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Comparing usage of a web and app stress management intervention: An observational study

Comparing usage of a web and app stress management intervention: An observational study
Comparing usage of a web and app stress management intervention: An observational study
Choices in the design and delivery of digital health behaviour interventions may have a direct influence on subsequent usage and engagement. Few studies have been able to make direct, detailed comparisons of differences in usage between interventions that are delivered via web or smartphone application (app). This study compared the usage of two versions of a digital stress management intervention, one delivered via a website (Healthy Paths) and the other delivered via an app (Healthy Mind). Design modifications were introduced within Healthy Mind to take account of reported differences in how individuals engage with websites compared to apps and mobile phones. Data were collected as part of an observational study nested within a broader exploratory trial of Healthy Mind. Objective usage of Healthy Paths and Healthy Mind were automatically recorded, including frequency and duration of logins, access to specific components within the intervention and order of page/screen visits. Usage was compared for a two week period following initial registration. In total, 381 participants completed the registration process for Healthy Paths (web) and 162 participants completed the registration process for Healthy Mind (app). App users logged in twice as often (Mdn=2.00) as web users (Mdn=1.00), U=13059.50, p=<.001, but spent half as much time (Mdn = 5.23 minutes) on the intervention compared to web users (Mdn=10.52 minutes), U=19740.00, p=<.001. Visual exploration of usage patterns over time revealed that a significantly higher proportion of app users (n=126, 82.35%) accessed both types of support available within the intervention (i.e. awareness and change-focused tools) compared to web users (n=92, 40.17%), X2(1, n=382)=66.60, p<.001. This study suggests that the digital platform used to deliver an intervention (i.e. web versus app) and specific design choices (e.g. navigation, length and volume of content) may be associated with differences in how the intervention content is used. Broad summative usage data (e.g. total time spent on the intervention) may mask important differences in how an intervention is used by different user groups if it is not complemented by more fine-grained analyses of usage patterns over time. Trial registration number: ISRCTN67177737.
Internet , Mobile Applications, Data analysis, Health, behavioral research, usage
2214-7829
Morrison, Leanne G.
920a4eda-0f9d-4bd9-842d-6873b1afafef
Geraghty, Adam W.A.
2c6549fe-9868-4806-b65a-21881c1930af
Lloyd, Scott
5b6d9d95-9d69-4a63-9f6f-7bedf9203aaf
Goodman, Natalie
e5f8eea8-422f-4c1a-98c1-fedce8d8d2aa
Michaelides, Danius T.
a6df5175-d71a-4cd4-befc-26c48235fb92
Hargood, Charlie
a47430f8-bd0a-45ba-bd74-998cde6d446b
Weal, Mark
e8fd30a6-c060-41c5-b388-ca52c81032a4
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Morrison, Leanne G.
920a4eda-0f9d-4bd9-842d-6873b1afafef
Geraghty, Adam W.A.
2c6549fe-9868-4806-b65a-21881c1930af
Lloyd, Scott
5b6d9d95-9d69-4a63-9f6f-7bedf9203aaf
Goodman, Natalie
e5f8eea8-422f-4c1a-98c1-fedce8d8d2aa
Michaelides, Danius T.
a6df5175-d71a-4cd4-befc-26c48235fb92
Hargood, Charlie
a47430f8-bd0a-45ba-bd74-998cde6d446b
Weal, Mark
e8fd30a6-c060-41c5-b388-ca52c81032a4
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Morrison, Leanne G., Geraghty, Adam W.A., Lloyd, Scott, Goodman, Natalie, Michaelides, Danius T., Hargood, Charlie, Weal, Mark and Yardley, Lucy (2018) Comparing usage of a web and app stress management intervention: An observational study. Internet Interventions. (doi:10.1016/j.invent.2018.03.006).

Record type: Article

Abstract

Choices in the design and delivery of digital health behaviour interventions may have a direct influence on subsequent usage and engagement. Few studies have been able to make direct, detailed comparisons of differences in usage between interventions that are delivered via web or smartphone application (app). This study compared the usage of two versions of a digital stress management intervention, one delivered via a website (Healthy Paths) and the other delivered via an app (Healthy Mind). Design modifications were introduced within Healthy Mind to take account of reported differences in how individuals engage with websites compared to apps and mobile phones. Data were collected as part of an observational study nested within a broader exploratory trial of Healthy Mind. Objective usage of Healthy Paths and Healthy Mind were automatically recorded, including frequency and duration of logins, access to specific components within the intervention and order of page/screen visits. Usage was compared for a two week period following initial registration. In total, 381 participants completed the registration process for Healthy Paths (web) and 162 participants completed the registration process for Healthy Mind (app). App users logged in twice as often (Mdn=2.00) as web users (Mdn=1.00), U=13059.50, p=<.001, but spent half as much time (Mdn = 5.23 minutes) on the intervention compared to web users (Mdn=10.52 minutes), U=19740.00, p=<.001. Visual exploration of usage patterns over time revealed that a significantly higher proportion of app users (n=126, 82.35%) accessed both types of support available within the intervention (i.e. awareness and change-focused tools) compared to web users (n=92, 40.17%), X2(1, n=382)=66.60, p<.001. This study suggests that the digital platform used to deliver an intervention (i.e. web versus app) and specific design choices (e.g. navigation, length and volume of content) may be associated with differences in how the intervention content is used. Broad summative usage data (e.g. total time spent on the intervention) may mask important differences in how an intervention is used by different user groups if it is not complemented by more fine-grained analyses of usage patterns over time. Trial registration number: ISRCTN67177737.

Text Healthy Mind usage_f_R1 - Accepted Manuscript
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Accepted/In Press date: 19 March 2018
e-pub ahead of print date: 21 April 2018
Keywords: Internet , Mobile Applications, Data analysis, Health, behavioral research, usage

Identifiers

Local EPrints ID: 420019
URI: https://eprints.soton.ac.uk/id/eprint/420019
ISSN: 2214-7829
PURE UUID: 9f88c416-8ee3-4b7e-8cee-d0b2ec2c4c60
ORCID for Leanne G. Morrison: ORCID iD orcid.org/0000-0002-9961-551X
ORCID for Mark Weal: ORCID iD orcid.org/0000-0001-6251-8786

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Date deposited: 25 Apr 2018 16:30
Last modified: 25 Apr 2018 16:30

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Contributors

Author: Scott Lloyd
Author: Natalie Goodman
Author: Danius T. Michaelides
Author: Charlie Hargood
Author: Mark Weal ORCID iD
Author: Lucy Yardley

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