Apps to improve diet, physical activity and sedentary behaviour in children and adolescents: a review of quality, features and behaviour change techniques

International Journal of Behavioral Nutrition and Physical Activity

Research

Wendy Van Lippevelde¹  Philip Bachert²  Jens-Peter Gnam²  Amanda L. Rebar³  Stephanie Schoeppe³  Melanie Hayman³  Corneel Vandelanotte³  Nicola A. Bray³  Stephanie Alley³  Artur Direito⁴ 

[1] Department of Public Health, Ghent University, Ghent, Belgium;Karlsruhe Institute of Technology, Institute of Sports und Sports Science, Karlsruhe, Germany;School of Health, Medical and Applied Sciences, Physical Activity Research Group, Central Queensland University, Bruce Highway, 4702, Rockhampton, QLD, Australia;The University of Auckland, National Institute for Health Innovation, Auckland, New Zealand;

关键词: Mobile health (mHealth);    Smartphone;    Applications;    MARS;    Behaviour change techniques;    Diet;    Physical activity;    Sedentary behavior;    Children;    Adolescents;   

DOI  :  10.1186/s12966-017-0538-3

 received in 2017-03-10, accepted in 2017-06-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe number of commercial apps to improve health behaviours in children is growing rapidly. While this provides opportunities for promoting health, the content and quality of apps targeting children and adolescents is largely unexplored. This review systematically evaluated the content and quality of apps to improve diet, physical activity and sedentary behaviour in children and adolescents, and examined relationships of app quality ratings with number of app features and behaviour change techniques (BCTs) used.MethodsSystematic literature searches were conducted in iTunes and Google Play stores between May–November 2016. Apps were included if they targeted children or adolescents, focused on improving diet, physical activity and/or sedentary behaviour, had a user rating of at least 4+ based on at least 20 ratings, and were available in English. App inclusion, downloading and user-testing for quality assessment and content analysis were conducted independently by two reviewers. Spearman correlations were used to examine relationships between app quality, and number of technical app features and BCTs included.ResultsTwenty-five apps were included targeting diet (n = 12), physical activity (n = 18) and sedentary behaviour (n = 7). On a 5-point Mobile App Rating Scale (MARS), overall app quality was moderate (total MARS score: 3.6). Functionality was the highest scoring domain (mean: 4.1, SD: 0.6), followed by aesthetics (mean: 3.8, SD: 0.8), and lower scoring for engagement (mean: 3.6, SD: 0.7) and information quality (mean: 2.8, SD: 0.8). On average, 6 BCTs were identified per app (range: 1–14); the most frequently used BCTs were providing ‘instructions’ (n = 19), ‘general encouragement’ (n = 18), ‘contingent rewards’ (n = 17), and ‘feedback on performance’ (n = 13). App quality ratings correlated positively with numbers of technical app features (rho = 0.42, p < 0.05) and BCTs included (rho = 0.54, p < 0.01).ConclusionsPopular commercial apps to improve diet, physical activity and sedentary behaviour in children and adolescents had moderate quality overall, scored higher in terms of functionality. Most apps incorporated some BCTs and higher quality apps included more app features and BCTs. Future app development should identify factors that promote users’ app engagement, be tailored to specific population groups, and be informed by health behaviour theories.

【 授权许可】

CC BY   
© The Author(s). 2017