关于在移动健康干预中平衡用户反应和反思的金发题:观察性研究
Lyndsay A Nelson1,2, Andrew J Spieker3, Lauren M LeStourgeon1,2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
JMIR mHealth and uHealth
|February 1, 2024
概括
通过平衡认知反射和响应负担来优化移动健康 (mHealth) 的参与. 较低的反射负担会导致更高的用户参与,这表明适度的反射是有效的mHealth干预措施的理想选择.
科学领域:
- 数字健康数字健康
- 人与计算机的交互
- 行为科学 行为科学
背景情况:
- 移动健康 (mHealth) 提供了改善健康行为的潜力,但优化用户参与仍然是一个挑战.
- 当前的研究往往忽视了认知反思,只专注于系统使用.
- 为有效的mHealth参与,平衡反思所需的认知努力与易于响应至关重要.
研究的目的:
- 调查在mHealth中的响应负担和反射负担之间的相互作用.
- 确定这些负担的变化如何影响用户参与,特别是移动健康干预中的短信响应率.
主要方法:
- 在一项随机对照试验中,一项涉及糖尿病患者 (n=148) 支持人员的观察性研究.
- 参与者在9个月内每周收到短信,其中4个版本在反思和响应负担上有所不同.
- 参与度是通过参与者的响应率来量化,使用波桑回归来分析.
主要成果:
- 较高的反射负担与显著较低的响应率相关 (中位数为10-23%).
- 最低的反射负担产生了最高的响应率 (中位数为90%).
- 年轻的参与者和社会经济地位较低的参与者显示,反应率降低,反思负担增加.
结论:
- 在mHealth内容中增加反思负担会降低参与度,并加剧差异.
- 适度的反思水平似乎是平衡认知投资和系统使用的最佳水平.
- 结果为设计更具吸引力和有效的移动健康干预提供了洞察力.
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