Strategies to improve effectiveness of physical activity coaching systems: Development of personas for providing tailored feedback

Mobile physical activity interventions can be improved by incorporating behavioural change theories. Relations between self-efficacy, stage of change, and physical activity are investigated, enabling development of feedback strategies that can be used to improve their effectiveness. A total of 325 healthy control participants and 82 patients wore an activity monitor. Participants completed a self-efficacy or stage of change questionnaire. Results show that higher self-efficacy is related to higher activity levels. Patients are less active than healthy controls and show a larger drop in physical activity over the day. Patients in the maintenance stage of change are more active than patients in lower stages of change, but show an equally large drop in level of physical activity. Findings suggest that coaching should at least be tailored to level of self-efficacy, stage of change, and physical activity pattern. Tailored coaching strategies are developed, which suggest that increasing self-efficacy of users is most important. Guidelines are provided.

[1]  Miriam M. R. Vollenbroek-Hutten,et al.  Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD , 2012, International journal of telemedicine and applications.

[2]  Miriam M. R. Vollenbroek-Hutten,et al.  Do Personalized Feedback Messages about Activity Patterns Stimulate Patients with Chronic Low Back Pain to Change their Activity Behavior on a Short Term Notice? , 2012, Applied psychophysiology and biofeedback.

[3]  Jim McKenna,et al.  Assessing self-efficacy and the stages of exercise behaviour change , 1996 .

[4]  Shawn N. Fraser,et al.  Evidence for a Multidimensional Self-Efficacy for Exercise Scale , 2008, Research quarterly for exercise and sport.

[5]  Donna Spruijt-Metz,et al.  Current mHealth technologies for physical activity assessment and promotion. , 2013, American journal of preventive medicine.

[6]  E. A. Locke,et al.  Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. , 2002, The American psychologist.

[7]  R. Dishman,et al.  Increasing physical activity: a quantitative synthesis. , 1996, Medicine and science in sports and exercise.

[8]  Mats Börjesson,et al.  A prospective study of leisure-time physical activity and mental health in Swedish health care workers and social insurance officers. , 2010, Preventive medicine.

[9]  S. Noar,et al.  Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. , 2007, Psychological bulletin.

[10]  Valerie M. Jones,et al.  Development and evaluation of a sensor-based system for remote monitoring and treatment of chronic diseases - the continuous care & coaching platform , 2012 .

[11]  D. French,et al.  What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. , 2010, British journal of health psychology.

[12]  B. Marcus,et al.  Efficacy of an individualized, motivationally-tailored physical activity intervention , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[13]  C. Abraham,et al.  Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions , 2011, BMC public health.

[14]  Marilyn E. Gist,et al.  Self-Efficacy: A Theoretical Analysis of Its Determinants and Malleability , 1992 .

[15]  Hermie Hermens,et al.  Tailoring real-time physical activity coaching systems: a literature survey and model , 2014, User Modeling and User-Adapted Interaction.

[16]  M. Fishbein,et al.  Understanding tailoring in communicating about health. , 2008, Health education research.

[17]  D. Schunk,et al.  Self-Efficacy and Academic Motivation , 2002 .

[18]  R. Niaura,et al.  Self-efficacy and the stages of exercise behavior change. , 1992, Research quarterly for exercise and sport.

[19]  M. Weering,et al.  Towards a new treatment for chronic low back pain patients , 2011 .

[20]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[21]  D. Warburton,et al.  Health benefits of physical activity: the evidence , 2006, Canadian Medical Association Journal.

[22]  M. Conner,et al.  The Theory of Planned Behaviour , 2004 .

[23]  A. Bandura.  Self-efficacy mechanism in human agency. , 1982 .

[24]  I. Ajzen.  The theory of planned behavior , 1991 .