RESUMEN
BACKGROUND: Advancements in mobile phone technology offer huge potential for enhancing the timely delivery of health behavior change interventions. The development of smartphone-based health interventions (apps) is a rapidly growing field of research, yet there have been few longitudinal examinations of how people experience and use these apps within their day-to-day routines, particularly within the context of a hybrid Web- and app-based intervention. OBJECTIVE: This study used an in-depth mixed-methods design to examine individual variation in (1) impact on self-reported goal engagement (ie, motivation, self-efficacy, awareness, effort, achievement) of access to a weight management app (POWeR Tracker) when provided alongside a Web-based weight management intervention (POWeR) and (2) usage and views of POWeR Tracker. METHODS: Thirteen adults were provided access to POWeR and were monitored over a 4-week period. Access to POWeR Tracker was provided in 2 alternate weeks (ie, weeks 1 and 3 or weeks 2 and 4). Participants' goal engagement was measured daily via self-report. Mixed effects models were used to examine change in goal engagement between the weeks when POWeR Tracker was and was not available and whether the extent of change in goal engagement varied between individual participants. Usage of POWeR and POWeR Tracker was automatically recorded for each participant. Telephone interviews were conducted and analyzed using inductive thematic analysis to further explore participants' experiences using POWeR and POWeR Tracker. RESULTS: Access to POWeR Tracker was associated with a significant increase in participants' awareness of their eating (ß1=0.31, P=.04) and physical activity goals (ß1=0.28, P=.03). The level of increase varied between individual participants. Usage data showed that participants used the POWeR website for similar amounts of time during the weeks when POWeR Tracker was (mean 29 minutes, SD 31 minutes) and was not available (mean 27 minutes, SD 33 minutes). POWeR Tracker was mostly accessed in short bursts (mean 3 minutes, SD 2 minutes) during convenient moments or moments when participants deemed the intervention content most relevant. The qualitative data indicated that nearly all participants agreed that it was more convenient to access information on-the-go via their mobiles compared to a computer. However, participants varied in their views and usage of the Web- versus app-based components and the informational versus tracking tools provided by POWeR Tracker. CONCLUSIONS: This study provides evidence that smartphones have the potential to improve individuals' engagement with their health-related goals when used as a supplement to an existing online intervention. The perceived convenience of mobile access to information does not appear to deter use of Web-based interventions or strengthen the impact of app access on goal engagement. A mixed-methods design enabled exploration of individual variation in daily usage of the app-based tools.
Asunto(s)
Peso Corporal/fisiología , Teléfono Celular , Internet , Programas de Reducción de Peso/métodos , Adolescente , Adulto , Instrucción por Computador/métodos , Femenino , Conductas Relacionadas con la Salud , Educación en Salud/métodos , Humanos , Masculino , Persona de Mediana Edad , Monitoreo Fisiológico , Autoeficacia , Autoinforme , Adulto JovenRESUMEN
It has previously been shown that readers spend a great deal of time skim reading on the Web and that this type of reading can affect comprehension of text. Across two experiments, we examine how hyperlinks influence perceived importance of sentences and how perceived importance in turn affects reading behaviour. In Experiment 1, participants rated the importance of sentences across passages of Wikipedia text. In Experiment 2, a different set of participants read these passages while their eye movements were tracked, with the task being either reading for comprehension or skim reading. Reading times of sentences were analysed in relation to the type of task and the importance ratings from Experiment 1. Results from Experiment 1 show readers rated sentences without hyperlinks as being of less importance than sentences that did feature hyperlinks, and this effect is larger when sentences are lower on the page. It was also found that short sentences with more links were rated as more important, but only when they were presented at the top of the page. Long sentences with more links were rated as more important regardless of their position on the page. In Experiment 2, higher importance scores resulted in longer sentence reading times, measured as fixation durations. When skim reading, however, importance ratings had a lesser impact on online reading behaviour than when reading for comprehension. We suggest readers are less able to establish the importance of a sentence when skim reading, even though importance could have been assessed by information that would be fairly easy to extract (i.e. presence of hyperlinks, length of sentences, and position on the screen).
Asunto(s)
Control de la Conducta/métodos , Gráficos por Computador , Internet , Percepción/fisiología , Lectura , Adolescente , Adulto , Atención/fisiología , Control de la Conducta/ética , Comprensión/fisiología , Gráficos por Computador/ética , Gráficos por Computador/normas , Aprendizaje Discriminativo/fisiología , Movimientos Oculares/fisiología , Femenino , Humanos , Internet/ética , Internet/organización & administración , Juicio/fisiología , Masculino , Comunicación Persuasiva , Estimulación Luminosa/métodos , Adulto JovenRESUMEN
It has been shown that readers spend a great deal of time skim reading on the Web and that this type of reading can affect lexical processing of words. Across two experiments, we utilised eye tracking methodology to explore how hyperlinks and navigating webpages affect reading behaviour. In Experiment 1, participants read static Webpages either for comprehension or whilst skim reading, while in Experiment 2, participants additionally read through a navigable Web environment. Embedded target words were either hyperlinks or not and were either high-frequency or low-frequency words. Results from Experiment 1 show that while readers lexically process both linked and unlinked words when reading for comprehension, readers only fully lexically process linked words when skim reading, as was evidenced by a frequency effect that was absent for the unlinked words. They did fully lexically process both linked and unlinked words when reading for comprehension. In Experiment 2, which allowed for navigating, readers only fully lexically processed linked words compared to unlinked words, regardless of whether they were skim reading or reading for comprehension. We suggest that readers engage in an efficient reading strategy where they attempt to minimise comprehension loss while maintaining a high reading speed. Readers use hyperlinks as markers to suggest important information and use them to navigate through the text in an efficient and effective way. The task of reading on the Web causes readers to lexically process words in a markedly different way from typical reading experiments.
Asunto(s)
Internet , Lectura , Adolescente , Adulto , Atención , Comprensión , Movimientos Oculares , Femenino , Humanos , Masculino , Semántica , Adulto JovenRESUMEN
There has been debate about whether blue hyperlinks on the Web cause disruption to reading. A series of eye tracking experiments were conducted to explore if coloured words in black text had any impact on reading behaviour outside and inside a Web environment. Experiment 1 and 2 explored the saliency of coloured words embedded in single sentences and the impact on reading behaviour. In Experiment 3, the effects of coloured words/hyperlinks in passages of text in a Web-like environment was explored. Experiment 1 and 2 showed that multiple coloured words in text had no negative impact on reading behaviour. However, if the sentence featured only a single coloured word, a reduction in skipping rates was observed. This suggests that the visual saliency associated with a single coloured word may signal to the reader that the word is important, whereas this signalling is reduced when multiple words are coloured. In Experiment 3, when reading passages of text containing hyperlinks in a Web environment, participants showed a tendency to re-read sentences that contained hyperlinked, uncommon words compared to hyperlinked, common words. Hyperlinks highlight important information and suggest additional content, which for more difficult concepts, invites rereading of the preceding text.
Asunto(s)
Internet , Reconocimiento Visual de Modelos/fisiología , Lectura , Semántica , Adulto , Color , Movimientos Oculares/fisiología , Femenino , Humanos , Masculino , Adulto JovenRESUMEN
[This corrects the article DOI: 10.1371/journal.pone.0169162.].
RESUMEN
Push notifications offer a promising strategy for enhancing engagement with smartphone-based health interventions. Intelligent sensor-driven machine learning models may improve the timeliness of notifications by adapting delivery to a user's current context (e.g. location). This exploratory mixed-methods study examined the potential impact of timing and frequency on notification response and usage of Healthy Mind, a smartphone-based stress management intervention. 77 participants were randomised to use one of three versions of Healthy Mind that provided: intelligent notifications; daily notifications within pre-defined time frames; or occasional notifications within pre-defined time frames. Notification response and Healthy Mind usage were automatically recorded. Telephone interviews explored participants' experiences of using Healthy Mind. Participants in the intelligent and daily conditions viewed (d = .47, .44 respectively) and actioned (d = .50, .43 respectively) more notifications compared to the occasional group. Notification group had no meaningful effects on percentage of notifications viewed or usage of Healthy Mind. No meaningful differences were indicated between the intelligent and non-intelligent groups. Our findings suggest that frequent notifications may encourage greater exposure to intervention content without deterring engagement, but adaptive tailoring of notification timing does not always enhance their use. Hypotheses generated from this study require testing in future work. TRIAL REGISTRATION NUMBER: ISRCTN67177737.