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Users’ thoughts and opinions about a self-regulation-based eHealth intervention targeting physical activity and the intake of fruit and vegetables : a qualitative study

Louise Poppe (UGent) , Celien Van der Mispel (UGent) , Ilse De Bourdeaudhuij (UGent) , Maïté Verloigne (UGent) , Samiah Shadid (UGent) and Geert Crombez (UGent)
(2017) PLOS ONE. 12(12).
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Abstract
Purpose : EHealth interventions are effective in changing health behaviours, such as increasing physical activity and altering dietary habits, but suffer from high attrition rates. In order to create interventions that are adapted to end-users, in-depth investigations about their opinions and preferences are required. As opinions and preferences may vary for different target groups, we explored these in two groups: the general population and a clinical sample. Methods : Twenty adults from the general population (mean age = 42.65, 11 women) and twenty adults with type 2 diabetes (mean age = 64.30, 12 women) performed 'MyPlan 1.0', which is a self-regulation-based eHealth intervention designed to increase physical activity and the intake of fruit and vegetables in the general population. The opinions and preferences of end-users were explored using a think aloud procedure and a questionnaire. During a home visit, participants were invited to think aloud while performing 'MyPlan 1.0'. The thoughts were transcribed verbatim and inductive thematic analysis was applied. Results : Both groups had similar opinions regarding health behaviours and 'MyPlan 1.0'. Participants generally liked the website, but often experienced it as time-consuming. Furthermore, they regularly mentioned that a mobile application would be useful to remind them about their goals on a daily basis. Finally, users' ideas about how to pursue health behaviours often hindered them to correctly use the website. Conclusions : Although originally created for the general population, 'MyPlan 1.0' can also be used in adults with type 2 diabetes. Nevertheless, more adaptations are needed to make the eHealth intervention more convenient and less time-consuming. Furthermore, users' ideas regarding a healthy lifestyle should be taken into account when designing online interventions.
Keywords
AMERICAN-DIABETES-ASSOCIATION, BEHAVIOR-CHANGE INTERVENTIONS, RANDOMIZED CONTROLLED-TRIAL, IMPLEMENTATION INTENTIONS, TAILORED FEEDBACK, CHRONIC DISEASES, GENERAL-PRACTICE, HEALTH, ADULTS, MANAGEMENT

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Chicago
Poppe, Louise, Celien Van der Mispel, Ilse De Bourdeaudhuij, Maïté Verloigne, Samiah Shadid, and Geert Crombez. 2017. “Users’ Thoughts and Opinions About a Self-regulation-based eHealth Intervention Targeting Physical Activity and the Intake of Fruit and Vegetables : a Qualitative Study.” Plos One 12 (12).
APA
Poppe, Louise, Van der Mispel, C., De Bourdeaudhuij, I., Verloigne, M., Shadid, S., & Crombez, G. (2017). Users’ thoughts and opinions about a self-regulation-based eHealth intervention targeting physical activity and the intake of fruit and vegetables : a qualitative study. PLOS ONE, 12(12).
Vancouver
1.
Poppe L, Van der Mispel C, De Bourdeaudhuij I, Verloigne M, Shadid S, Crombez G. Users’ thoughts and opinions about a self-regulation-based eHealth intervention targeting physical activity and the intake of fruit and vegetables : a qualitative study. PLOS ONE. 2017;12(12).
MLA
Poppe, Louise et al. “Users’ Thoughts and Opinions About a Self-regulation-based eHealth Intervention Targeting Physical Activity and the Intake of Fruit and Vegetables : a Qualitative Study.” PLOS ONE 12.12 (2017): n. pag. Print.
@article{8548647,
  abstract     = {Purpose : EHealth interventions are effective in changing health behaviours, such as increasing physical activity and altering dietary habits, but suffer from high attrition rates. In order to create interventions that are adapted to end-users, in-depth investigations about their opinions and preferences are required. As opinions and preferences may vary for different target groups, we explored these in two groups: the general population and a clinical sample. 
Methods : Twenty adults from the general population (mean age = 42.65, 11 women) and twenty adults with type 2 diabetes (mean age = 64.30, 12 women) performed 'MyPlan 1.0', which is a self-regulation-based eHealth intervention designed to increase physical activity and the intake of fruit and vegetables in the general population. The opinions and preferences of end-users were explored using a think aloud procedure and a questionnaire. During a home visit, participants were invited to think aloud while performing 'MyPlan 1.0'. The thoughts were transcribed verbatim and inductive thematic analysis was applied. 
Results : Both groups had similar opinions regarding health behaviours and 'MyPlan 1.0'. Participants generally liked the website, but often experienced it as time-consuming. Furthermore, they regularly mentioned that a mobile application would be useful to remind them about their goals on a daily basis. Finally, users' ideas about how to pursue health behaviours often hindered them to correctly use the website. 
Conclusions : Although originally created for the general population, 'MyPlan 1.0' can also be used in adults with type 2 diabetes. Nevertheless, more adaptations are needed to make the eHealth intervention more convenient and less time-consuming. Furthermore, users' ideas regarding a healthy lifestyle should be taken into account when designing online interventions.},
  articleno    = {e0190020},
  author       = {Poppe, Louise and Van der Mispel, Celien and De Bourdeaudhuij, Ilse and Verloigne, Ma{\"i}t{\'e} and Shadid, Samiah and Crombez, Geert},
  issn         = {1932-6203},
  journal      = {PLOS ONE},
  language     = {eng},
  number       = {12},
  pages        = {19},
  title        = {Users{\textquoteright} thoughts and opinions about a self-regulation-based eHealth intervention targeting physical activity and the intake of fruit and vegetables : a qualitative study},
  url          = {http://dx.doi.org/10.1371/journal.pone.0190020},
  volume       = {12},
  year         = {2017},
}

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