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| Content Provider | frontiers |
|---|---|
| Author | Janols, Rebecka Sandlund, Marlene Lindgren, Helena Pettersson, Beatrice |
| Description | BackgroundDespite the significant value of physical activity for the health of older adults, this population often fails to achieve recommended activity levels. Digital interventions show promise in providing support for self-managed physical activity. However, more information is needed about older adults' preferences for digital support to change physical activity behaviors as well as the process of designing them. The aim of this paper was to describe the participatory design process in which older adults were involved in the co-creation of digitally supported behavioral change strategies to support self-managed physical activity, and how the results were integrated in a prototype.MethodsThe participatory design process involved with nine older adults and two researchers. The participants were divided in two groups, and each group participated in three workshops and completed home tasks in between workshops. Following an iterative design process influenced by theories of behavior change, the workshops and home tasks were continuously analyzed, and the content and process were developed between groups and the next set of workshops. Prototypes of a mobile health (mHealth) solution for fall preventive exercise for older adults were developed in which the conceptualized strategies were integrated. To support coherence in reporting and evaluation, the developed techniques were mapped to the Behavior Change Technique Taxonomy v1 and the basic human psychosocial needs accordin... |
| Abstract | Despite the significant value of physical activity for the health of older adults, this population often fails to achieve recommended activity levels. Digital interventions show promise in providing support for self-managed physical activity. However, more information is needed about older adults’ preferences for digital support to change physical activity behaviours as well as the process of designing them. The aim of this paper was to describe the participatory design process in which older adults were involved in the co-creation of digitally supported behavioural change strategies to support self-managed physical activity, and how the results were integrated in a prototype. The participatory design process involved with nine older adults and two researchers. The participants were divided in two groups, and each group participated in three workshops and completed home tasks in between workshops. Following an iterative design process influenced by theories of behaviour change, the workshops and home tasks were continuously analysed, and the content and process were developed between groups and the next set of workshops. Prototypes of a mobile health (mHealth) solution for fall preventive exercise for older adults were developed in which the conceptualised strategies were integrated. To support coherence in reporting and evaluation, the developed techniques were mapped to the Behaviour Change Technique Taxonomy v1 and the basic human psychosocial needs according to the Self-determination Theory. The results highlight different preferences of older adults for feedback on physical activity performance, as well as the importance of transparency regarding the identification of the sender of feedback. Preferences for content and wording of feedback varied greatly. Subsequently, the design process resulted in a virtual health coach with three different motivational profiles and tools for goal setting and self-monitoring. These behaviour change strategies were integrated in the exercise application Safe Step v1. The conformity of the design concepts with the needs of Self-determination Theory and Behaviour Change Technique Taxonomy v1 are presented. The participatory design process exemplifies how older adults successfully contributed to the design of theory-based digital behaviour change support, from idea to finished solution. Tailoring feedback with a transparent sender is important to support and not undermine motivation. |
| ISSN | 22962565 |
| DOI | 10.3389/fpubh.2022.988470 |
| Volume Number | 10 |
| Journal | Frontiers in Public Health |
| Language | English |
| Publisher Date | 2022-12-21 |
| Access Restriction | Open |
| Subject Keyword | Behaviour Change Co-creation Participatory Design Motivation Digital technology MHealth |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
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