Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study

Background: Physical activity (PA) is the most well-established lifestyle factor associated with breast cancer (BC) survival. Even women with advanced BC may benefit from moderate PA. However, most BC symptoms and treatment side effects are barriers to PA. Mobile health coaching systems can implemen...

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Autores: Ruiz Signorelli, Gabriel, Monteiro-Guerra, Francisco, Rivera-Romero, Octavio, Núñez Benjumea, Francisco José, Fernández Luque, Luis
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/136685
Acesso em linha:https://hdl.handle.net/11441/136685
https://doi.org/10.2196/32354
Access Level:acceso abierto
Palavra-chave:Breast cancer
BC
Mobile app
Physical activity
mHealth
Acceptability
User experience
Mobile phone
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spelling Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods studyRuiz Signorelli, GabrielMonteiro-Guerra, FranciscoRivera-Romero, OctavioNúñez Benjumea, Francisco JoséFernández Luque, LuisBreast cancerBCMobile appPhysical activitymHealthAcceptabilityUser experienceMobile phoneBackground: Physical activity (PA) is the most well-established lifestyle factor associated with breast cancer (BC) survival. Even women with advanced BC may benefit from moderate PA. However, most BC symptoms and treatment side effects are barriers to PA. Mobile health coaching systems can implement functionalities and features based on behavioral change theories to promote healthier behaviors. However, to increase its acceptability among women with BC, it is essential that these digital persuasive systems are designed considering their contextual characteristics, needs, and preferences. Objective: This study aimed to examine the potential acceptability and feasibility of a mobile-based intervention to promote PA in patients with BC; assess usability and other aspects of the user experience; and identify key considerations and aspects for future improvements, which may help increase and sustain acceptability and engagement. Methods: A mixed methods case series evaluation of usability and acceptability was conducted in this study. The study comprised 3 sessions: initial, home, and final sessions. Two standardized scales were used: the Satisfaction with Life Scale and the International Physical Activity Questionnaire–Short Form. Participants were asked to use the app at home for approximately 2 weeks. App use and PA data were collected from the app and stored on a secure server during this period. In the final session, the participants filled in 2 app evaluation scales and took part in a short individual interview. They also completed the System Usability Scale and the user version of the Mobile App Rating Scale. Participants were provided with a waist pocket, wired in-ear headphones, and a smartphone. They also received printed instructions. A content analysis of the qualitative data collected in the interviews was conducted iteratively, ensuring that no critical information was overlooked. Results: The International Physical Activity Questionnaire–Short Form found that all participants (n=4) were moderately active; however, half of them did not reach the recommended levels in the guidelines. System Usability Scale scores were all >70 out of 100 (72.5, 77.5, 95, and 80), whereas the overall user version of the Mobile App Rating Scale scores were 4, 4.3, 4.4, and 3.6 out of 5. The app was perceived to be nice, user-friendly, straightforward, and easy to understand. Recognition of achievements, the possibility of checking activity history, and the rescheduling option were positively highlighted. Technical difficulties with system data collection, particularly with the miscount of steps, could make users feel frustrated. The participants suggested improvements and indicated that the app has the potential to work well for survivors of BC. Conclusions: Early results presented in this study point to the potential of this tool concept to provide a friendly and satisfying coaching experience to users, which may help improve PA adherence in survivors of BC.European Union’s Horizon 2020 Research and Innovation Program: Marie Sklodowska-Curie Actions grant agreement number 722012-CATCH-Cancer: Activating Technology for Connected Health.JMIR PublicationsTecnología ElectrónicaTIC150: Tecnología Electrónica e Informática Industrial2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/136685https://doi.org/10.2196/32354reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJMIR Formative Research, 6 (6), e32354.EU H2020 722012-CATCH-Cancerhttps://formative.jmir.org/2022/6/e32354info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1366852026-06-17T12:51:07Z
dc.title.none.fl_str_mv Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
title Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
spellingShingle Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
Ruiz Signorelli, Gabriel
Breast cancer
BC
Mobile app
Physical activity
mHealth
Acceptability
User experience
Mobile phone
title_short Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
title_full Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
title_fullStr Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
title_full_unstemmed Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
title_sort Breast cancer physical activity mobile intervention: early findings from a user experience and acceptability mixed methods study
dc.creator.none.fl_str_mv Ruiz Signorelli, Gabriel
Monteiro-Guerra, Francisco
Rivera-Romero, Octavio
Núñez Benjumea, Francisco José
Fernández Luque, Luis
author Ruiz Signorelli, Gabriel
author_facet Ruiz Signorelli, Gabriel
Monteiro-Guerra, Francisco
Rivera-Romero, Octavio
Núñez Benjumea, Francisco José
Fernández Luque, Luis
author_role author
author2 Monteiro-Guerra, Francisco
Rivera-Romero, Octavio
Núñez Benjumea, Francisco José
Fernández Luque, Luis
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Tecnología Electrónica
TIC150: Tecnología Electrónica e Informática Industrial
dc.subject.none.fl_str_mv Breast cancer
BC
Mobile app
Physical activity
mHealth
Acceptability
User experience
Mobile phone
topic Breast cancer
BC
Mobile app
Physical activity
mHealth
Acceptability
User experience
Mobile phone
description Background: Physical activity (PA) is the most well-established lifestyle factor associated with breast cancer (BC) survival. Even women with advanced BC may benefit from moderate PA. However, most BC symptoms and treatment side effects are barriers to PA. Mobile health coaching systems can implement functionalities and features based on behavioral change theories to promote healthier behaviors. However, to increase its acceptability among women with BC, it is essential that these digital persuasive systems are designed considering their contextual characteristics, needs, and preferences. Objective: This study aimed to examine the potential acceptability and feasibility of a mobile-based intervention to promote PA in patients with BC; assess usability and other aspects of the user experience; and identify key considerations and aspects for future improvements, which may help increase and sustain acceptability and engagement. Methods: A mixed methods case series evaluation of usability and acceptability was conducted in this study. The study comprised 3 sessions: initial, home, and final sessions. Two standardized scales were used: the Satisfaction with Life Scale and the International Physical Activity Questionnaire–Short Form. Participants were asked to use the app at home for approximately 2 weeks. App use and PA data were collected from the app and stored on a secure server during this period. In the final session, the participants filled in 2 app evaluation scales and took part in a short individual interview. They also completed the System Usability Scale and the user version of the Mobile App Rating Scale. Participants were provided with a waist pocket, wired in-ear headphones, and a smartphone. They also received printed instructions. A content analysis of the qualitative data collected in the interviews was conducted iteratively, ensuring that no critical information was overlooked. Results: The International Physical Activity Questionnaire–Short Form found that all participants (n=4) were moderately active; however, half of them did not reach the recommended levels in the guidelines. System Usability Scale scores were all >70 out of 100 (72.5, 77.5, 95, and 80), whereas the overall user version of the Mobile App Rating Scale scores were 4, 4.3, 4.4, and 3.6 out of 5. The app was perceived to be nice, user-friendly, straightforward, and easy to understand. Recognition of achievements, the possibility of checking activity history, and the rescheduling option were positively highlighted. Technical difficulties with system data collection, particularly with the miscount of steps, could make users feel frustrated. The participants suggested improvements and indicated that the app has the potential to work well for survivors of BC. Conclusions: Early results presented in this study point to the potential of this tool concept to provide a friendly and satisfying coaching experience to users, which may help improve PA adherence in survivors of BC.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/136685
https://doi.org/10.2196/32354
url https://hdl.handle.net/11441/136685
https://doi.org/10.2196/32354
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv JMIR Formative Research, 6 (6), e32354.
EU H2020 722012-CATCH-Cancer
https://formative.jmir.org/2022/6/e32354
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
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