The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design
BackgroundPhysical activity is an important aspect in the treatment of patients with chronic obstructive pulmonary disease or type-2 diabetes. A monitoring and feedback tool combined with guidance by a primary care provider might be a successful method to enhance the level of physical activity in th...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2013-07-01
|
| Series: | JMIR mHealth and uHealth |
| Online Access: | http://mhealth.jmir.org/2013/2/e8/ |
| _version_ | 1818322335598379008 |
|---|---|
| author | van der Weegen, Sanne Verwey, Renée Spreeuwenberg, Marieke Tange, Huibert van der Weijden, Trudy de Witte, Luc |
| author_facet | van der Weegen, Sanne Verwey, Renée Spreeuwenberg, Marieke Tange, Huibert van der Weijden, Trudy de Witte, Luc |
| author_sort | van der Weegen, Sanne |
| collection | DOAJ |
| description | BackgroundPhysical activity is an important aspect in the treatment of patients with chronic obstructive pulmonary disease or type-2 diabetes. A monitoring and feedback tool combined with guidance by a primary care provider might be a successful method to enhance the level of physical activity in these patients. As a prerequisite for useful technology, it is important to involve the end-users in the design process from an early stage.
ObjectiveThe aim of this study was to investigate the user requirements for a tool to stimulate physical activity, embedded in primary care practice. The leading principle of this tool is to change behavior by self-monitoring, goal-setting, and feedback.
MethodsThe research team collected qualitative data among 15 patients, 16 care professionals, and several experts. A prototype was developed in three stages. In stage 1, the literature was searched to identify end-users and context. In stage 2, the literature, experts and patient representatives were consulted to set up a use case with the general idea of the innovation. In stage 3, individual interviews and focus groups were held to identify the end-user requirements. Based on these requirements a prototype was built by the engineering team.
ResultsThe development process has led to a tool that generally meets the requirements of the end-users. A tri-axial activity sensor, worn on the hip, is connected by Bluetooth to a smartphone. In an app, quantitative feedback is given about the amount of activity and goals reached by means of graphical visualization, and an image shows a sun when the goal is reached. Overviews about activity per half an hour, per day, week, and month are provided. In the menu of the app and on a secured website, patients can enter information in individual sessions or read feedback messages generated by the system. The practice nurse can see the results of all patients on a secure webpage and can then discuss the results and set personalized goals in consultation with the patient.
ConclusionsThis study demonstrates that a user-centered approach brings in valuable details (such as the requirements for feedback in activity minutes per day) to improve the fit between the user, technology, and the organization of care, which is important for the usability and acceptability of the tool. The tool embedded in primary care will be evaluated in a randomized controlled trial. |
| first_indexed | 2024-12-13T10:55:10Z |
| format | Article |
| id | doaj.art-cd384be389f04503abe50d53e4a4d932 |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-12-13T10:55:10Z |
| publishDate | 2013-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-cd384be389f04503abe50d53e4a4d9322022-12-21T23:49:35ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222013-07-0112e810.2196/mhealth.2526The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Designvan der Weegen, SanneVerwey, RenéeSpreeuwenberg, MariekeTange, Huibertvan der Weijden, Trudyde Witte, LucBackgroundPhysical activity is an important aspect in the treatment of patients with chronic obstructive pulmonary disease or type-2 diabetes. A monitoring and feedback tool combined with guidance by a primary care provider might be a successful method to enhance the level of physical activity in these patients. As a prerequisite for useful technology, it is important to involve the end-users in the design process from an early stage. ObjectiveThe aim of this study was to investigate the user requirements for a tool to stimulate physical activity, embedded in primary care practice. The leading principle of this tool is to change behavior by self-monitoring, goal-setting, and feedback. MethodsThe research team collected qualitative data among 15 patients, 16 care professionals, and several experts. A prototype was developed in three stages. In stage 1, the literature was searched to identify end-users and context. In stage 2, the literature, experts and patient representatives were consulted to set up a use case with the general idea of the innovation. In stage 3, individual interviews and focus groups were held to identify the end-user requirements. Based on these requirements a prototype was built by the engineering team. ResultsThe development process has led to a tool that generally meets the requirements of the end-users. A tri-axial activity sensor, worn on the hip, is connected by Bluetooth to a smartphone. In an app, quantitative feedback is given about the amount of activity and goals reached by means of graphical visualization, and an image shows a sun when the goal is reached. Overviews about activity per half an hour, per day, week, and month are provided. In the menu of the app and on a secured website, patients can enter information in individual sessions or read feedback messages generated by the system. The practice nurse can see the results of all patients on a secure webpage and can then discuss the results and set personalized goals in consultation with the patient. ConclusionsThis study demonstrates that a user-centered approach brings in valuable details (such as the requirements for feedback in activity minutes per day) to improve the fit between the user, technology, and the organization of care, which is important for the usability and acceptability of the tool. The tool embedded in primary care will be evaluated in a randomized controlled trial.http://mhealth.jmir.org/2013/2/e8/ |
| spellingShingle | van der Weegen, Sanne Verwey, Renée Spreeuwenberg, Marieke Tange, Huibert van der Weijden, Trudy de Witte, Luc The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design JMIR mHealth and uHealth |
| title | The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design |
| title_full | The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design |
| title_fullStr | The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design |
| title_full_unstemmed | The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design |
| title_short | The Development of a Mobile Monitoring and Feedback Tool to Stimulate Physical Activity of People With a Chronic Disease in Primary Care: A User-Centered Design |
| title_sort | development of a mobile monitoring and feedback tool to stimulate physical activity of people with a chronic disease in primary care a user centered design |
| url | http://mhealth.jmir.org/2013/2/e8/ |
| work_keys_str_mv | AT vanderweegensanne thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT verweyrenee thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT spreeuwenbergmarieke thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT tangehuibert thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT vanderweijdentrudy thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT dewitteluc thedevelopmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT vanderweegensanne developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT verweyrenee developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT spreeuwenbergmarieke developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT tangehuibert developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT vanderweijdentrudy developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign AT dewitteluc developmentofamobilemonitoringandfeedbacktooltostimulatephysicalactivityofpeoplewithachronicdiseaseinprimarycareausercentereddesign |