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Exploring the Black Box of an mHealth Intervention (LIFE4YOUth): A Qualitative Process and Outcome Evaluation of End-User Engagement

Author

Listed:
  • Anna Seiterö

    (Department of Health, Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden)

  • Kristin Thomas

    (Department of Health, Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden)

  • Marie Löf

    (Department of Health, Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden
    Department of Biosciences and Nutrition, Karolinska Institute, 141 83 Huddinge, Sweden)

  • Ulrika Müssener

    (Department of Health, Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden)

Abstract

The effectiveness of mHealth interventions rely on whether the content successfully activate mechanisms necessary for behavior change. These mechanisms may be affected by end-users’ experience of the intervention content. The aim of this study was to explore how the content of a novel mHealth intervention (LIFE4YOUth) was understood, interpreted, and applied by high school students, and the consequences of engaging with the content. Qualitative content analysis was used inductively and deductively to analyze interview data ( n = 16) based on think-aloud techniques with Swedish high school students aged 16–19 years. Theoretical constructs from social cognitive theory framed the deductive analysis. The analysis resulted in four categories which describe central activities of intervention engagement among end-users: defining, considering, centralizing, and personalizing. End-users engaged in these activities to different degrees as illustrated by four typologies: Literal, Vague, Rigid, and Creative engagement. Most informants knew about the risks and benefits of health behaviors, but engagement with intervention content generally increased informants’ awareness. In conclusion, this study provides in-depth knowledge on the cognitive process when engaging with mHealth content and suggests that deliberate and flexible engagement most likely deepens end-users’ understanding of why and how health behavior change can be managed.

Suggested Citation

  • Anna Seiterö & Kristin Thomas & Marie Löf & Ulrika Müssener, 2022. "Exploring the Black Box of an mHealth Intervention (LIFE4YOUth): A Qualitative Process and Outcome Evaluation of End-User Engagement," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14022-:d:955664
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Nora Wiium & Kyrre Breivik & Bente Wold, 2015. "Growth Trajectories of Health Behaviors from Adolescence through Young Adulthood," IJERPH, MDPI, vol. 12(11), pages 1-19, October.
    3. María Mar Lopez-Rodriguez & Alejandro Fernández-Millan & María Dolores Ruiz-Fernández & Iria Dobarrio-Sanz & Isabel María Fernández-Medina, 2020. "New Technologies to Improve Pain, Anxiety and Depression in Children and Adolescents with Cancer: A Systematic Review," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
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