Evidence map›Paper›PMID 33970114›Full record

ArticleJMIR formative research2021

Integrating User-Centered Design and Behavioral Science to Design a Mobile Intervention for Obesity and Binge Eating: Mixed Methods Analysis.

Andrea K Graham, Sean A Munson, Madhu Reddy, Sarah W Neubert, Emilie A Green, Angela Chang, Bonnie Spring, David C Mohr, Jennifer E Wildes

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Andrea K GrahamCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-9736-8906
Sean A MunsonDepartment of Human Centered Design & Engineering, University of Washington, Seattle, WA, United States.ORCID https://orcid.org/0000-0002-0472-6138
Madhu ReddyCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-6330-3637
Sarah W NeubertCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-2660-8335
Emilie A GreenCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-6774-3269
Angela ChangCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-3421-5264
Bonnie SpringDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-0692-9868
David C MohrCenter for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-5443-7596
Jennifer E WildesDepartment of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-0950-4347
Northwestern University · USUniversity of Chicago · USUniversity of Washington · US

Funding

UW ALACRITY Center for Psychosocial Interventions ResearchP50MH115837 · NIMH · UNIVERSITY OF WASHINGTON · PI IAN Moore BENNETT · 2018 to 2026
$18.2M
Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DAVID CURTIS MOHR, Jessica Lee Schleider · 2020 to 2026
$10.7M
Testing Intervention Strategies for Addressing Obesity and Binge EatingK01DK116925 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GRAHAM, ANDREA KASS · 2018 to 2022
$799k
NIDDK NIH HHS K01 DK116925NIMH NIH HHS P50 MH115837NIMH NIH HHS P50 MH119029
6 · The paper itself

Abstract

backgroundAccounting for how end users engage with technologies is imperative for designing an efficacious mobile behavioral intervention.

objectiveThis mixed methods analysis examined the translational potential of user-centered design and basic behavioral science to inform the design of a new mobile intervention for obesity and binge eating.

methodsA total of 22 adults (7/22, 32% non-Hispanic White; 8/22, 36% male) with self-reported obesity and recurrent binge eating (≥12 episodes in 3 months) who were interested in losing weight and reducing binge eating completed a prototyping design activity over 1 week. Leveraging evidence from behavioral economics on choice architecture, participants chose treatment strategies from 20 options (aligned with treatment targets composing a theoretical model of the relation between binge eating and weight) to demonstrate which strategies and treatment targets are relevant to end users. The process by which participants selected and implemented strategies and their change in outcomes were analyzed.

resultsAlthough prompted to select one strategy, participants selected between 1 and 3 strategies, citing perceived achievability, helpfulness, or relevance as selection reasons. Over the week, all practiced a strategy at least once; 82% (18/22) struggled with implementation, and 23% (5/22) added a new strategy. Several themes emerged on successes and challenges with implementation, yielding design implications for supporting users in behavior change. In postexperiment reflections, 82% (18/22) indicated the strategy was helpful, and 86% (19/22) planned to continue use. One-week average within-subject changes in weight (-2.2 [SD -5.0] pounds) and binge eating (-1.6 [SD -1.8] episodes) indicated small clinical improvement.

conclusionsApplying user-centered design and basic behavioral science yielded design insights to incorporate personalization through user choice with guidance, which may enhance engagement with and potential efficacy of digital health interventions.

Indexed as

binge eatingengagementexperimental therapeuticsmobile interventionobesityuser-centered design

Identifiers

PMID33970114
PMCPMC8145081
OpenAlexW3117560101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.