cascade effect. The app appeared to facilitate a sequential and synergistic process of positive change, which occurred in the relationship between the participants and their exercise behaviour; the study has termed this the ‘Know-Check-Move’ effect. Usability challenges included increased battery consumption and adjusting to carrying the smartphone on their person. There was also evidence of a cascade effect involving the families and communities of participants. Notwithstanding technological challenges, an app has the potential to positively transform, in a unique way, participants’ relationships with exercise. Such interventions can also have an associated cascade effect within their wider families and communities.