Id		3072
Author		Schwarz A.; Winkens L.H.H.; de Vet E.; Ossendrijver D.; Bouwsema K.; Simons M.
Title		Design Features Associated With Engagement in Mobile Health Physical Activity Interventions Among Youth: Systematic Review of Qualitative and Quantitative Studies
Reference		Schwarz A.; Winkens L.H.H.; de Vet E.; Ossendrijver D.; Bouwsema K.; Simons M. Design Features Associated With Engagement in Mobile Health Physical Activity Interventions Among Youth: Systematic Review of Qualitative and Quantitative Studies,JMIR mHealth and uHealth 11
Keywords		Adolescent; Adult; Behavior Therapy; Child; Child, Preschool; Exercise; Humans; Mobile Applications; Research Design; Telemedicine; adolescent; adult; behavior therapy; child; exercise; human; methodology; mobile application; preschool child; telemedicine
Link to article		https://www.scopus.com/inward/record.uri?eid=2-s2.0-85149999742&doi=10.2196%2f40898&partnerID=40&md5=95757e94f40f41040fdfc31bf1da03c2
Abstract		Background: Globally, 81% of youth do not meet the physical activity (PA) guidelines. Youth of families with a low socioeconomic position are less likely to meet the recommended PA guidelines. Mobile health (mHealth) interventions are preferred by youth over traditional in-person approaches and are in line with their media preferences. Despite the promise of mHealth interventions in promoting PA, a common challenge is to engage users in the long term or effectively. Earlier reviews highlighted the association of different design features (eg, notifications and rewards) with engagement among adults. However, little is known about which design features are important for increasing engagement among youth. Objective: To inform the design process of future mHealth tools, it is important to investigate the design features that can yield effective user engagement. This systematic review aimed to identify which design features are associated with engagement in mHealth PA interventions among youth who were aged between 4 and 18 years. Methods: A systematic search was conducted in EBSCOhost (MEDLINE, APA PsycINFO, and Psychology & Behavioral Sciences Collection) and Scopus. Qualitative and quantitative studies were included if they documented design features associated with engagement. Design features and related behavior change techniques and engagement measures were extracted. Study quality was assessed according to the Mixed Method Assessment Tool, and one-third of all screening and data extraction were double coded by a second reviewer. Results: Studies (n=21) showed that various features were associated with engagement, such as a clear interface, rewards, multiplayer game mode, social interaction, variety of challenges with personalized difficulty level, self-monitoring, and variety of customization options among others, including self-set goals, personalized feedback, progress, and a narrative. In contrast, various features need to be carefully considered while designing mHealth PA interventions, such as sounds, competition, instructions, notifications, virtual maps, or self-monitoring, facilitated by manual input. In addition, technical functionality can be considered as a prerequisite for engagement. Research addressing youth from low socioeconomic position families is very limited with regard to engagement in mHealth apps. Conclusions: Mismatches between different design features in terms of target group, study design, and content translation from behavior change techniques to design features are highlighted and set up in a design guideline and future research agenda. © 2023 JMIR Publications. All rights reserved.
Metodology
DOI		10.2196/40898
Search Database		Scopus
Technique

ARTICLE