A Smartphone App to Reduce Sugar-Sweetened Beverage Consumption Among Young Adults in Australian Remote Indigenous Communities: Design, Formative Evaluation and User-Testing

dc.contributor.author Tonkin, Emma en_US
dc.contributor.author Jeffs, Lauren en_US
dc.contributor.author Wycherley, Thomas Philip en_US
dc.contributor.author Maher, Carol en_US
dc.contributor.author Smith, Ross Travers en_US
dc.contributor.author Hart, Ross en_US
dc.contributor.author Cubillo, Beau en_US
dc.contributor.author Brimblecombe, Julie en_US
dc.date.accessioned 2019-07-10T02:00:55Z
dc.date.available 2019-07-10T02:00:55Z
dc.date.issued 2017-12-12
dc.description ©Emma Tonkin, Lauren Jeffs, Thomas Philip Wycherley, Carol Maher, Ross Smith, Jonathon Hart, Beau Cubillo, Julie Brimblecombe. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 12.12.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. en_US
dc.description.abstract Background: The disproportionate burden of noncommunicable disease among Indigenous Australians living in remote Indigenous communities (RICs) is a complex and persistent problem. Smartphones are increasingly being used by young Indigenous adults and therefore represent a promising method to engage them in programs seeking to improve nutritional intake. Objective: This study aimed to consult RIC members to inform the content of a smartphone app that can be used to monitor and reduce sugar-sweetened beverage intake in RICs. Methods: The study was conducted in two phases. The formative phase involved a simulated grocery selection activity with think aloud (“think aloud shop”), a semistructured interview, a questionnaire outlining current smartphone and app use, and a paper prototyping activity. A preliminary end-user testing phase involved a think aloud prototype test and a semistructured interview regarding user satisfaction. Convenience sampling was used to recruit 20 18- to 35-year-old smartphone users for each phase from two RICs in the Northern Territory, Australia. Thematic analysis of transcribed audio recordings was used to identify determinants of food choice from the think aloud shop; themes related to the Theory of Planned Behavior (TPB) from the eating behaviors interview; and usability, comprehension, and satisfaction with the app from the preliminary end-user testing. Results: Smartphone use in RICs is currently different to that found in urban environments; in particular, extremely low use of Facebook, restricted variety of phone types, and limited Internet access. Findings regarding promoting app engagement indicate that utilizing an opt-in approach to social features such as leader boards and team challenges is essential. The inclusion of games was also shown to be important for satisfaction, as were the use of audio features, contextually embedded dissemination, and streamlined app design for comprehension in this target group. Conclusions: This research provides critical insights and concrete recommendations for the development of lifestyle improvement apps targeted toward disadvantaged young adults in nonurban settings, specifically RICs. It serves as a framework for future app development projects using a consultative user-centered design approach, supporting calls for the increased use of this strategy in app development. en_US
dc.identifier.citation Tonkin, E., Jeffs, L., Wycherley, T. P., Maher, C., Smith, R., Hart, J., … Brimblecombe, J. (2017). A Smartphone App to Reduce Sugar-Sweetened Beverage Consumption Among Young Adults in Australian Remote Indigenous Communities: Design, Formative Evaluation and User-Testing. JMIR mHealth and uHealth, 5(12), e192. https://doi.org/10.2196/mhealth.8651 en_US
dc.identifier.doi https://doi.org/10.2196/mhealth.8651 en_US
dc.identifier.issn 2291-5222
dc.identifier.uri http://hdl.handle.net/2328/39293
dc.language.iso en en_US
dc.oaire.license.condition.license CC-BY
dc.publisher JMIR Publications en_US
dc.relation http://purl.org/au-research/grants/nhmrc/1053359 en_US
dc.relation.grantnumber NHMRC/1053359 en_US
dc.rights © Emma Tonkin, Lauren Jeffs, Thomas Philip Wycherley, Carol Maher, Ross Smith, Jonathon Hart, Beau Cubillo, Julie Brimblecombe. en_US
dc.rights.holder Emma Tonkin, Lauren Jeffs, Thomas Philip Wycherley, Carol Maher, Ross Smith, Jonathon Hart, Beau Cubillo, Julie Brimblecombe. en_US
dc.subject behavior en_US
dc.subject diet en_US
dc.subject health promotion en_US
dc.subject Indigenous en_US
dc.subject Telemedicine en_US
dc.subject mobile applications en_US
dc.subject public health en_US
dc.title A Smartphone App to Reduce Sugar-Sweetened Beverage Consumption Among Young Adults in Australian Remote Indigenous Communities: Design, Formative Evaluation and User-Testing en_US
dc.type Article en_US
local.contributor.authorOrcidLookup Tonkin, Emma: https://orcid.org/0000-0001-9941-4251 en_US
local.contributor.authorOrcidLookup Jeffs, Lauren: https://orcid.org/0000-0003-1342-6361 en_US
local.contributor.authorOrcidLookup Wycherley, Thomas Philip: https://orcid.org/0000-0003-3096-1796 en_US
local.contributor.authorOrcidLookup Maher, Carol: https://orcid.org/0000-0002-8676-0224 en_US
local.contributor.authorOrcidLookup Smith, Ross Travers: https://orcid.org/0000-0002-9044-9199 en_US
local.contributor.authorOrcidLookup Hart, Ross: https://orcid.org/0000-0001-5665-3308 en_US
local.contributor.authorOrcidLookup Cubillo, Beau: https://orcid.org/0000-0001-7815-2424 en_US
local.contributor.authorOrcidLookup Brimblecombe, Julie: https://orcid.org/0000-0002-1977-276X en_US
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