Cited by 13Physical Activity and HealthMobile Health and mHealth ApplicationsContext-Aware Activity Recognition Systems

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An intervention study to assess potential effect and user experience of an mHealth intervention to reduce sedentary behaviour among older office workers

Open access
Boerema, Simone, van Velsen, Lex, Hermens, Hermie·2019·BMJ Health & Care Informatics

Abstract

Background: Office workers spend a high percentage of their time sitting, often in long periods of time. Research suggests that it is healthier to break these long bouts into shorter periods by being physically active. Objective: We evaluated the effect of a context-aware activity coach, called the PEARL app, an mHealth intervention that provides activity suggestions, based on a physical activity prediction model, consisting of past and current physical activity and digital agendas. Method: Fifteen office workers, aged 50+, participated in an intervention study in which they used the intervention for 1 week, preceded by a 1-week baseline period. Measurements were taken before and after the intervention period. Results: 107 days of data from 14 participants were analysed. Total sedentary time was not reduced as a result of using the intervention (baseline vs intervention: 47.8±3.6 vs 46.8±3.0, n.s.). When using the intervention, participants reduced their total time spent in long sitting bouts (≥45 min) from 19.3 to 14.4 min per hour of wear time (p<0.05). Participants indicated that the main value of the intervention lies in creating awareness about their personal sedentary behaviour pattern. Conclusion: An mHealth service has the potential to improve the sedentary behaviour of older office workers, especially for breaking up long sedentary periods. Focusing on total sedentary time as an outcome of an intervention, aimed at reducing sedentary behaviour, is too simplistic. One should take into account both the duration and the number of bouts when determining the effect.

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  • Two studies indicated limited effectiveness, as only short-term effects could be shown or effects could only be shown for long-term sitting.

    “while two indicated limited effectiveness, as only short-term effects could be shown or effects could only be shown for long-term sitting [41, 48].”
  • Privacy concerns, anonymity and security issues were raised.

    “Apart from technical and usability issues, privacy concerns, anonymity and security issues also were raised [9, 38, 48, 55, 56].”

    From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [48]

    The Results > User experience passage lists complaints about suggestion timing, sensor size and lost wireless connections, but does not report privacy, anonymity or security concerns. Searches for those terms and for confidentiality or data protection found no passage addressing the claim; the indexed passages provide no page numbers. (LLM, conf=0.76)

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Metadata

Authors
Boerema, S., van Velsen, L., & Hermens, H.
Affiliations
Roessingh Research and Development (NL)
Corresponding author
van Velsen, Lex
Venue
BMJ Health & Care Informatics
Publisher
BMJ
Published
2019-11
Volume
26
Issue
1
Pages
e100014
ISSN
2632-1009 (ISSN-L)
OpenAlex
W2990101639
Cited by
13
References
5
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 2 · 2021: 2 · 2020: 1
FWCI
0.51
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • BMJ Health & Care Informatics (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion, cc-by-nc)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • University of Twente Research Information (submittedVersion, cc-by-nc)
Funders
Active Assisted Living Programme (AAL-2013-6-091)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
Keywords
sedentary behavior, mobile health intervention, user experience
MeSH terms
Sitting Position, Female, Health Promotion, Humans, Male, Middle Aged, Netherlands, Time Factors, Exercise, Occupational Health, Workplace, Telemedicine, Sedentary Behavior, Mobile Applications

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