TY - JOUR
T1 - Design and Development of a Mobile Health (mHealth) Platform for Dementia Prevention in the Prevention of Dementia by Mobile Phone Applications (PRODEMOS) Project
AU - Hafdi, Melanie
AU - Eggink, Esmé
AU - Hoevenaar-Blom, Marieke P.
AU - Witvliet, M. Patrick
AU - Andrieu, Sandrine
AU - Barnes, Linda
AU - Brayne, Carol
AU - Brooks, Rachael
AU - Coley, Nicola
AU - Georges, Jean
AU - van der Groep, Abraham
AU - van Marwijk, Harm
AU - van der Meijden, Mark
AU - Song, Libin
AU - Song, Manshu
AU - Wang, Youxin
AU - Wang, Wenzhi
AU - Wang, Wei
AU - Wimo, Anders
AU - Ye, Xiaoyan
AU - van Charante, Eric P. Moll
AU - PRODEMOS consortium
AU - Richard, Edo
N1 - Funding Information: The authors thank the European Union's Horizon 2020 Research and Innovation Programme and National Key R&D Programme of China for the funding of the trial. The authors thank Kevin Hekert, Louwrens Knulst, Michiel van Dam, Martijn Bos, Jan Eikelenboom, and Mart Hoitink for their substantial contribution in building the platform. The authors thank Jihui Lyu, Wei Zhang, Haifeng Hou, Yixuan Niu, Yueyi Yu, Hui Yuan, Hongmei Liu, Siqi Ge, Mingyue He, Dan Li, Qiang Zeng, Dong Li, Baoliang Sun, Jinxia Zhang, Xiaoyu Zhang, Mingyang Cao, Bin Jiang, Danning Li, Weijiao Zhang, and Cancan Li for their contributions to the trial logistics. The authors thank Ron Handels for his comments on the manuscript. The authors also thank all patient participants and other stakeholders who took part in patient and public involvement groups for their contribution to the platform design. Funding Information: The authors thank the European Union’s Horizon 2020 Research and Innovation Programme and National Key R&D Programme of China for the funding of the trial. The authors thank Kevin Hekert, Louwrens Knulst, Michiel van Dam, Martijn Bos, Jan Eikelenboom, and Mart Hoitink for their substantial contribution in building the platform. The authors thank Jihui Lyu, Wei Zhang, Haifeng Hou, Yixuan Niu, Yueyi Yu, Hui Yuan, Hongmei Liu, Siqi Ge, Mingyue He, Dan Li, Qiang Zeng, Dong Li, Baoliang Sun, Jinxia Zhang, Xiaoyu Zhang, Mingyang Cao, Bin Jiang, Danning Li, Weijiao Zhang, and Cancan Li for their contributions to the trial logistics. The authors thank Ron Handels for his comments on the manuscript. The authors also thank all patient participants and other stakeholders who took part in patient and public involvement groups for their contribution to the platform design. Funding Information: This project has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement No. 779 238 and the National Key R&D Programme of China (2017YFE0118800). Publisher Copyright: Copyright © 2021 Hafdi, Eggink, Hoevenaar-Blom, Witvliet, Andrieu, Barnes, Brayne, Brooks, Coley, Georges, van der Groep, van Marwijk, van der Meijden, Song, Song, Wang, Wang, Wang, Wimo, Ye, van Charante and Richard.
PY - 2021/12/16
Y1 - 2021/12/16
N2 - Background: Mobile health (mHealth) has the potential to bring preventive healthcare within reach of populations with limited access to preventive services, by delivering personalized support at low cost. Although numerous mHealth interventions are available, very few have been developed following an evidence-based rationale or have been tested for efficacy. This article describes the systematic development of a coach-supported mHealth application to improve healthy lifestyles for the prevention of dementia and cardiovascular disease in the United Kingdom (UK) and China. Methods: Development of the Prevention of Dementia by Mobile Phone applications (PRODEMOS) platform built upon the experiences with the Healthy Aging Through Internet Counseling in the Elderly (HATICE) eHealth platform. In the conceptualization phase, experiences from the HATICE trial and needs and wishes of the PRODEMOS target population were assessed through semi-structured interviews and focus group sessions. Initial technical development of the platform was based on these findings and took place in consecutive sprint sessions. Finally, during the evaluation and adaptation phase, functionality and usability of the platform were evaluated during pilot studies in UK and China. Results: The PRODEMOS mHealth platform facilitates self-management of a healthy lifestyle by goal setting, progress monitoring, and educational materials on healthy lifestyles. Participants receive remote coaching through a chat functionality. Based on lessons learned from the HATICE study and end-users, we made the intervention easy-to-use and included features to personalize the intervention. Following the pilot studies, in which in total 77 people used the mobile application for 6 weeks, the application was made more intuitive, and we improved its functionalities. Conclusion: Early involvement of end-users in the development process and during evaluation phases improved acceptability of the mHealth intervention. The actual use and usability of the PRODEMOS intervention will be assessed during the ongoing PRODEMOS randomized controlled trial, taking a dual focus on effectiveness and implementation outcomes.
AB - Background: Mobile health (mHealth) has the potential to bring preventive healthcare within reach of populations with limited access to preventive services, by delivering personalized support at low cost. Although numerous mHealth interventions are available, very few have been developed following an evidence-based rationale or have been tested for efficacy. This article describes the systematic development of a coach-supported mHealth application to improve healthy lifestyles for the prevention of dementia and cardiovascular disease in the United Kingdom (UK) and China. Methods: Development of the Prevention of Dementia by Mobile Phone applications (PRODEMOS) platform built upon the experiences with the Healthy Aging Through Internet Counseling in the Elderly (HATICE) eHealth platform. In the conceptualization phase, experiences from the HATICE trial and needs and wishes of the PRODEMOS target population were assessed through semi-structured interviews and focus group sessions. Initial technical development of the platform was based on these findings and took place in consecutive sprint sessions. Finally, during the evaluation and adaptation phase, functionality and usability of the platform were evaluated during pilot studies in UK and China. Results: The PRODEMOS mHealth platform facilitates self-management of a healthy lifestyle by goal setting, progress monitoring, and educational materials on healthy lifestyles. Participants receive remote coaching through a chat functionality. Based on lessons learned from the HATICE study and end-users, we made the intervention easy-to-use and included features to personalize the intervention. Following the pilot studies, in which in total 77 people used the mobile application for 6 weeks, the application was made more intuitive, and we improved its functionalities. Conclusion: Early involvement of end-users in the development process and during evaluation phases improved acceptability of the mHealth intervention. The actual use and usability of the PRODEMOS intervention will be assessed during the ongoing PRODEMOS randomized controlled trial, taking a dual focus on effectiveness and implementation outcomes.
KW - behavioral health
KW - cardiovascular disease(s)
KW - dementia
KW - design concept
KW - mHealth
KW - prevention
UR - http://www.scopus.com/inward/record.url?scp=85122034120&partnerID=8YFLogxK
U2 - https://doi.org/10.3389/fneur.2021.733878
DO - https://doi.org/10.3389/fneur.2021.733878
M3 - Article
C2 - 34975710
SN - 1664-2295
VL - 12
JO - Frontiers in Neurology
JF - Frontiers in Neurology
M1 - 733878
ER -