ArticleFrontiers in digital health2025
Participatory design and evaluation of digital coaching for improving health-the star multicomponent lifestyle intervention.
Article in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Behavior change beyond intervention: an activity-theoretical perspective on human-centered design of personal health technology.Frontiers in digital health · 2026Article
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Abstract
Introduction: There are particular challenges when designing and developing a digital coaching application aimed at providing person-tailored support for lifestyle changes in multiple domains to promote health. This study explored how a participatory design process addresses challenges that materialised in a multicomponent lifestyle intervention, providing an understanding of the onboarding experience and early user engagement. Method: A participatory design methodology was applied involving a multidisciplinary team of 12 domain experts and different groups of end users in design cycles, model construction, prototyping, and evaluation. The process followed a design methodology for argument-based health information systems and a framework for layered interactive adaptive systems to engage domain experts in the development of aspects relating to the interactivity of the system. A qualitative user study was conducted with eight participants, five regular users and three nurses, focussing on the onboarding phase. Results: Contributions of this article are (i) the StarCoach, the person-tailored health-promotion intervention for multiple health behaviours supporting short and long-term goals; (ii) a framework for studying multicomponent lifestyle interventions with multiple behaviour change techniques (BCTs); and (iii) qualitative results regarding usage, adherence to, and perceived effects of the intervention with a focus on the initial phase of using the application. The five regular participants reported increased health-promoting activities during the onboarding phase and were using already habituated activities to establish a routine to use the intervention. Conclusion: The participatory design led to StarCoach embedding clusters of BCTs, which build a framework for research on multicomponent lifestyle interventions. Whether using already habituated activities to establish a routine to use the intervention could be a strategy to increase adherence and engagement in the onboarding phase and beyond will be a focus in future studies. The participants also showed increased engagement in their chosen lifestyle-change activities during the study period. The findings will be followed up in future studies to evaluate the effects on behaviour over a longer period of time.
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