Mobile health platform based on user-centered design to promote exercise for patients with peripheral artery disease

Abstract

Background Peripheral artery disease (PAD) is a cardiovascular disease that can be improved by risk factor modification. Mobile health (mHealth) intervention is an effective method of healthcare delivery to promote behavior changes. An mHealth platform can encourage consistent involvement of participants and healthcare providers for health promotion. This study aimed to develop an mHealth platform consisting of a smartphone application (app) synchronized with a wearable activity tracker and a web-based portal to support exercise intervention in patients with PAD. Methods This study was conducted based on an iterative development process, including analysis, design, and implementation. In the analysis phase, a literature review and needs assessment through semi-structured interviews (n = 15) and a questionnaire-based survey (n = 138) were performed. The initial prototype design and contents were developed based on the users’ requirements. In the implementation phase, multidisciplinary experts (n = 4) evaluated the heuristics, following which the mHealth platform was revised. User evaluation of the usability was performed by nurses (n = 4) and patients with PAD (n = 3). Results Through the development process, the functional requirements of the platform were represented through visual display, reminder, education, self-monitoring, goal setting, goal attainment, feedback, and recording. In-app videos of exercise and PAD management were produced to provide information and in-app automatic text messages were developed for user motivation. The final version of the platform was rated 67.86 out of 100, which indicated “good” usability. Conclusions The mHealth platform was designed and developed for patients with PAD and their healthcare providers. This platform can be used to educate and promote individualized exercise among patients with PAD.

Mobile Health Apps for Breast Cancer: Content Analysis and Quality Assessment

“…Additionally, patient-centered considerations of the design and interface before the development of an app might be helpful to promote behavior change. One study suggested iterative development through a user-centered design approach involving the following 3 phases: analysis, design, and implementation to achieve less fragmented care [54]. This systematic approach could encourage patients, survivors, and health care providers to participate in the development and quality assessment of mobile apps.…”

Development of an Ecological Momentary Assessment-Triggered Text Message Library for Peripheral Artery Disease

“…The text message library may be revised through this process; subsequently, the effectiveness of an EMA-triggered text message intervention should be investigated in patients with PAD. The developed text message library combined with the EMA survey may be applied to structure exercise programs or smartphone-based exercise intervention programs (Kim et al, 2022a) to encourage exercise engagement.…”

“…In previous studies, barriers to exercise in patients with PAD were reported to include personal and environmental aspects (Abaraogu et al, 2018; Barbosa et al, 2015; Bentley & Kelechi, 2018; Cavalcante et al, 2015), but it is necessary to identify any additional barriers that might be present in the Korean population through behavior analysis. Therefore, we conducted face-to-face interviews to explore participants’ experiences performing exercise and focused on deriving exercise barriers and facilitators for the development of a text messaging intervention using a mobile application for patients with PAD (Kim et al, 2022a).…”

Balancing Technological Advances with User Needs: User-centered Principles for AI-Driven Smart City Healthcare Monitoring

“…1) Personalized health monitoring: These systems use AI technologies to collect, process, and analyze health-related data, allowing for personalized health monitoring and support to the users. The automatic collection of data, such as vital signs, physical activity levels, and sleep patterns, can help detect health-related issues in real-time [8], [49], [61], [69].…”

“…One of the main advantages of these systems is their ability to provide users with real-time feedback, allowing www.ijacsa.thesai.org them to make informed health decisions [3]. Furthermore, these systems can offer personalized health recommendations, such as lifestyle changes or exercise programs [69] to assist users in improving their overall health.…”