MyStrengths, a Strengths-Focused Mobile Health Tool: Participatory Design and Development.

chronic care co-design gameful design gamification iterative development mHealth mobile phone participatory design personal strengths positive approach self-management user engagement

Journal

JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394

Informations de publication

Date de publication:
24 Jul 2020
Historique:
received: 30 01 2020
accepted: 13 06 2020
revised: 06 06 2020
entrez: 25 7 2020
pubmed: 25 7 2020
medline: 25 7 2020
Statut: epublish

Résumé

People living with chronic illnesses are an increasingly large group. Research indicates that care and self-management should not only focus on the illness and problem-oriented aspects of these individuals' lives but also support them in recognizing and leveraging their personal strengths in daily life. This paper presents the design and developmental process of MyStrengths, a mobile health (mHealth) app designed to help its users (people with chronic conditions) both find and make use of their personal strengths in their daily lives. Through 4 consecutive phases, this paper presents participant- and researcher-driven activities, discussions regarding design, and development of both the MyStrengths app and its content. During the 4 phases, we used a range of methods and activities, including (1) an idea-generating workshop aimed at creating ideas for strengths-supporting features with different stakeholders, including patients, caregivers, relatives, and designers (N=35); (2) research seminars with an international group of experts (N=6), in which the concept, theoretical background, and design ideas for the app were discussed; (3) a series of co-design workshops with people in the user group (N=22) aiming to create ideas for how to, in an engaging manner, design the app; and (4) in 4 developmental iterations, the app was evaluated by people in the user group (N=13). Content and strengths exercises were worked on and honed by the research team, the expert groups, and our internal editorial team during the entire developmental process. The first phase found a wide range of stakeholder requirements to, and ideas for, strengths-focused mHealth apps. From reviewing literature during the second phase, we found a dearth of research on personal strengths with respect to people living with chronic illnesses. Activities during the third phase creatively provided numerous ideas and suggestions for engaging and gameful ways to develop and design the MyStrengths app. The final phase saw the output from all the earlier phases come together. Through multiple increasingly complete iterations of user evaluations testing and developing, the final prototype of the MyStrengths app was created. Although research supports the use of strengths-focused mHealth tools to support people living with chronic illnesses, there is little guidance as to how these tools and their content should be designed. Through all activities, we found great support among participating users for strengths-focused apps, and we can consider such apps to be both appropriate and valuable. This paper illustrates how combining a range of user-, researcher-, literature-, and designer-based methods can contribute to creating mHealth tools to support people with chronic illnesses to find and use more of their own personal strengths.

Sections du résumé

BACKGROUND BACKGROUND
People living with chronic illnesses are an increasingly large group. Research indicates that care and self-management should not only focus on the illness and problem-oriented aspects of these individuals' lives but also support them in recognizing and leveraging their personal strengths in daily life.
OBJECTIVE OBJECTIVE
This paper presents the design and developmental process of MyStrengths, a mobile health (mHealth) app designed to help its users (people with chronic conditions) both find and make use of their personal strengths in their daily lives. Through 4 consecutive phases, this paper presents participant- and researcher-driven activities, discussions regarding design, and development of both the MyStrengths app and its content.
METHODS METHODS
During the 4 phases, we used a range of methods and activities, including (1) an idea-generating workshop aimed at creating ideas for strengths-supporting features with different stakeholders, including patients, caregivers, relatives, and designers (N=35); (2) research seminars with an international group of experts (N=6), in which the concept, theoretical background, and design ideas for the app were discussed; (3) a series of co-design workshops with people in the user group (N=22) aiming to create ideas for how to, in an engaging manner, design the app; and (4) in 4 developmental iterations, the app was evaluated by people in the user group (N=13). Content and strengths exercises were worked on and honed by the research team, the expert groups, and our internal editorial team during the entire developmental process.
RESULTS RESULTS
The first phase found a wide range of stakeholder requirements to, and ideas for, strengths-focused mHealth apps. From reviewing literature during the second phase, we found a dearth of research on personal strengths with respect to people living with chronic illnesses. Activities during the third phase creatively provided numerous ideas and suggestions for engaging and gameful ways to develop and design the MyStrengths app. The final phase saw the output from all the earlier phases come together. Through multiple increasingly complete iterations of user evaluations testing and developing, the final prototype of the MyStrengths app was created.
CONCLUSIONS CONCLUSIONS
Although research supports the use of strengths-focused mHealth tools to support people living with chronic illnesses, there is little guidance as to how these tools and their content should be designed. Through all activities, we found great support among participating users for strengths-focused apps, and we can consider such apps to be both appropriate and valuable. This paper illustrates how combining a range of user-, researcher-, literature-, and designer-based methods can contribute to creating mHealth tools to support people with chronic illnesses to find and use more of their own personal strengths.

Identifiants

pubmed: 32706651
pii: v4i7e18049
doi: 10.2196/18049
pmc: PMC7414410
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e18049

Informations de copyright

©Stian Jessen, Jelena Mirkovic, Lise Solberg Nes. Originally published in JMIR Formative Research (http://formative.jmir.org), 24.07.2020.

Références

JMIR Public Health Surveill. 2019 Dec 2;5(4):e14886
pubmed: 31789598
Nurs Outlook. 2006 Sep-Oct;54(5):278-86
pubmed: 17027605
J Med Internet Res. 2015 Jul 10;17(7):e172
pubmed: 26163456
Am J Nurs. 2014 Aug;114(8):24-32; quiz 33,46
pubmed: 25036663
Curr Pain Headache Rep. 2010 Apr;14(2):105-12
pubmed: 20425199
J Med Internet Res. 2016 Feb 23;18(2):e40
pubmed: 26907584
Psychol Rep. 2014 Aug;115(1):44-64
pubmed: 25153949
Patient Educ Couns. 2010 Mar;78(3):377-81
pubmed: 20188505
BMC Med Inform Decis Mak. 2013 Feb 20;13:26
pubmed: 23425322
Am Psychol. 2000 Jan;55(1):5-14
pubmed: 11392865
JMIR Mhealth Uhealth. 2013 Jul 10;1(2):e11
pubmed: 25100683
Internet Interv. 2016 Nov 02;6:89-106
pubmed: 30135818
J Clin Nurs. 2015 Sep;24(17-18):2357-67
pubmed: 25951949
Behav Res Ther. 2012 Nov;50(11):699-706
pubmed: 22982085
JMIR Mhealth Uhealth. 2018 Jan 17;6(1):e23
pubmed: 29343463
Ann Behav Med. 2003 Aug;26(1):1-7
pubmed: 12867348
J Nurs Scholarsh. 2012 Jun;44(2):136-44
pubmed: 22551013
Ann Rheum Dis. 2012 Jun;71(6):911-7
pubmed: 22186709
Psychosomatics. 2016 Jul-Aug;57(4):359-68
pubmed: 27129358
Health Expect. 2018 Aug;21(4):787-795
pubmed: 29478260
JMIR Form Res. 2018 Sep 06;2(2):e19
pubmed: 30684438
J Pediatr Health Care. 2017 Jan - Feb;31(1):1
pubmed: 27939585
J Med Internet Res. 2015 Jan 09;17(1):e14
pubmed: 25574939
JMIR Mhealth Uhealth. 2019 Nov 26;7(11):e14730
pubmed: 31769758
Games Health J. 2015 Dec;4(6):480-7
pubmed: 26230971
Transl Behav Med. 2017 Jun;7(2):254-267
pubmed: 27966189
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Am J Health Promot. 1997 Sep-Oct;12(1):38-48
pubmed: 10170434
J Med Internet Res. 2012 Nov 14;14(6):e152
pubmed: 23151820
Cancer Nurs. 2012 Jan-Feb;35(1):E8-E17
pubmed: 21558850
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
JMIR Res Protoc. 2016 Aug 24;5(3):e175
pubmed: 27558951
Psychooncology. 2017 Dec;26(12):2101-2108
pubmed: 27862646
JAMA. 2002 Nov 20;288(19):2469-75
pubmed: 12435261
Front Psychol. 2020 May 27;11:926
pubmed: 32536888
Psychosomatics. 2016 Jul-Aug;57(4):348-58
pubmed: 27137709
Clin J Pain. 2016 Jan;32(1):32-44
pubmed: 25724020
J Biomed Inform. 2008 Aug;41(4):624-35
pubmed: 18082468
JMIR Mhealth Uhealth. 2018 Dec 14;6(12):e11579
pubmed: 30552080
J Posit Psychol. 2014 Jan 1;9(6):523-534
pubmed: 25214877
Disabil Rehabil. 2018 Apr;40(7):765-778
pubmed: 28084842
J Med Internet Res. 2019 Jun 18;21(6):e12505
pubmed: 31215517
Am Psychol. 2005 Jul-Aug;60(5):410-21
pubmed: 16045394
JMIR Form Res. 2018 Jun 05;2(1):e10774
pubmed: 30684404
JMIR Ment Health. 2019 Jun 26;6(6):e13717
pubmed: 31244479
BMJ Open. 2016 Oct 4;6(10):e012447
pubmed: 27707829
Am J Public Health. 2014 Aug;104(8):e25-31
pubmed: 24922170
JMIR Serious Games. 2018 Jan 16;6(1):e2
pubmed: 29339346
Can Fam Physician. 2014 Dec;60(12):1123-33
pubmed: 25642490

Auteurs

Stian Jessen (S)

Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Jelena Mirkovic (J)

Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.

Lise Solberg Nes (LS)

Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Classifications MeSH