User-centered Design of a Texas WIC App: A Focus Group Investigation

Biediger-Friedman, Lesli; Crixell, Sylvia; Silva, Mónica; Markides, Brittany; Smith, Kenneth

doi:10.5993/ajhb.40.4.8

Cited by 25 publications

(40 citation statements)

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“…Other research, however, has suggested several ways in which standard smartphone features or nonhealth apps can serve health purposes. These include alarms [28], Web searches [29], calendar apps [30], and social media [30-32]. This is consistent with some of the apps reported by our participants, such as Google Sheets, which one participant used for migraine tracking.…”

Section: Discussionsupporting

confidence: 83%

Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding

2017

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BackgroundResearchers have largely turned to commercial app stores, randomized trials, and systematic reviews to make sense of the mHealth landscape. Few studies have approached understanding by collecting information from target end users. The end user perspective is critical as end user interest in and use of mHealth technologies will ultimately drive the efficacy of these tools.ObjectiveThe purpose of this study was to obtain information from end users of mHealth technologies to better understand the physical and mental health apps people use and for what purposes.MethodsPeople with depressive or anxious symptoms (N=176) seeking entry into a trial of mental health and well-being apps for Android devices completed online questionnaires assessing depression and anxiety (Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7), past and current mental health treatment-seeking behavior, overall mobile device use, and use of mobile health apps. Participants reported the physical health and mental health apps on their devices and their reasons for using them. Data were extracted from the participant self-reports and apps and app purposes were coded in order to categorize them.ResultsParticipants were largely white, middle-aged females from the Midwest region of the United States recruited via a health care organization and Web-based advertising (135 female, 41 male, mean age 38.64 years, age range 19-75 years.) Over three-quarters (137/176, 77.8%) of participants indicated having a health app on their device. The top 3 kinds of apps were exercise, fitness, and pedometers or heart rate monitoring apps (93/176, 52.8%); diet, food, or calorie counting apps (65/177, 36.9%); and mental health/wellness apps (46/177, 26.1%). The mean number of mobile physical and mental health apps on a participant’s phone was 2.15 (SD 3.195). Of 176 participants, 107 (60.8%) specifically reported the top 5 health apps that they used and their purposes. Across the 107 participants, a total of 285 apps were reported, with 139 being unique apps. The majority of these apps were free (129/139, 92.8%). Almost two-thirds of participants (67/107, 62.6%) reported using health apps at least on a daily basis.ConclusionsAmong those seeking support for their well-being via physical and mental health apps, people are using a variety of health apps. These people use health apps on a daily basis, especially free apps. The most common reason for using a health app is to track some health-related data; for mental health apps specifically, training or habit building was the most popular reason. Understanding the end user perspective is important because it allows us to build on the foundation of previously established mHealth research and may help guide future work in mHealth.Trial RegistrationClinicaltrials.gov NCT02176226; https://clinicaltrials.gov/ct2/show/NCT02176226 (Archived by WebCite at http://www.webcitation.org/6rGc1MGyM)

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Section: Discussionsupporting

confidence: 83%

Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding

2017

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“…Nine studies were identified reporting user-testing by parents of digital health tools targeting improvements in children's nutrition. Five evaluated apps [18,[40][41][42][43], three evaluated websites [19,39,44] and one evaluated both an app and website [45] (Table 2; Additional file 3). Studies were conducted in the USA [41][42][43][44], Australia [18,19,45], Canada [40] and Switzerland [39].…”

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

“…Five evaluated apps [18,[40][41][42][43], three evaluated websites [19,39,44] and one evaluated both an app and website [45] (Table 2; Additional file 3). Studies were conducted in the USA [41][42][43][44], Australia [18,19,45], Canada [40] and Switzerland [39]. Evaluations of preferences for content, features, technology, delivery mode, useability and barriers were conducted using focus groups [39][40][41][42]44] and questionnaires [18,19,39,41,43,45].…”

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

“…Studies were conducted in the USA [41][42][43][44], Australia [18,19,45], Canada [40] and Switzerland [39]. Evaluations of preferences for content, features, technology, delivery mode, useability and barriers were conducted using focus groups [39][40][41][42]44] and questionnaires [18,19,39,41,43,45]. Given the small number of included studies and overall consistent findings across apps and websites, reporting of findings have been combined.…”

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

“…Preferred features of digital tools were evaluated in seven studies [18,39,[41][42][43][44][45]. Consistent with findings for preferred content, parents wanted features that could involve the whole family [39,41,42,45] and wanted features to be both informative and practical [39,[41][42][43][44]. Favoured practical tools and information included shopping tools, budgeting, calculators, tip sheets, recipes and barcode scanners.…”

Section: Preferred Features and Functionalitymentioning

confidence: 99%

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A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Zarnowiecki

Mauch

Middleton

et al. 2020

Int J Behav Nutr Phys Act

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Background: Globally children's diet quality is poor. Parents are primary gatekeepers to children's food intake; however, reaching and engaging parents in nutrition promotion can be challenging. With growth in internet and smartphone use, digital platforms provide potential to disseminate information rapidly to many people. The objectives of this review were to conduct a comprehensive and systematic evaluation of nutrition promotion via websites and apps supporting parents to influence children's nutrition, from three different perspectives: 1) current evidence base, 2) end user (parent) experience and 3) current commercial offerings. Methods: Three systematic reviews were undertaken of (1) studies evaluating the effectiveness for digital platforms for improving nutrition in children and parents, (2) studies conducting user-testing of digital tools with parents, (3) websites and apps providing lunch-provision information to parents. Searches were conducted in five databases for reviews one and two, and systematic search of Google and App Store for review three. Randomised controlled trials, cohort and cross-sectional and qualitative studies (study two only) were included if published in English, from 2013, with the intervention targeted at parents and at least 50% of intervention content focused on nutrition. Search results were double screened, with data extracted into standardised spreadsheets and quality appraisal of included search results. Results: Studies evaluating digital nutrition interventions targeting parents (n = 11) demonstrated effectiveness for improving nutrition outcomes, self-efficacy and knowledge. Six of the included randomised controlled trials reported digital interventions to be equal to, or better than comparison groups. User-testing studies (n = 9) identified that digital platforms should include both informative content and interactive features. Parents wanted evidence-based information from credible sources, practical tools, engaging content and connection with other users and health professionals. Websites targeting lunch provision (n = 15) were developed primarily by credible sources and included information-based content consistent with dietary guidelines and limited interactive features. Lunchbox apps (n = 6), developed mostly by commercial organisations, were more interactive but provided less credible information.(Continued on next page)

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Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

Ames

Glenton

Lewin

et al. 2019

Cochrane Database of Systematic Reviews

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BackgroundGovernments and health systems are increasingly using mobile devices to communicate with patients and the public. Targeted digital client communication is when the health system transmits information to particular individuals or groups of people, based on their health or demographic status. Common types of targeted client communication are text messages that remind people to go to appointments or take their medicines. Other types include phone calls, interactive voice response, or multimedia messages that offer healthcare information, advice, monitoring, and support.ObjectivesTo explore clients' perceptions and experiences of targeted digital communication via mobile devices on topics related to reproductive, maternal, newborn, child, or adolescent health (RMNCAH).Search methodsWe searched MEDLINE (OvidSP), MEDLINE In‐Process & Other Non‐Indexed Citations (OvidSP), Embase (Ovid), World Health Organization Global Health Library, and POPLINE databases for eligible studies from inception to 3‐6 July 2017 dependant on the database (See appendix 2).Selection criteriaWe included studies that used qualitative methods for data collection and analysis; that explored clients' perceptions and experiences of targeted digital communication via mobile device in the areas of RMNCAH; and were from any setting globally.Data collection and analysisWe used maximum variation purposive sampling for data synthesis, employing a three‐step sampling frame. We conducted a framework thematic analysis using the Supporting the Use of Research Evidence (SURE) framework as our starting point. We assessed our confidence in the findings using the GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether potential implementation barriers identified in our synthesis had been addressed in the trials included in the related Cochrane Reviews of effectiveness.Main resultsWe included 35 studies, from a wide range of countries on six continents. Nineteen studies were conducted in low‐ and middle‐income settings and sixteen in high‐income settings. Some of the studies explored the views of people who had experienced the interventions, whereas others were hypothetical in nature, asking what people felt they would like from a digital health intervention. The studies covered a range of digital targeted client communication, for example medication or appointment reminders, prenatal health information, support for smoking cessation while pregnant, or general sexual health information.Our synthesis showed that clients' experiences of these types of programmes were mixed. Some felt that these programmes provided them with feelings of support and connectedness, as they felt that someone was taking the time to send them messages (moderate confidence in the evidence). They also described sharing the messages with their friends and family (moderate confidence).However, clients also pointed to problems when using these programmes. Some clients had poor access to cell networks and t...

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User-centered Design of a Texas WIC App: A Focus Group Investigation

Cited by 25 publications

References 0 publications

Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding

Health App Use Among Individuals With Symptoms of Depression and Anxiety: A Survey Study With Thematic Coding

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

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