The Design and Development of a Personalized Leisure Time Physical Activity Application Based on Behavior Change Theories, End-User Perceptions, and Principles From Empirical Data Mining
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Introduction: Many adults do not reach the recommended physical activity (PA) guidelines, which can lead to serious health problems. A promising method to increase PA is the use of smartphone PA applications. However, despite the development and evaluation of multiple PA apps, it remains unclear how to develop and design engaging and effective PA apps. Furthermore, little is known on ways to harness the potential of artificial intelligence for developing personalized apps. In this paper, we describe the design and development of the Playful data-driven Active Urban Living (PAUL): a personalized PA application. Methods: The two-phased development process of the PAUL apps rests on principles from the behavior change model; the Integrate, Design, Assess, and Share (IDEAS) framework; and the behavioral intervention technology (BIT) model. During the first phase, we explored whether location-specific information on performing PA in the built environment is an enhancement to a PA app. During the second phase, the other modules of the app were developed. To this end, we first build the theoretical foundation for the PAUL intervention by performing a literature study. Next, a focus group study was performed to translate the theoretical foundations and the needs and wishes in a set of user requirements. Since the participants indicated the need for reminders at a for-them-relevant moment, we developed a self-learning module for the timing of the reminders. To initialize this module, a data-mining study was performed with historical running data to determine good situations for running. Results: The results of these studies informed the design of a personalized mobile health (mHealth) application for running, walking, and performing strength exercises. The app is implemented as a set of modules based on the persuasive strategies “monitoring of behavior,” “feedback,” “goal setting,” “reminders,” “rewards,” and “providing instruction.” An architecture was set up consisting of a smartphone app for the user, a back-end server for storage and adaptivity, and a research portal to provide access to the research team. Conclusions: The interdisciplinary research encompassing psychology, human movement sciences, computer science, and artificial intelligence has led to a theoretically and empirically driven leisure time PA application. In the current phase, the feasibility of the PAUL app is being assessed.
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From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [91]
Ideally, multiple sources of data should be combined, such as scientific literature and qualitative data collected from multiple types of stakeholders.
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Operationalizing theoretical strategies into a user-friendly eHealth technology might be challenging.
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In eHealth development, parts of multiple models, theories, and approaches can be used to complement each other.
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Methods for Human-Centered eHealth Development: Narrative Scoping Review
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2022) · Journal of Medical Internet Research · doi:10.2196/31858 · Cited by 67 · see citing works
Milne-Ives, M., Homer, S. R., Andrade, J., & Meinert, E. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1227443 · Cited by 69 · see citing works
Methods for Human-Centered eHealth Development: Narrative Scoping Review (Preprint)
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2021) · doi:10.2196/preprints.31858 · Cited by 67 · see citing works
- Authors
- Sporrel, K., De Boer, R. D. D., Wang, S., Nibbeling, N., Simons, M., Deutekom, M., Ettema, D., Castro, P. C., Dourado, V. Z., & Kröse, B.
- Affiliations
- Utrecht University (NL)
- Amsterdam University of Applied Sciences (NL)
- Wageningen University & Research (NL)
- Inholland University of Applied Sciences (NL)
- Universidade Federal de São Carlos (BR)
- Universidade Federal de São Paulo (BR)
- Corresponding author
- Sporrel, Karlijn
- ORCID
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2021-02-02
- Volume
- 8
- Pages
- 528472-528472
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC7884923
- OpenAlex
- W3127451197
- Cited by
- 38
- References
- 58
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 9 · 2021: 5
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Nationaal Regieorgaan Praktijkgericht Onderzoek SIA
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- physical activity apps, behaviour change theory, IDEAS framework, persuasion techniques, goal setting, feedback, reward, leisure-time physical activity, resistance training, user requirements
- MeSH terms
- Adult, Artificial Intelligence, Humans, Leisure Activities, Perception, Exercise, Data Mining
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