Int J Med Inform - Designing personal exercise monitoring employing multiple modes of delivery: implications from a qualitative study on heart rate monitoring.


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RPOSE: Various personal monitoring technologies have been introduced for supporting regular physical activity, which is of critical importance in reducing the risks of several chronic diseases. Recent studies suggest that combining multiple modes of delivery, such as text messages and mobile monitoring devices with web applications, holds potential for effectively supporting physical exercise. Of particular interest is how the functionality and content of these systems should be distributed across the different modes for successful outcomes.OBJECTIVES: The aim of this study was to: (a) investigate how users incorporate a system employing two modes of delivery - a wearable heart rate monitor and a web service - into their training and (b) to analyze benefits and limitations in personal exercise monitoring and how they relate to the different modes in use.METHODS: A qualitative field study employing diaries and semi-structured interviews was carried out with 30 participants who used a heart rate monitoring system comprising a wearable heart rate monitor, Polar FT60 and a web service, Polar Personal Trainer for a period of 21 days. The data were systematically analyzed to identify specific benefits and limitations associated with the system characteristics and modes as perceived by the end-users.RESULTS: The benefits include supporting exploratory learning, controlling target behavior, rectifying behaviors, motivation and logging support. The limitations are associated with information for validating the system, virtual coaching, task-technology fit, data integrity and privacy concerns. Mobile interfaces enable exploratory learning and controlling of target behaviors in situ, while web services can effectively support users' need for cognition within the early stages of adoption and long-term training with intelligent coaching functionality.CONCLUSIONS: This study explains several benefits and limitations in personal exercise monitoring. These can be addressed with crossmedial design, i.e., strategic distribution of functionality and content across modes within the system. Our findings suggest that personal exercise monitoring systems may be improved by more systematically combining mobile and web-based functionality.

Resumo Limpo

rpose various person monitor technolog introduc support regular physic activ critic import reduc risk sever chronic diseas recent studi suggest combin multipl mode deliveri text messag mobil monitor devic web applic hold potenti effect support physic exercis particular interest function content system distribut across differ mode success outcomesobject aim studi investig user incorpor system employ two mode deliveri wearabl heart rate monitor web servic train b analyz benefit limit person exercis monitor relat differ mode usemethod qualit field studi employ diari semistructur interview carri particip use heart rate monitor system compris wearabl heart rate monitor polar ft web servic polar person trainer period day data systemat analyz identifi specif benefit limit associ system characterist mode perceiv endusersresult benefit includ support exploratori learn control target behavior rectifi behavior motiv log support limit associ inform valid system virtual coach tasktechnolog fit data integr privaci concern mobil interfac enabl exploratori learn control target behavior situ web servic can effect support user need cognit within earli stage adopt longterm train intellig coach functionalityconclus studi explain sever benefit limit person exercis monitor can address crossmedi design ie strateg distribut function content across mode within system find suggest person exercis monitor system may improv systemat combin mobil webbas function

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