Abstract
Persuasive technology can support persons with chronic conditions to comply with their treatment plan. For persons with chronic obstructive pulmonary disease (COPD), staying physically active is crucial to prevent deteriorations of their health status. However, most persons with COPD do not reach and maintain recommended levels of physical activity goals. Although COPD is expected to become the third most common cause of death worldwide, research on how to design persuasive systems for motivating specifically persons with COPD to engage in regular physical activity is still scarce. To bridge this gap, we conducted a study involving persons with COPD (n = 115) to investigate the perceived persuasiveness of 17 strategies (i.e., ratings of their concrete implementation) and individual susceptibility to persuasion (i.e., an underlying disposition to be more receptive to certain persuasive strategies). Based on our analysis, the following strategies were perceived as most persuasive: personalization, reminder, commitment, self-monitoring, rewards, customization, authority, and scarcity. Interestingly, the data revealed differences between perceived persuasiveness and individual susceptibility to persuasion, indicating that both constructs measure distinct aspects of persuasiveness. Our results are relevant to designers and developers of persuasive systems by providing valuable insights about the most promising persuasive strategies and their practical implementation when designing for persons with COPD.
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Buist, A.S., McBurnie, M.A., Vollmer, W.M., Gillespie, S., Burney, P., Mannino, D.M., Menezes, A.M.B., Sullivan, S.D., Lee, T.A., Weiss, K.B., Jensen, R.L., Marks, G.B., Gulsvik, A., Nizankowska-Mogilnicka, E.: International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet 370(9589), 741–750 (2007)
World Health Organization (WHO): Burden of COPD. http://www.who.int/respiratory/copd/burden/en/. Accessed 31 Jan 2018
Gibson, G.J., Loddenkemper, R., Lundbäck, B., Sibille, Y.: Respiratory health and disease in Europe: the new European lung white book. Eur. Respir. J. 42(3), 559–563 (2013)
Wilkinson, T.M.A., Donaldson, G.C., Hurst, J.R., Seemungal, T.A.R., Wedzicha, J.A.: Early therapy improves outcomes of exacerbations of chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 169, 1298–1303 (2004)
Halpin, D.M.G., Laing-Morton, T., Spedding, S., Levy, M.L., Coyle, P., Lewis, J., Newbold, P., Marno, P.: A randomised controlled trial of the effect of automated interactive calling combined with a health risk forecast on COPD using EXACT PRO. Prim. Care Respir. J. 20(3), 324–331 (2011)
Watz, H., Pitta, F., Rochester, C.L., Garcia-Aymerich, J., ZuWallack, R., Troosters, T., Vaes, A.W., Puhan, M.A., Jehn, M., Polkey, M.I., Vogiatzis, I., Clini, E.M., Toth, M., Gimeno-Santos, E., Waschki, B., Esteban, C., Hayot, M., Casaburi, R., Porszasz, J., McAuley, E., Singh, S.J., Langer, D., Wouters, E.F., Magnussen, H., Spruit, M.A.: An official European respiratory society statement on physical activity in COPD. Eur. Respir. J. 44, 1521–1537 (2014)
van Boven, J.F.M., Chavannes, N.H., van Der Molen, T., Rutten-van Mölken, M.P.M.H., Postma, M.J., Vegter, S.: Clinical and economic impact of non-adherence in COPD: a systematic review. Respir. Med. 108(1), 103–113 (2014)
Matthews, J., Win, K.T., Oinas-Kukkonen, H., Freeman, M.: Persuasive technology in mobile applications promoting physical activity: a systematic review. J. Med. Syst. 40(3), 1–13 (2016)
Bartlett, Y.K., Webb, T.L., Hawley, M.S.: Using persuasive technology to increase physical activity in people with chronic obstructive pulmonary disease by encouraging regular walking: a mixed-methods study exploring opinions and preferences. JMIR 19(4), e124 (2017)
Yoganathan, D., Kajanan, S.: Persuasive technology for smartphone fitness. In: PACIS 2013 Proceedings, Paper 185 (2013)
Leidy, N.K., Kimel, M., Ajagbe, L., Kim, K., Hamilton, A., Becker, K.: Designing trials of behavioral interventions to increase physical activity in patients with COPD: insights from the chronic disease literature. Respir. Med. 108, 472–481 (2014)
Voncken-Brewster, V., Moser, A., van der Weijden, T., Nagykaldi, Z., De Vries, H., Tange, H.: Usability evaluation of an online, tailored self-management intervention for chronic obstructive pulmonary disease patients incorporating behavior change techniques. JMIR Res. Protoc. 2(1), e3 (2013)
De Vries, H., Mesters, I., Van De Steeg, H., Honing, C.: The general public’s information needs and perceptions regarding hereditary cancer: an application of the integrated change model. Patient Educ. Couns. 56, 154–165 (2005)
Van Der Weegen, S., Verwey, R., Spreeuwenberg, M., Tange, H., Van Der Weijden, T., De Witte, L.: The development of a mobile monitoring and feedback tool to stimulate physical activity of people with a chronic disease in primary care: a user-centered design. JMIR Mhealth Uhealth 1(2), e8 (2013)
Bartlett, Y.K., Sheeran, P., Hawley, M.S.: Effective behaviour change techniques in smoking cessation interventions for people with chronic obstructive pulmonary disease: a meta-analysis. Br. J. Health. Psychol. 19, 181–203 (2014)
Kaptein, M., De Ruyter, B., Markopoulos, P., Aarts, E.: Adaptive persuasive systems. ACM Trans. Interact. Intell. Syst. 2(2), 25p (2012). Article 10
Orji, R., Vassileva, J., Mandryk, R.L.: Modeling the efficacy of persuasive strategies for different gamer types in serious games for health. User Model. User-Adap. Inter. 24, 453–498 (2014)
Busch, M., Mattheiss, E., Reisinger, M., Orji, R., Fröhlich, P., Tscheligi, M.: More than sex: the role of femininity and masculinity in the design of personalized persuasive games. In: Meschtscherjakov, A., De Ruyter, B., Fuchsberger, V., Murer, M., Tscheligi, M. (eds.) PERSUASIVE 2016. LNCS, vol. 9638, pp. 219–229. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-31510-2_19
Orji, R., Nacke, L.E., DiMarco, C.: Towards personality-driven persuasive health games and gamified systems. In: Proceedings SIGCHI Conference on Human Factors Computer System (2017)
Cialdini, R.B.: Harnessing the science of persuasion. Harv. Bus. Rev. 79(9), 72–81 (2001)
Drozd, F., Lehto, T., Oinas-Kukkonen, H.: Exploring perceived persuasiveness of a behavior change support system: a structural model. In: Bang, M., Ragnemalm, E.L. (eds.) PERSUASIVE 2012. LNCS, vol. 7284, pp. 157–168. Springer, Heidelberg (2012). https://doi.org/10.1007/978-3-642-31037-9_14
Cialdini, R.B.: The science of persuasion. Sci. Am. 284(2), 76–81 (2004)
Leidy, N.K., Wilcox, T.K., Jones, P.W., Jones, P., Roberts, L., Powers, J.H., Sethi, S., Donohue, J., Eremenco, S., Erickson, P., Martinez, F., Patrick, D., Rennard, S., Rodriguez-Roisin, R., Schünemann, H.: Standardizing measurement of chronic obstructive pulmonary disease exacerbations: reliability and validity of a patient-reported diary. Am. J. Respir. Crit. Care Med. 183(3), 323–329 (2011)
Vestbo, J., Hurd, S.S., Agustí, A.G., Jones, P.W., Vogelmeier, C., Anzueto, A., Barnes, P.J., Fabbri, L.M., Martinez, F.J., Nishimura, M., Stockley, R.A., Sin, D.D., Rodriguez-Roisin, R.: Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease GOLD executive summary. Am. J. Respir. Crit. Care Med. 187(4), 347–365 (2013)
Celli, B.R., Decramer, M., Wedzicha, J.A, Wilson, K.C., Agustí, A., Criner, G.J., MacNee, W., Make, B.J., Rennard, S.I., Stockley, R.A., Vogelmeier, C., Anzueto, A., Au, D.H., Barnes, P.J., Burgel, P.R., Calverley, P.M., Casanova, C., Clini, E.M., Cooper, C.B., Coxson, H.O., Dusser, D.J., Fabbri, L.M., Fahy, B., Ferguson, G.T., Fisher, A., Fletcher, M.J., Hayot, M., Hurst, J.R., Jones, P.W., Mahler, D.A., Maltais, F., Mannino, D.M., Martinez, F.J., Miravitlles, M., Meek, P.M., Papi, A., Rabe, K.F., Roche, N., Sciurba, F.C., Sethi, S., Siafakas, N., Sin, D.D., Soriano, J.B., Stoller, J.K., Tashkin, D.P., Troosters, T., Verleden, G.M., Verschakelen, J., Vestbo, J., Walsh, J.W., Washko, G.R., Wise, R.A., Wouters, E.F., ZuWallack, R.L.: An official American Thoracic Society/European Respiratory Society statement: research questions in COPD. Eur. Respir. J. 45, 879–905 (2015)
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This research has partly been funded by the Vienna Business Agency under contract no. ID 1605387 (SmartCOPDTrainer).
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Wais-Zechmann, B., Gattol, V., Neureiter, K., Orji, R., Tscheligi, M. (2018). Persuasive Technology to Support Chronic Health Conditions: Investigating the Optimal Persuasive Strategies for Persons with COPD. In: Ham, J., Karapanos, E., Morita, P., Burns, C. (eds) Persuasive Technology. PERSUASIVE 2018. Lecture Notes in Computer Science(), vol 10809. Springer, Cham. https://doi.org/10.1007/978-3-319-78978-1_21
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DOI: https://doi.org/10.1007/978-3-319-78978-1_21
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