PhytoCloud: A Gamified Mobile Web Application to Modulate Diet and Physical Activity of Women with Breast Cancer

Economou, Daphne; Dwek, Miriam; Roberston, Claire; Elliott, Bradley T.; Kounenis, Thanos; Azimi, Tayebeh; Ramezanian, Mohammad; Bell, Nathan

doi:10.1109/cbms.2017.164

Cited by 11 publications

(6 citation statements)

References 9 publications

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“…The solution presented here attempts to address the particular needs and requirements of breast cancer survivors for PA apps by taking a UCD approach for the conceptualization of the tool. Few are the systems in the literature designed with such a purpose, with only 4 apps identified that had some component of PA coaching for these individuals [ 23 , 24 , 28 , 29 ]. Compared with such apps, our solution targets aerobic exercise, specifically walking, which has been suggested as the preferred activity for these individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, a few PA apps reported in the literature target breast cancer survivors [ 11 , 24 , 28 , 29 ]; however, these seemed to be in the early stages of development and evaluation and lack proper reporting of design decisions. Only the papers describing the Bounce app presented clear details on the design process, behavioral theory foundations, and features [ 24 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

Monteiro-Guerra¹,

Signorelli²,

Tadas³

et al. 2020

JMIR Mhealth Uhealth

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Background Existing evidence supports the many benefits of physical activity (PA) in breast cancer survival. However, few breast cancer survivors adhere to the recommended levels of activity. A PA coaching app that provides personalized feedback, guidance, and motivation to the user might have the potential to engage these individuals in a more active lifestyle, in line with the general recommendations. To develop a successful tool, it is important to involve the end users in the design process and to make theoretically grounded design decisions. Objective This study aimed to execute the design process and early prototype evaluation of a personalized PA coaching app for posttreatment breast cancer survivors. In particular, the study explored a design combining behavioral theory and tailored coaching strategies. Methods The design process was led by a multidisciplinary team, including technical and health professionals, and involved input from a total of 22 survivors. The process comprised 3 stages. In stage 1, the literature was reviewed and 14 patients were interviewed to understand the needs and considerations of the target population toward PA apps. In stage 2, the global use case for the tool was defined, the features were ideated and refined based on theory, and a digital interactive prototype was created. In stage 3, the prototype went through usability testing with 8 patients and was subjected to quality and behavior change potential evaluations by 2 human-computer interaction experts. Results The design process has led to the conceptualization of a personalized coaching app for walking activities that addresses the needs of breast cancer survivors. The main features of the tool include a training plan and schedule, adaptive goal setting, real-time feedback and motivation during walking sessions, activity status through the day, activity history, weekly summary reports, and activity challenges. The system was designed to measure users’ cadence during walking, use this measure to infer their training zone, and provide real-time coaching to control the intensity of the walking sessions. The outcomes from user testing and expert evaluation of the digital prototype were very positive, with scores from the system usability scale, mobile app rating scale, and app behavior change scale of 95 out of 100, 4.6 out of 5, and 15 out of 21, respectively. Conclusions Implementing a user-centered design approach for the development and early evaluation of an app brings essential considerations to tailor the solution to the user’s needs and context. In addition, informing the design on behavioral and tailored coaching theories supports the conceptualization of the PA coaching system. This is critical for optimizing the usability, acceptability, and long-term effectiveness of the tool. After successful early in-laboratory testing, the app will be developed and evaluated in a pilot study in a real-world setting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

Monteiro-Guerra¹,

Signorelli²,

Tadas³

et al. 2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

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“…The remaining 10 papers were scrutinized for eligibility, and all of them met the inclusion criteria. 21,[44][45][46][47][48][49][50][51] A questionnaire was constructed to determine the information content and functions of the mobile-based self-care application for patients with BCRL based on literature review. The questionnaire was composed of four main parts, including (1) the participants' demographic characteristics (i.e., age, marital status, and education for patients and age, gender, work experience, work experience in lymphedema clinic, and specialist field for experts), (2) 14 and 21 administrative and clinical information, (3) 19 items about lifestyle educational needs, and (4) 35 items concerning the functions (i.e., drug use, nutrition, communication, exercise, smoking cessation, and test time reminder) for participants (patients and experts).…”

Section: Methodsmentioning

confidence: 99%

Development of a Mobile-Based Self-care Application for Patients with Breast Cancer-Related Lymphedema in Iran

et al. 2022

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Background Due to the chronic, progressive, and debilitating nature of breast cancer-related lymphedema (BCRL), it is necessary to observe and maintain self-care management accordingly. This study was conducted to develop a mobile application based on the Android operating system for self-care management of Iranian patients with BCRL. Methods An applied developmental study was conducted in 2020. The users' information needs assessment as well as design, development, implementation, and evaluation of the mobile app for self-care management of patients with BCRL was done by searching the literature, reviewing the existing mobile applications, and surveying the users' needs. The mobile app was designed using the Android Studio environment and Java programming language in the Android operating system. The usability of the app was evaluated by 30 patients with BCRL using the questionnaire for user interface satisfaction-seventh version (QUIS 7). Results The mobile app for BCRL included demographic information, clinical information, lifestyle and system functions (drug use, nutrition, exercise, smoking cessation, communication, and test time reminder). User usability evaluation of the app content and functions confirmed that it was appropriate and satisfactory for the self-management of women with BCRL. Conclusion The mobile app was appropriate in terms of the content, function, and quality for improving the patients' lifestyle and education and self-management of BCRL symptoms according to its usability evaluation from the end-users' (patients) perspective. It is suggested that studies should be performed to confirm the effectiveness and identify the clinical significance of the app.

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“…PhytoCloud is a mobile web application that focuses on breast cancer patients and which enables users to record their dietary habits and physical activity and motivates them to consume food with estrogen-like properties. This allows them to control their own goals and motivates them to achieve them and adopt healthier eating habits, while also increasing physical activity, in order to ensure an improvement in their lifestyle and wellbeing [9].…”

Section: Related Workmentioning

confidence: 99%

Close2U: An App for Monitoring Cancer Patients with a Gamification System to Improve the Engagement

Navarro-Alamán

Lacuesta

García‐Magariño

et al. 2019

13th International Conference on Ubiquitous Computing and Ambient ‪Intelligence UCAmI 2019‬

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Nowadays, gamification offers several advantages in order to motivate a change in the behavior towards health and wellness. Although it is a relatively new trend, many fields have already realized its potential, and those related to health have also begun to make use of it. This paper introduces an application developed to improve patient monitoring and motivation through the use of gamification. We have applied the mechanics and dynamics of games in a non-game context, such as the introduction of data for health monitoring, in order to attract the patient. With the use of gamification, we make the introduction of data less tedious and, in addition, increase levels of motivation, as a further benefit. In this work we have conducted a user study aimed at evaluating the usability of gamification. We also studied the resources that encourage patients to use the application and how to increase their motivation and satisfaction. The results show that the app is easy to use. Second, they show that we implemented a scalable and self-recursive system. Finally, these results indicate that our system for resources sharing is a system in which patients feel comfortable when sharing and receiving those resources and they encourage us for further developments and studies based on the feedback received.

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PhytoCloud: A Gamified Mobile Web Application to Modulate Diet and Physical Activity of Women with Breast Cancer

Cited by 11 publications

References 9 publications

A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

A Personalized Physical Activity Coaching App for Breast Cancer Survivors: Design Process and Early Prototype Testing

Development of a Mobile-Based Self-care Application for Patients with Breast Cancer-Related Lymphedema in Iran

Close2U: An App for Monitoring Cancer Patients with a Gamification System to Improve the Engagement

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