Integrating User-Centered Design and Behavioral Science to Design a Mobile Intervention for Obesity and Binge Eating: Mixed Methods Analysis

Graham, Andrea K.; Munson, Sean A.; Reddy, Madhu; Neubert, Sarah W.; Green, Emilie A.; Chang, Angela; Spring, Bonnie; Mohr, David C.; Wildes, Jennifer E.

doi:10.2196/23809

Cited by 24 publications

(15 citation statements)

References 57 publications

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“…To our knowledge, this is the first study to use qualitative approaches to understand the experiences of this population. This work is part of a larger research program to design a digital intervention for people with recurrent binge eating and comorbid obesity, in which we are applying user-centered design methods to engage deeply with intervention end-users to ensure its design meets users' needs, goals, and preferences [10][11][12][13]. Learning from end-users the factors that would make them more or less likely to engage with a digital intervention is an essential step in designing an intervention that is acceptable, accessible, and effective for those with food insecurity and binge eating.…”

Section: Introductionmentioning

confidence: 99%

Perceived Facilitators and Barriers to Engaging with a Digital Intervention among Those with Food Insecurity, Binge Eating, and Obesity

et al. 2021

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Interventions that address binge eating and food insecurity are needed. Engaging people with lived experience to understand their needs and preferences could yield important design considerations for such interventions. In this study, people with food insecurity, recurrent binge eating, and obesity completed an interview-based needs assessment to learn facilitators and barriers that they perceive would impact their engagement with a digital intervention for managing binge eating and weight. Twenty adults completed semi-structured interviews. Responses were analyzed using thematic analysis. Three themes emerged. Participants shared considerations that impact their ability to access the intervention (e.g., cost of intervention, cost of technology, accessibility across devices), ability to complete intervention recommendations (e.g., affordable healthy meals, education to help stretch groceries, food vouchers, rides to grocery stores, personalized to budget), and preferred intervention features for education, self-monitoring, personalization, support, and motivation/rewards. Engaging people with lived experiences via user-centered design methods revealed important design considerations for a digital intervention to meet this population’s needs. Future research is needed to test whether a digital intervention that incorporates these recommendations is engaging and effective for people with binge eating and food insecurity. Findings may have relevance to designing digital interventions for other health problems as well.

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Section: Introductionmentioning

confidence: 99%

Perceived Facilitators and Barriers to Engaging with a Digital Intervention among Those with Food Insecurity, Binge Eating, and Obesity

et al. 2021

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“…This study adds to the growing literature on the design of interventions using user-centered methodology and behavioral (27)(28)(29)(30)(31) and psychological (32,33)theory. According to our experience, we found using these two methodologies are compatible and bene cial.…”

Section: Discussionmentioning

confidence: 98%

Designing A Provincial Surveillance and Support System for Childhood Cancer Survivors

Shuldiner

Shah

Reis

et al. 2022

Preprint

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Background Survivors of childhood cancer are at lifelong risk of morbidity (such as new cancers or heart failure) and premature mortality because of their cancer treatment. These are termed late effects. Therefore, they require lifelong, risk-tailored surveillance. However, most adult survivors of childhood cancer do not complete recommended surveillance tests such as mammograms or echocardiograms. Working with survivors, family physicians, and health-system partners, we are designing a provincial support system for high-priority tests, informed by principles of implementation science, behavioral science and design-thinking. Methods Our multi-phase process was as follows: Step 1: a qualitative study to explore intervention components essential to accessing surveillance tests; Step 2: a workshop with childhood cancer survivors, family physicians and health system stakeholders that used the Step 1 findings and ‘personas’ (a series of fictional but data-informed characters) to develop and tailor the intervention for different survivor groups Step 3: intervention prototype development; and step 4: iterative user-testing. Results The qualitative study of 30 survivors and 7 family physicians found a high desire for information on surveillance for late effects. Respondents indicated that in addition to providing personalized information, the intervention should help patients book appointments when they are due. Insights from the workshop included the importance of partnering with both family physicians and survivorship clinics and providing emotional support for survivors that may experience distress upon learning of their risk for late effects. In our user-testing process, prototypes went through iterations that incorporated feedback from users regarding usability and functionality. We sought to address the needs of survivors and physicians while balancing the capacity and infrastructure available for a life-long intervention via our health system partners. Conclusion In partnership with childhood cancer survivors, family physicians, and health-system partners, we elucidated the barriers and enablers to accessing guideline-recommended surveillance tests and designed a multi-faceted solution that will support survivors and their family physician. The next step is to evaluate the intervention in a pragmatic randomized control trial.

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“…Our team employed a user‐centered design philosophy to build an iOS mobile application called Emergency Medicine Protocols (EMP for short) that clinicians could download onto their personal smartphones. This approach, which relies on multiple cycles of iterative design improvements based on user feedback, is commonly used in the contemporary, consumer‐based design industry, with the aim of providing a tool that could provide an intuitive, seamless experience for clinicians when providing bedside care 7–11 . Due to the time‐sensitive nature of our problem, clinician feedback drove rapid design and content updates every few days, for a total of a half‐dozen iterative cycles.…”

Section: Developmental Processmentioning

confidence: 99%

Mobile app helps trainees manage emergencies at the bedside

Chu

Keschner

Lai

et al. 2021

AEM Education and Training

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Background Although emergency departments (ED) have standardized guidelines for low‐frequency, high‐acuity diagnoses, they are not immediately accessible at the bedside, and this can cause anxiety in trainees and delay patient care. This problem is exacerbated during events like COVID‐19 that require the rapid creation, iteration, and dissemination of new guidelines. Methods Physician innovators used design thinking principles to develop EM Protocols (EMP), a mobile application that clinicians can use to immediately view guidelines, contact consultants (e.g., cath lab activation), and access code‐running tools. The project became an institutional high priority, because it helps EM trainees and off‐service rotators manage low‐frequency, high‐acuity emergencies at the point of care, and its COVID‐19 guidelines can be rapidly updated and disseminated in real time. Results This intervention was deployed across two academic medical centers during the COVID‐19 surge. Nearly 300 ED clinicians have downloaded EMP, and they have interacted with the app over 5,400 times. It continues to be used regularly, over 12 months after the initial surge. Since the app was received positively, there are efforts to build in additional adult and pediatric guidelines. Discussion Digital health tools like EMP can serve as invaluable adjuncts for managing acute, life‐threatening emergencies at the point of care. They can benefit trainees during normal day‐to‐day operations as well as scenarios that cause large‐scale operational disruptions, such as natural disasters, mass casualty events, and future pandemics.

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Integrating User-Centered Design and Behavioral Science to Design a Mobile Intervention for Obesity and Binge Eating: Mixed Methods Analysis

Cited by 24 publications

References 57 publications

Perceived Facilitators and Barriers to Engaging with a Digital Intervention among Those with Food Insecurity, Binge Eating, and Obesity

Perceived Facilitators and Barriers to Engaging with a Digital Intervention among Those with Food Insecurity, Binge Eating, and Obesity

Designing A Provincial Surveillance and Support System for Childhood Cancer Survivors

Mobile app helps trainees manage emergencies at the bedside

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