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Learning healthy habits with a mobile self-intervention

Published: 20 May 2014 Publication History

Abstract

Health interventions aim to influence behavior by creating healthy habits that substitute existing unhealthy ones. Habits are often deeply ingrained but also easily disrupted in new situations. This makes the changing of habits a life-long learning and adaptation process rather than a one-time task with limited duration. Therefore, modern understanding of learning may be applied in designing effective and sustainable health interventions. We have designed the "Mindless Change" mobile intervention based on a framework of modern learning theories. The self-intervention guides the user in a habit formation through small daily changes, supported by a user selectable simple cartoon type of avatar with varied dialogue. We conducted a four-week pilot study with 66 participants to assess the feasibility of our intervention and especially the contribution of the avatar. Users found the self-intervention intuitive and easy to use but the attrition remained a challenge in this open pilot where participants were not provided any external motivation, support or incentives to start and continue using the service. The results suggest that even a simple non-anthropomorphic support avatar can be beneficial for the health intervention, which encourages us to investigate the concept further.

References

[1]
Baylor, A.: Promoting motivation with virtual agents and avatars: Role of visual presence and appearance. Philos Trans R Soc Lond B Biol Sci. 2009;364(1535):3559--3565
[2]
Consolvo, S., McDonald, D. W., Landay, J. A: Theory-driven design strategies for technologies that support behavior change in everyday life. In: Proceedings of CHI 2009.
[3]
Deci, E., Flaste R.: Why we do what we do: Understanding Self-Motivation. Penguin Books, London (1996).
[4]
Deci, E., Ryan, R.: Handbook of Self-Determination Research. The University of Rochester Press, Rochester (2004).
[5]
Duhigg, C.: The power of habit. Random House Books, London (2013).
[6]
Fogg, B. J.: Creating Persuasive Technologies: An Eight-Step Design Process. In: Proceedings of the 4th International Conference on Persuasive Technology (2009).
[7]
Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V., Haines, A.: The Effectiveness of Mobile-Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review. PLOS Med. 10(1), e1001362 (2013).
[8]
Harasim, L.: Learning Theory and Online Technologies. Routledge: New York (2012).
[9]
Hekler, E. B., Klasnja, P., Froehlich, J. E., Buman, M. P.: Mind the Theoretical Gap: Interpreting, Using, and Developing Behavioral Theory in HCI Research. In: Proceedings of CHI 2013.
[10]
Honka, A., Kaipainen, K., Hietala, H., Saranummi, N.: Rethinking Health: ICT-Enabled Services to Empower People to Better Manage Their Health. IEEE Reviews in Biomedical Engineering 4, pp. 119--139 (2011).
[11]
Illeris, K.:A comprehensive understanding of human learning. In: Illeris, K. (ed.), Contemporary theories of learning, pp. 7--20. Routledge, London (2009).
[12]
Jarvis, P., Holford, J., Griffin, C.: The theory & practice of learning. Routledge, London (2003).
[13]
Kaipainen, K., Payne, C. R., Wansink, B.: Mindless Eating Challenge: Retention, weight outcomes, and barriers for changes in a public web-based healthy eating and weight loss program. Journal of Medical Internet Research 14(6), e168 (2012)
[14]
Kelders, S. M., Kok, R. N., Ossebaard, H. C., Van Gejmert-Pijnen, J. E. W. C.: Persuasive system design does matter: A systematic review of adherence to web-based interventions. Journal of Medical Internet Research 14(6), e152 (2012).
[15]
Klasnja, P., Pratt, W.: Healthcare in the pocket: Mapping the space of mobile-phone health interventions. J Biomed. Informatics 45(1), pp. 184--198 (2012)
[16]
Müller, L., Rivera-Pelayo, V., Heuer, S.: Persuasion and reflective learning: closing the feedback loop. In M., Bang, E. L., Ragnemalm (eds), Persuasive technology, design for health and safety, pp. 131--144. Springer, London (2012).
[17]
Niemiec, C. P, Ryan, R. M.: Autonomy, competence, and relatedness in the classroom Applying self-determination theory to educational practice. In: Theory and Research in Education 7(2), pp. 133--144 (2009).
[18]
Oinas-Kukkonen, H., Harjumaa, M.: Persuasive Systems Design: Key Issues, Process Model, and System Features. Commun Assoc Inf Syst 2009;24(1):28
[19]
Riley, W. T., Rivera, D. E., Atienza, A. A., Nilsen, W., Allison, S. M., Mermelstein, R.: Health behavior models in the age of mobile interventions: are our theories up to the task? Transl Behav Med. 1(1), pp. 53--71 (2011).
[20]
Ruiz, J., Andrade, A., Roos, B.: Medical Avatars---An Innovative Approach to Fostering Health Promotion and Lifestyle Change. Federal practitioner, April 2012, pp. 25--31
[21]
Schüz, B., Sniehotta, F. F., Mallach, N., Wiedemann, A. U., Schwarzer, R.: Predicting transitions from preintentional, intentional and actional stages of change. Health Education Research 24(1), pp. 64--75 (2009)
[22]
Sundar, S., Bellur, S., Jia, H.: Motivational technologies: A theoretical framework for designing preventive health care applications. In M., Bang, E., Ragnemalm (eds), Persuasive technology, design for health and safety, pp. 112--122. Springer, London (2012).
[23]
Suoranta, J., Vaden, T.: Wikiworld. Pluto Press, London (2010).
[24]
Verplanken, B., Wood, W.: Interventions to break and create consumer habits. Journal of Public Policy and Marketing 25(1), pp. 90--103 (2006)
[25]
Wansink, B.: From mindless eating to mindlessly eating better. Physiology & Behavior 100, pp. 454--563 (2010)
[26]
Webb, T. L., Joseph, J., Yardley, L., Michie, S.: Using the Internet to promote health behavior change. J Med Internet Res (2010).
[27]
Wenger, E.: Communities of practice, learning, meaning and identity. Cambridge University Press, Cambridge (2008).

Cited By

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  • (2015)Evaluating effectiveness of stimulus control, time management and self-reward for weight loss behavior changeAdjunct Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2015 ACM International Symposium on Wearable Computers10.1145/2800835.2801645(441-446)Online publication date: 7-Sep-2015

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PervasiveHealth '14: Proceedings of the 8th International Conference on Pervasive Computing Technologies for Healthcare
May 2014
459 pages
ISBN:9781631900112

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ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering)

Brussels, Belgium

Publication History

Published: 20 May 2014

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Author Tags

  1. behavior change
  2. dialogue support
  3. habit change
  4. learning theories
  5. mobile intervention design
  6. pilot test

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PervasiveHealth '14

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Overall Acceptance Rate 55 of 116 submissions, 47%

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View all
  • (2015)Evaluating effectiveness of stimulus control, time management and self-reward for weight loss behavior changeAdjunct Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2015 ACM International Symposium on Wearable Computers10.1145/2800835.2801645(441-446)Online publication date: 7-Sep-2015

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