iBet uBet web content aggregator. Adding the entire web to your favor.
iBet uBet web content aggregator. Adding the entire web to your favor.



Link to original content: https://doi.org/10.1007/978-3-030-52677-1_4
The Results of an Iterative Evaluation Process of an Mhealth Application for Rewarding Healthy Behaviour Among Older Adults | SpringerLink
Skip to main content
Springer Nature Link
Log in

The Results of an Iterative Evaluation Process of an Mhealth Application for Rewarding Healthy Behaviour Among Older Adults

  • Conference paper
  • First Online:
Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2019)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1219))

Abstract

It is a challenge to find effective ways for supporting older adults to increase their levels of physical activity and develop habitual physical activity behaviours. Within the GOAL project, an mHealth intervention to motivate older adults to be active was developed, by blending the iterative design and the evaluation activities. The aim of this paper is to present the results of the iterative evaluation process of this mHealth intervention. Evaluation end-points were usability, user experience and potential effect. In total, four cycles of evaluation and redesign of GOAL were conducted in order to create value-adding technology, and demonstrate its impact. Each cycle contained test-weeks, weeks for data analysis, and time for technical modification. In total, 28 participants (students and older adults) interacted with GOAL for a total of 476 days and provided their feedback. During the process, various usability issues were solved to improve GOAL. The users rated the usability of GOAL as acceptable. Older adults were positive about the idea to encourage a healthy lifestyle by using GOAL. During the final evaluation cycle, GOAL encouraged older adults to be more active and motivated them to reach their daily goal.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. McPhee, J.S., French, D.P., Jackson, D., Nazroo, J., Pendleton, N., Degens, H.: Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology 17(3), 567–580 (2016)

    Article  Google Scholar 

  2. Booth, F.W., Gordon, S.E., Carlson, C.J., Hamilton, M.T.: Waging war on modern chronic diseases: primary prevention through exercise biology. J. Appl. Physiol. (Bethesda, Md: 1985) 88(2), 774–787 (2000)

    Article  Google Scholar 

  3. Lee, I.M., Shiroma, E.J., Lobelo, F., Puska, P., Blair, S.N., Katzmarzyk, P.T.: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet (London, England) 380(9838), 219–229 (2012)

    Article  Google Scholar 

  4. Bauman, A., Merom, D., Bull, F.C., Buchner, D.M., Singh, M.A.F.: Updating the evidence for physical activity: summative reviews of the epidemiological evidence, prevalence, and interventions to promote “Active Aging”. Gerontol. 56(Suppl 2), S268–S280 (2016)

    Article  Google Scholar 

  5. Mijnarends, D.M., et al.: Validity and reliability of tools to measure muscle mass, strength, and physical performance in community-dwelling older people: a systematic review. J. Am. Med. Dir. Assoc. 14(3), 170–178 (2013)

    Article  Google Scholar 

  6. Tak, E., Kuiper, R., Chorus, A., Hopman-Rock, M.: Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-analysis. Ageing Res. Rev. 12(1), 329–338 (2013)

    Article  Google Scholar 

  7. Zaleski, A.L., et al.: Coming of age: considerations in the prescription of exercise for older adults. Methodist DeBakey Cardiovasc. J. 12(2), 98–104 (2016)

    Article  Google Scholar 

  8. Lockenhoff, C.E., Carstensen, L.L.: Socioemotional selectivity theory, aging, and health: the increasingly delicate balance between regulating emotions and making tough choices. J. Pers. 72(6), 1395–1424 (2004)

    Article  Google Scholar 

  9. Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., French, D.P.: The acceptability of physical activity interventions to older adults: a systematic review and meta-synthesis. Soc. Sci. Med. 2016(158), 14–23 (1982)

    Google Scholar 

  10. Taylor, M.J., McCormick, D., Shawis, T., Impson, R., Griffin, M.: Activity-promoting gaming systems in exercise and rehabilitation. J. Rehabil. Res. Dev. 48(10), 1171–1186 (2011)

    Article  Google Scholar 

  11. Kato, P.M.: Video games in health care: closing the gap. Rev. Gen. Psychol. 14(2), 113–121 (2010)

    Article  Google Scholar 

  12. Gordon, N.P., Hornbrook, M.C.: Older adults’ readiness to engage with eHealth patient education and self-care resources: a cross-sectional survey. BMC Health Serv. Res. 18(1), 220 (2018). https://doi.org/10.1186/s12913-018-2986-0

    Article  Google Scholar 

  13. Minge, M., Bürglen, J., Cymek, D.H.: Exploring the potential of gameful interaction design of ICT for the elderly. In: Stephanidis, C. (ed.) HCI 2014. CCIS, vol. 435, pp. 304–309. Springer, Cham (2014). https://doi.org/10.1007/978-3-319-07854-0_54

    Chapter  Google Scholar 

  14. de Vette, F., Tabak, M., Dekker-van Weering, M., Vollenbroek-Hutten, M.: Engaging elderly people in telemedicine through gamification. JMIR Serious Games 3(2), e9–e9 (2015)

    Article  Google Scholar 

  15. Jansen-Kosterink, S., et al.: GOAL: an eHealth application for rewarding healthy behaviour. The first experiences of older adults. In: Proceedings of the 5th International Conference on Information and Communication Technologies for Ageing Well and e-Health, ICT4AWE, vol. 1, ISBN 978-989-758-368-1, pp. 58–66 (2019)

    Google Scholar 

  16. Heart, T., Kalderon, E.: Older adults: are they ready to adopt health-related ICT? Int. J. Med. Inform. 82(11), e209–e231 (2013)

    Article  Google Scholar 

  17. Mitzner, T.L., et al.: Technology adoption by older adults: findings from the PRISM trial. Gerontol. 59(1), 34–44 (2019)

    Article  Google Scholar 

  18. van Velsen, L., Evers, M., Bara, C.-D., Op den Akker, H., Boerema, S., Hermens, H.: Understanding the acceptance of an eHealth technology in the early stages of development: an end-user walkthrough approach and two case studies. JMIR Formativ. Res. 2(1), e10474 (2018)

    Article  Google Scholar 

  19. Brooke, J.: SUS - a quick and dirty usability scale. In: Jordan, P.W., Thoma, B., Weerdmeester, B.A. (ed.) Usability Evaluation in Industry, pp. 189–194. Taylor & Francis, London (1995)

    Google Scholar 

  20. Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13(3), 319–340 (1989)

    Article  Google Scholar 

  21. Crutzen, R., Cyr, D., de Vries, N.K.: Bringing loyalty to e-Health: theory validation using three internet-delivered interventions. J. Med. Internet Res. 13(3), e73 (2011)

    Article  Google Scholar 

  22. Baumel, A., Muench, F.: Heuristic evaluation of ehealth interventions: establishing standards that relate to the therapeutic process perspective. JMIR Ment. Health 3(1), e5 (2016)

    Article  Google Scholar 

  23. Hawkins, R.P., Han, J.Y., Pingree, S., Shaw, B.R., Baker, T.B., Roberts, L.J.: Interactivity and presence of three eHealth interventions. Comput. Hum. Behav. 26(5), 1081–1088 (2010)

    Article  Google Scholar 

  24. Van Velsen, L., Wildevuur, S., Flierman, I., Van Schooten, B., Tabak, M., Hermens, H.: Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals. BMC Med. Inform. Decis. Mak. 16(1), 11 (2016)

    Article  Google Scholar 

  25. Pelletier, L.G., Rocchi, M.A., Vallerand, R.J., Deci, E.L., Ryan, R.M.: Validation of the revised sport motivation scale (SMS-II). Psychol. Sport Exerc. 14(3), 329–341 (2013)

    Article  Google Scholar 

  26. van Velsen, L., Broekhuis, M., Jansen-Kosterink, S., op den Akker, H.: Tailoring persuasive eHealth strategies for older adults on the basis of personal motivation: an online survey (preprint). J. Med. Internet Res. 21, e11759 (2018)

    Article  Google Scholar 

  27. Aadahl, M., Jorgensen, T.: Validation of a new self-report instrument for measuring physical activity. Med. Sci. Sports Exerc. 35(7), 1196–1202 (2003)

    Article  Google Scholar 

  28. Chew, L.D., Bradley, K.A., Boyko, E.J.: Brief questions to identify patients with inadequate health literacy. Fam. Med. 36(8), 588–594 (2004)

    Google Scholar 

  29. Broens, T.H., Huis in’t Veld, R.M., Vollenbroek-Hutten, M.M., Hermens, H.J., van Halteren, A.T., Nieuwenhuis, L.J.: Determinants of successful telemedicine implementations: a literature study. J. Telemed. Telec. 13(6), 303–309 (2007)

    Article  Google Scholar 

  30. Lee, C., Coughlin, J.F.: PERSPECTIVE: older adults’ adoption of technology: an integrated approach to identifying determinants and barriers. J. Prod. Innov. Manag. 32(5), 747–759 (2014)

    Article  Google Scholar 

  31. Maramba, I., Chatterjee, A., Newman, C.: Methods of usability testing in the development of eHealth applications: a scoping review. Int. J. Med. Inform. 126, 95–104 (2019)

    Article  Google Scholar 

  32. Broekhuis, M., van Velsen, L., Hermens, H.: Assessing usability of eHealth technology: a comparison of usability benchmarking instruments. Int. J. Med. Inform. 128, 24–31 (2019)

    Article  Google Scholar 

Download references

Acknowledgments

Special thanks go to the subjects who participated in this study, to Mattienne van der Kamp for his assistance in carrying out this study and to the technology developers of RRD, AIT, AU and NG. The GOAL project (H2020 project no. 731656) is an EC-funded project under the call ICT-24-2016: Gaming and gamification.

Author information

Authors and Affiliations

  1. eHealth Group, Roessingh Research and Development, Enschede, The Netherlands

    Stephanie Jansen-Kosterink, Roos Bulthuis, Silke ter Stal, Lex van Velsen & Harm op den Akker

  2. Biomedical Signals and Systems Group, University of Twente, Enschede, The Netherlands

    Stephanie Jansen-Kosterink, Roos Bulthuis, Silke ter Stal, Lex van Velsen & Harm op den Akker

  3. Multimodal Signal Analytics, Athens Information Technology, Athens, Greece

    Aristodemos Pnevmatikakis

  4. Department of Business Development and Technology, Aarhus University, Aarhus, Denmark

    Sofoklis Kyriazakos

  5. Nurogames GmbH, Cologne, Germany

    Andrew Pomazanskyi

Authors
  1. Stephanie Jansen-Kosterink
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Roos Bulthuis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Silke ter Stal
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lex van Velsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Aristodemos Pnevmatikakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sofoklis Kyriazakos
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Andrew Pomazanskyi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Harm op den Akker
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stephanie Jansen-Kosterink .

Editor information

Editors and Affiliations

  1. Human-Computer Interaction Center, RWTH Aachen University, Aachen, Nordrhein-Westfalen, Germany

    Martina Ziefle

  2. Institute of Business Informatics, Wrocław University of Economics, Wrocław, Poland

    Leszek A. Maciaszek

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Jansen-Kosterink, S. et al. (2020). The Results of an Iterative Evaluation Process of an Mhealth Application for Rewarding Healthy Behaviour Among Older Adults. In: Ziefle, M., Maciaszek, L. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE 2019. Communications in Computer and Information Science, vol 1219. Springer, Cham. https://doi.org/10.1007/978-3-030-52677-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-52677-1_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-52676-4

  • Online ISBN: 978-3-030-52677-1

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation