Evaluating the impact of physical activity apps and wearables: interdisciplinary review

Background: Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users’ interaction and usage behavior) and acceptability (ie, users’ subjective perceptions and experiences) to help explain how and why apps and wearables work. Objectives: This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. Method: An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. Results: A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). Conclusions: The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines

Quantifying Quality of Life

Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject

Quantifying Quality of Life

Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject

Transitions in digital personhood:Making sense of online activity in early retirement

We present findings from a qualitative study about how Internet use supports self-functioning following the life transition of retirement from work. This study recruited six recent retirees and included the deployment of OnLines, a design research artifact that logged and visualized key online services used by participants at home over four-weeks. The deployment was supported by pre- and post-deployment interviews. OnLines prompted participants’ reflection on their patterns of Internet use. Position Exchange Theory was used to understand retirees’ sense making from a lifespan perspective, informing the design of supportive online services. This paper delivers a three-fold contribution to the field of human-computer interaction, advancing a lifespan-oriented approach by conceptualizing the self as a dialogical phenomenon that develops over time, advancing the ageing discourse by reporting on retirees’ complex identities in the context of their life histories, and advancing discourse on research through design by developing OnLines to foster participant-researcher reflection informed by Self Psychology

Cenários comunicacionais baseados em IOT para a promoção do bem-estar físico, psicológico e social dos séniores

The main objective of this research is to design and validate IoT based social hybrid scenario model that has the potential to promote psychological and physical wellbeing among older adults. The main reason to design and validate the model is age growth, older adults face psychological, physical and social well-being problems that increase mild cognitive impairment and frailty among older adults. Thus, to overcome older adults' problems, the study proposes and validates an IoT-based social hybrid scenario model. The model's features contain passive communication in which Drs, caregivers, and family members can monitor older adults' physical data from long distances. The model's features also contained intentional communication in which Older adults can interact online by text, audio, video calls, sharing images, and online activities such as painting, exercises and cooking. Moreover, older adults can do outdoor activities by inviting peers, friends or family members; the activities can be location-based IoT games, city tours, groups gardening and dinners. The outcomes of model validation will indicate how IoT characteristics can promote physical, psychological and social well-being and provide an opportunity for older adults to spend their life independently. The research that embodies this thesis includes 411 senior Portuguese Universities which are located mainland and on the island of Portugal. Using descriptive research methodology, where quantitative results are analysed, the results indicated a holistic scenario of passive and intentional communication in the context of well-being promotion among olderadults. from here, the social hybrid scenario is outlined, a hybrid model that offers passive and intentional communication between olderadults, family and medical doctors in the context of well-being promotion. The design and characteristics of the model are based on the existing knowledg, and needs of older adults, family members and also medical doctors. Such as model is a compound of passive and intentional characteristics that helps to reduce problem-related mental and physical health. The Passive and intentional communication characteristics are capable to create an environment for older adultsto take care of their psychological and physical health without any intervention and also increase their social physical and online activities, these activities help to promote the well-being of olderadults andd improve the daily lifestyle.O principal objetivo desta pesquisa é projetar e validar um modelo de cenário híbrido social baseado em IoT que tenha o potencial de promover o bem-estar psicológico e físico entre os idosos. A principal razão para projetar e validar o modelo é o crescimento da idade, os idosos enfrentam problemas psicológicos, físicos e de bem-estar social que aumentam o comprometimento cognitivo leve e a fragilidade entre os idosos. Assim, para superar os problemas dos idosos, o estudo propõe e valida um modelo de cenário híbrido social baseado em IoT. Os recursos do modelo contêm comunicação passiva na qual médicos, cuidadores e familiares podem monitorar os dados físicos dos idosos a longas distâncias. As características do modelo também contemplam comunicação intencional em que os idosos podem interagir online por meio de texto, áudio, videochamadas, compartilhamento de imagens e atividades online como pintura, exercícios e culinária. Além disso, os idosos podem fazer atividades ao ar livre convidando colegas, amigos ou familiares; as atividades podem ser jogos de IoT baseados em localização, passeios pela cidade, jardinagem em grupo e jantares. Os resultados da validação do modelo indicam como as características da IoT podem promover o bem-estar físico, psicológico e social e fornecer uma oportunidade para os idosos passarem sua vida de forma independente. A investigação que dá corpo a esta tese inclui 411 universidades portuguesas seniores localizadas no continente e na ilha de Portugal. Utilizando metodologia de pesquisa descritiva, onde são analisados resultados quantitativos, os resultados indicaram um cenário holístico de comunicação passiva e intencional no contexto da promoção do bem-estar entre idosos. a partir daqui, delineia-se o cenário social híbrido, um modelo híbrido que oferece comunicação passiva e intencional entre idosos, médicos de família e médicos no contexto da promoção do bem-estar. O desenho e as características do modelo baseiam-se no conhecimento existente e nas necessidades dos idosos, familiares e também médicos. Tal modelo é um composto de características passivas e intencionais que ajuda a reduzir os problemas relacionados com a saúde mental e física. As características de comunicação passiva e intencional são capazes de criar um ambiente para que os idosos cuidem de sua saúde psicológica e física e também aumentem suas atividades sociais físicas e online, essas atividades ajudam a promover o bem-estar dos idosos e melhorar o estilo de vida diário.Programa Doutoral em Informação e Comunicação em Plataformas Digitai

How do digital transformation and the internet use influence our wellbeing perception?

[EN] Digital transformation and the internet are changing the way people relate to others, but also the way individuals to themselves and their wellbeing perception. In this thesis, there have been examined definitions, affections, and considerations relative to digital transformation, internet, or wellbeing to deepen and understand better the concepts that will take part in our analysis. There, it has been analyzed the internet use among European Countries attending data provided by the European Social Survey (2016) on a sample of more than 34.700 respondents from 18 countries and its relationship with WB perception of individuals. First, it has been examined the individual relationship of WB of people involved in the survey. Sociodemographic factors as age, education, gender, or country have also been considered to analyze differences. The same exercise has been done with internet use data. Second, it has been examined the effect of considering both concepts (internet use and WB) together and interaction between them, for providing more extensive information and understanding. Then, personal values have been introduced. Values influence people's lives and determine individuals' attitude, behavior, relationships with others and themselves, and even their WB perception. Thus, attending personal values and considerations individuals report on the survey, different personal profiles have been defined. And both, internet use and WB concepts, first at an individual level, and secondly considering their interaction, have been examined for each different profile. Finally, results and conclusions that demonstrate personal values and different individuals profile influence the Internet use and WB perception are presented for discussion.[ES] La transformación digital y el uso de internet están cambiando la forma en la que las personas interactúan entre ellas, pero también el modo en el que se relacionan consigo mismo, e incluso su propia percepción del bienestar.En esta tesis, se han examinado las definiciones, afecciones y consideraciones relativas a la transformación digital, internet y/o bienestar para profundizar mejor en los conceptos incluidos en el presente análisis. Además, en base a una muestra de la Encuesta Social Europea (European Social Survey) 2016 en una muestra de más de 34.700 participantes de 18 países, se ha analizado el uso de internet entre países europeos, así como su relación entre la percepción del bienestar de las personas. Así, primero se ha examinado la relación y percepción individual del bienestar de las personas incluidas en la encuesta, analizando factores sociodemográficos tales como edad, educación, género o país para analizar las diferencias entre la muestra poblacional. Dicho ejercicio ha sido replicado en lo que al análisis individual del uso de internet se refiere. En segundo lugar, se ha examinado el efecto de considerar ambos conceptos simultáneamente (uso de internet y bienestar) para analizar la inteacción entre ellos y profundizar en los efectos derivados del mismo. Seguidamente se introducen los valores personales. Los valores influencian la vida de las personas determinando su actitud personal, su comportamiento, la relación con ellos mismos y con los demás, e incluso su propia percepción del bienestar. Así, atendiendo a los valores y consideraciones personales proporcionadas en la encuesta, se han definido distintos perfiles personales, para, seguidamente analizar el impacto de el uso de internet y percepción del bienestar primero a nivel individual para cada perfil, y posteriormente valorar la interacción de la confluencia de ambos y la singularidad de su efecto en cada perfil. Por último, se presentan los resultados y conclusiones identificadas, que demuestran que, los valores personales y los diferentes perfiles personales influencian el uso individual de internet y su percepción del bienestar.[CA] La transformació digital i l'ús d'Internet estan canviant la forma en què les persones interactuen entre si, però també la forma en què es relacionen amb si mateixos, i fins i tot la seva pròpia percepció del benestar. En aquesta tesi s'han examinat les definicions, condicions i consideracions relatives a la transformació digital, Internet i/o benestar, per tal d'aprofundir en els conceptes que s'inclouen en aquesta anàlisi. Partint d'una mostra de l'Enquesta Social Europea (European Social Survey) 2016 amb més de 34.700 participants de 18 països, s'ha analitzat l'ús d'Internet entre els països europeus, així com la seva relació entre la percepció del benestar de les persones. Així, s'ha examinat per primera vegada la relació individual i la percepció del benestar de les persones incloses en l'enquesta, analitzant factors sociodemogràfics com l'edat, l'educació, el gènere o el país per analitzar les diferències existents. Aquest exercici s'ha replicat amb tot alló relatiu a l'anàlisi individual de l'ús d'Internet. En segon lloc, s¿ha examinat l'efecte de considerar els dos conceptes simultàniament (ús d'Internet i benestar) per analitzar l'acció entre ells i aprofundir en els efectes que se'n deriven. També s¿han introduït els valors personals. Els valors influeixen en la vida de les persones mitjançant la determinació de la seva actitud personal, el comportament, la relació amb ells mateixos i els altres, i fins i tot la seva pròpia percepció del benestar. Així, tenint en compte els valors i les consideracions personals previstes en l'enquesta, s'han definit diferents perfils personals, per després analitzar l'impacte de l'ús d'Internet i la percepció del benestar primer a nivell individual per a cada perfil, i posteriorment valorar la interacció de la confluència d'ambdós i la singularitat del seu efecte en cada perfil. Finalment, es presenten els resultats i conclusions identificats, demostrant que els valors personals i els diferents perfils personals influeixen en l'ús individual d'Internet i en la seva percepció de benestar.Femenía Mulet, S. (2020). How do digital transformation and the internet use influence our wellbeing perception? [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/149478TESI

Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review

Background: The public health impact of health and well-being digital interventions is dependent upon sufficient real-world uptake and engagement. Uptake is currently largely dependent on popularity indicators (eg, ranking and user ratings on app stores), which may not correspond with effectiveness, and rapid disengagement is common. Therefore, there is an urgent need to identify factors that influence uptake and engagement with health and well-being apps to inform new approaches that promote the effective use of such tools. Objective: This review aimed to understand what is known about influences on the uptake of and engagement with health and well-being smartphone apps among adults. Methods: We conducted a systematic review of quantitative, qualitative, and mixed methods studies. Studies conducted on adults were included if they focused on health and well-being smartphone apps reporting on uptake and engagement behavior. Studies identified through a systematic search in Medical Literature Analysis and Retrieval System Online, or MEDLARS Online (MEDLINE), EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Scopus, Cochrane library databases, DataBase systems and Logic Programming (DBLP), and Association for Computing Machinery (ACM) Digital library were screened, with a proportion screened independently by 2 authors. Data synthesis and interpretation were undertaken using a deductive iterative process. External validity checking was undertaken by an independent researcher. A narrative synthesis of the findings was structured around the components of the capability, opportunity, motivation, behavior change model and the theoretical domains framework (TDF). Results: Of the 7640 identified studies, 41 were included in the review. Factors related to uptake (U), engagement (E), or both (B) were identified. Under capability, the main factors identified were app literacy skills (B), app awareness (U), available user guidance (B), health information (E), statistical information on progress (E), well-designed reminders (E), features to reduce cognitive load (E), and self-monitoring features (E). Availability at low cost (U), positive tone, and personalization (E) were identified as physical opportunity factors, whereas recommendations for health and well-being apps (U), embedded health professional support (E), and social networking (E) possibilities were social opportunity factors. Finally, the motivation factors included positive feedback (E), available rewards (E), goal setting (E), and the perceived utility of the app (E). Conclusions: Across a wide range of populations and behaviors, 26 factors relating to capability, opportunity, and motivation appear to influence the uptake of and engagement with health and well-being smartphone apps. Our recommendations may help app developers, health app portal developers, and policy makers in the optimization of health and well-being apps

Sustainable Technology and Elderly Life

The coming years will see an exponential increase in the proportion of elderly people in our society. This accelerated growth brings with it major challenges in relation to the sustainability of the system. There are different aspects where these changes will have a special incidence: health systems and their monitoring; the development of a framework in which the elderly can develop their daily lives satisfactorily; and in the design of intelligent cities adapted to the future sociodemographic profile. The discussion of the challenges faced, together with the current technological evolution, can show possible ways of meeting the challenges. There are different aspects where these changes will have a special incidence: health systems and their monitoring; the development of a framework in which the elderly can develop their daily lives satisfactorily; and in the design of intelligent cities adapted to the future sociodemographic profile. This special issue discusses various ways in which sustainable technologies can be applied to improve the lives of the elderly. Six articles on the subject are featured in this volume. From a systematic review of the literature to the development of gamification and health improvement projects. The articles present suggestive proposals for the improvement of the lives of the elderly. The volume is a resource of interest for the scientific community, since it shows different research gaps in the current state of the art. But it is also a document that can help social policy makers and people working in this domain to planning successful projects