Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2014

Open Access 01-12-2014 | Research article

Lead users’ ideas on core features to support physical activity in rheumatoid arthritis: a first step in the development of an internet service using participatory design

Authors: Åsa Revenäs, Christina H Opava, Pernilla Åsenlöf

Published in: BMC Medical Informatics and Decision Making | Issue 1/2014

Login to get access

Abstract

Background

Despite the growing evidence of the benefits of physical activity (PA) in individuals with rheumatoid arthritis (RA), the majority is not physically active enough. An innovative strategy is to engage lead users in the development of PA interventions provided over the internet. The aim was to explore lead users’ ideas and prioritization of core features in a future internet service targeting adoption and maintenance of healthy PA in people with RA.

Methods

Six focus group interviews were performed with a purposively selected sample of 26 individuals with RA. Data were analyzed with qualitative content analysis and quantification of participants’ prioritization of most important content.

Results

Six categories were identified as core features for a future internet service: up-to-date and evidence-based information and instructions, self-regulation tools, social interaction, personalized set-up, attractive design and content, and access to the internet service. The categories represented four themes, or core aspects, important to consider in the design of the future service: (1) content, (2) customized options, (3) user interface and (4) access and implementation.

Conclusions

This is, to the best of our knowledge, the first study involving people with RA in the development of an internet service to support the adoption and maintenance of PA.
Participants helped identifying core features and aspects important to consider and further explore during the next phase of development. We hypothesize that involvement of lead users will make transfer from theory to service more adequate and user-friendly and therefore will be an effective mean to facilitate PA behavior change.
Appendix
Available only for authorised users
Literature
1.
go back to reference Eurenius E, Stenstrom CH: Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis. Arthritis Rheum. 2005, 53 (1): 48-55. 10.1002/art.20924.CrossRefPubMed Eurenius E, Stenstrom CH: Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis. Arthritis Rheum. 2005, 53 (1): 48-55. 10.1002/art.20924.CrossRefPubMed
2.
go back to reference van den Berg MH, de Boer IG, le Cessie S, Breedveld FC, Vliet Vlieland TP: Are patients with rheumatoid arthritis less physically active than the general population?. J Clin Rheumatol. 2007, 13 (4): 181-186. 10.1097/RHU.0b013e318124a8c4.CrossRefPubMed van den Berg MH, de Boer IG, le Cessie S, Breedveld FC, Vliet Vlieland TP: Are patients with rheumatoid arthritis less physically active than the general population?. J Clin Rheumatol. 2007, 13 (4): 181-186. 10.1097/RHU.0b013e318124a8c4.CrossRefPubMed
3.
go back to reference Fontaine KR, Haaz S: Risk factors for lack of recent exercise in adults with self-reported, professionally diagnosed arthritis. J Clin Rheumatol. 2006, 12 (2): 66-69. 10.1097/01.rhu.0000208611.19231.f0.CrossRefPubMed Fontaine KR, Haaz S: Risk factors for lack of recent exercise in adults with self-reported, professionally diagnosed arthritis. J Clin Rheumatol. 2006, 12 (2): 66-69. 10.1097/01.rhu.0000208611.19231.f0.CrossRefPubMed
4.
go back to reference Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the american college of sports medicine and the american heart association. Circulation. 2007, 116 (9): 1081-1093.CrossRefPubMed Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the american college of sports medicine and the american heart association. Circulation. 2007, 116 (9): 1081-1093.CrossRefPubMed
5.
go back to reference Eurenius E, Biguet G, Stenström CH: Attitudes toward physical activity among people with rheumatoid arthritis. Physiother Theory Pract. 2003, 19 (1): 53-62. 10.1080/09593980307967.CrossRef Eurenius E, Biguet G, Stenström CH: Attitudes toward physical activity among people with rheumatoid arthritis. Physiother Theory Pract. 2003, 19 (1): 53-62. 10.1080/09593980307967.CrossRef
6.
go back to reference Eurenius E, Brodin N, Lindblad S, Opava CH: Predicting physical activity and general health perception among patients with rheumatoid arthritis. J Rheumatol. 2007, 34 (1): 10-15.PubMed Eurenius E, Brodin N, Lindblad S, Opava CH: Predicting physical activity and general health perception among patients with rheumatoid arthritis. J Rheumatol. 2007, 34 (1): 10-15.PubMed
7.
go back to reference Wilcox S, der Ananian C, Abbott J, Vrazel J, Ramsey C, Sharpe PA, Brady T: Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: results from a qualitative study. Arthritis Rheum. 2006, 55 (4): 616-627. 10.1002/art.22098.CrossRefPubMed Wilcox S, der Ananian C, Abbott J, Vrazel J, Ramsey C, Sharpe PA, Brady T: Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: results from a qualitative study. Arthritis Rheum. 2006, 55 (4): 616-627. 10.1002/art.22098.CrossRefPubMed
8.
go back to reference Eyler AA: Correlates of physical activity: who’s active and who’s not?. Arthritis Rheum. 2003, 49 (1): 136-140. 10.1002/art.10910.CrossRefPubMed Eyler AA: Correlates of physical activity: who’s active and who’s not?. Arthritis Rheum. 2003, 49 (1): 136-140. 10.1002/art.10910.CrossRefPubMed
9.
go back to reference Law RJ, Breslin A, Oliver EJ, Mawn L, Markland DA, Maddison P, Thom JM: Perceptions of the effects of exercise on joint health in rheumatoid arthritis patients. Rheumatology (Oxford). 2010, 49 (12): 2444-2451. 10.1093/rheumatology/keq299.CrossRef Law RJ, Breslin A, Oliver EJ, Mawn L, Markland DA, Maddison P, Thom JM: Perceptions of the effects of exercise on joint health in rheumatoid arthritis patients. Rheumatology (Oxford). 2010, 49 (12): 2444-2451. 10.1093/rheumatology/keq299.CrossRef
10.
go back to reference Crowley L: The effectiveness of home exercise programmes for patients with rheumatoid arthritis: a review of the literature. PTR. 2009, 14 (3): 149-159. 10.1179/174328809X435277.CrossRef Crowley L: The effectiveness of home exercise programmes for patients with rheumatoid arthritis: a review of the literature. PTR. 2009, 14 (3): 149-159. 10.1179/174328809X435277.CrossRef
11.
go back to reference Brodin N, Eurenius E, Jensen I, Nisell R, Opava CH: Coaching patients with early rheumatoid arthritis to healthy physical activity: a multicenter, randomized, controlled study. Arthritis Rheum. 2008, 59 (3): 325-331. 10.1002/art.23327.CrossRefPubMed Brodin N, Eurenius E, Jensen I, Nisell R, Opava CH: Coaching patients with early rheumatoid arthritis to healthy physical activity: a multicenter, randomized, controlled study. Arthritis Rheum. 2008, 59 (3): 325-331. 10.1002/art.23327.CrossRefPubMed
12.
go back to reference de Jong Z, Munneke M, Zwinderman AH, Kroon HM, Ronday KH, Lems WF, Dijkmans BA, Breedveld FC, Vliet Vlieland TP, Hazes JM, Huizinga TWJ: Long term high intensity exercise and damage of small joints in rheumatoid arthritis. Ann Rheum Dis. 2004, 63 (11): 1399-1405. 10.1136/ard.2003.015826.CrossRefPubMedPubMedCentral de Jong Z, Munneke M, Zwinderman AH, Kroon HM, Ronday KH, Lems WF, Dijkmans BA, Breedveld FC, Vliet Vlieland TP, Hazes JM, Huizinga TWJ: Long term high intensity exercise and damage of small joints in rheumatoid arthritis. Ann Rheum Dis. 2004, 63 (11): 1399-1405. 10.1136/ard.2003.015826.CrossRefPubMedPubMedCentral
13.
go back to reference Conn VS, Hafdahl AR, Minor MA, Nielsen PJ: Physical activity interventions among adults with arthritis: meta-analysis of outcomes. Semin Arthritis Rheum. 2008, 37 (5): 307-316. 10.1016/j.semarthrit.2007.07.006.CrossRefPubMed Conn VS, Hafdahl AR, Minor MA, Nielsen PJ: Physical activity interventions among adults with arthritis: meta-analysis of outcomes. Semin Arthritis Rheum. 2008, 37 (5): 307-316. 10.1016/j.semarthrit.2007.07.006.CrossRefPubMed
14.
go back to reference Hurkmans E, van der Giesen FJ, Vlieland T, Schoones J, van den Ende E: Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev. 2009, 1-58. 4 Hurkmans E, van der Giesen FJ, Vlieland T, Schoones J, van den Ende E: Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev. 2009, 1-58. 4
15.
go back to reference Sjoquist ES, Brodin N, Lampa J, Jensen I, Opava CH: Physical activity coaching of patients with rheumatoid arthritis in everyday practice: a long-term follow-up. Musculoskeletal Care. 2011, 9 (2): 75-85. 10.1002/msc.199.CrossRefPubMed Sjoquist ES, Brodin N, Lampa J, Jensen I, Opava CH: Physical activity coaching of patients with rheumatoid arthritis in everyday practice: a long-term follow-up. Musculoskeletal Care. 2011, 9 (2): 75-85. 10.1002/msc.199.CrossRefPubMed
16.
go back to reference Napolitano MA, Fotheringham M, Tate D, Sciamanna C, Leslie E, Owen N, Bauman A, Marcus B: Evaluation of an internet-based physical activity intervention: a preliminary investigation. Ann Behav Med. 2003, 25 (2): 92-99. 10.1207/S15324796ABM2502_04.CrossRefPubMed Napolitano MA, Fotheringham M, Tate D, Sciamanna C, Leslie E, Owen N, Bauman A, Marcus B: Evaluation of an internet-based physical activity intervention: a preliminary investigation. Ann Behav Med. 2003, 25 (2): 92-99. 10.1207/S15324796ABM2502_04.CrossRefPubMed
17.
go back to reference Steele R, Mummery KW, Dwyer T: Development and process evaluation of an internet-based physical activity behaviour change program. Patient Educ Couns. 2007, 67 (1–2): 127-136.CrossRefPubMed Steele R, Mummery KW, Dwyer T: Development and process evaluation of an internet-based physical activity behaviour change program. Patient Educ Couns. 2007, 67 (1–2): 127-136.CrossRefPubMed
18.
go back to reference Marcus BH, Ciccolo JT, Sciamanna CN: Using electronic/computer interventions to promote physical activity. Br J Sports Med. 2009, 43 (2): 102-105.CrossRefPubMed Marcus BH, Ciccolo JT, Sciamanna CN: Using electronic/computer interventions to promote physical activity. Br J Sports Med. 2009, 43 (2): 102-105.CrossRefPubMed
19.
go back to reference Vandelanotte C, Spathonis KM, Eakin EG, Owen N: Website-delivered physical activity interventions a review of the literature. Am J Prev Med. 2007, 33 (1): 54-64. 10.1016/j.amepre.2007.02.041.CrossRefPubMed Vandelanotte C, Spathonis KM, Eakin EG, Owen N: Website-delivered physical activity interventions a review of the literature. Am J Prev Med. 2007, 33 (1): 54-64. 10.1016/j.amepre.2007.02.041.CrossRefPubMed
20.
go back to reference Dickinson WP, Glasgow RE, Fisher L, Dickinson LM, Christensen SM, Estabrooks PA, Miller BF: Use of a website to accomplish health behavior change: if you build it, will they come? And will it work if they do?. J Am Board Fam Med. 2013, 26 (2): 168-176. 10.3122/jabfm.2013.02.110344.CrossRefPubMed Dickinson WP, Glasgow RE, Fisher L, Dickinson LM, Christensen SM, Estabrooks PA, Miller BF: Use of a website to accomplish health behavior change: if you build it, will they come? And will it work if they do?. J Am Board Fam Med. 2013, 26 (2): 168-176. 10.3122/jabfm.2013.02.110344.CrossRefPubMed
21.
go back to reference Becker A, Herzberg D, Marsden N, Thomanek S, Jung H, Leonhardt C: A new computer-based counselling system for the promotion of physical activity in patients with chronic diseases—Results from a pilot study. Patient Educ Couns. 2011, 83 (2): 195-202. 10.1016/j.pec.2010.05.024.CrossRefPubMed Becker A, Herzberg D, Marsden N, Thomanek S, Jung H, Leonhardt C: A new computer-based counselling system for the promotion of physical activity in patients with chronic diseases—Results from a pilot study. Patient Educ Couns. 2011, 83 (2): 195-202. 10.1016/j.pec.2010.05.024.CrossRefPubMed
22.
go back to reference Kosma M, Cardinal BJ, McCubbin JA: A pilot study of a web-based physical activity motivational program for adults with physical disabilities. Disabil Rehabil. 2005, 27 (23): 1435-1442. 10.1080/09638280500242713.CrossRefPubMed Kosma M, Cardinal BJ, McCubbin JA: A pilot study of a web-based physical activity motivational program for adults with physical disabilities. Disabil Rehabil. 2005, 27 (23): 1435-1442. 10.1080/09638280500242713.CrossRefPubMed
23.
go back to reference Lelieveld OT, Armbrust W, Geertzen JH, de Graaf I, van Leeuwen MA, Sauer PJ, van Weert E, Bouma J: Promoting physical activity in children with juvenile idiopathic arthritis through an internet-based program: results of a pilot randomized controlled trial. Arthritis Care Res (Hoboken). 2010, 62 (5): 697-703. 10.1002/acr.20085.CrossRef Lelieveld OT, Armbrust W, Geertzen JH, de Graaf I, van Leeuwen MA, Sauer PJ, van Weert E, Bouma J: Promoting physical activity in children with juvenile idiopathic arthritis through an internet-based program: results of a pilot randomized controlled trial. Arthritis Care Res (Hoboken). 2010, 62 (5): 697-703. 10.1002/acr.20085.CrossRef
24.
go back to reference van den Berg MH, Ronday HK, Peeters AJ, le Cessie S, van der Giesen FJ, Breedveld FC, Vliet Vlieland TP: Using internet technology to deliver a home-based physical activity intervention for patients with rheumatoid arthritis: A randomized controlled trial. Arthritis Rheum. 2006, 55 (6): 935-945. 10.1002/art.22339.CrossRefPubMed van den Berg MH, Ronday HK, Peeters AJ, le Cessie S, van der Giesen FJ, Breedveld FC, Vliet Vlieland TP: Using internet technology to deliver a home-based physical activity intervention for patients with rheumatoid arthritis: A randomized controlled trial. Arthritis Rheum. 2006, 55 (6): 935-945. 10.1002/art.22339.CrossRefPubMed
25.
go back to reference van den Berg MH, van der Giesen FJ, van Zeben D, van Groenendael JH, Seys PE, Vliet Vlieland TP: Implementation of a physical activity intervention for people with rheumatoid arthritis: a case study. Musculoskeletal Care. 2008, 6 (2): 69-85. 10.1002/msc.128.CrossRefPubMed van den Berg MH, van der Giesen FJ, van Zeben D, van Groenendael JH, Seys PE, Vliet Vlieland TP: Implementation of a physical activity intervention for people with rheumatoid arthritis: a case study. Musculoskeletal Care. 2008, 6 (2): 69-85. 10.1002/msc.128.CrossRefPubMed
26.
go back to reference Hirschheim RA: User experience with and assessment of participative systems-design. Mis Quarterly. 1985, 9 (4): 295-304. 10.2307/249230.CrossRef Hirschheim RA: User experience with and assessment of participative systems-design. Mis Quarterly. 1985, 9 (4): 295-304. 10.2307/249230.CrossRef
27.
go back to reference Pilemalm S, Timpka T: Third generation participatory design in health informatics - making user participation applicable to large-scale information system projects. J Biomed Inform. 2008, 41: 327-339. 10.1016/j.jbi.2007.09.004.CrossRefPubMed Pilemalm S, Timpka T: Third generation participatory design in health informatics - making user participation applicable to large-scale information system projects. J Biomed Inform. 2008, 41: 327-339. 10.1016/j.jbi.2007.09.004.CrossRefPubMed
28.
go back to reference Bevan H, Robert G, Bate P, Maher L, Wells J: Using a design approach to assist large-scale organizational change: “10 high impact changes” to improve the national health service in England. J Appl Behav Sci. 2007, 43 (1): 135-152. 10.1177/0021886306297062.CrossRef Bevan H, Robert G, Bate P, Maher L, Wells J: Using a design approach to assist large-scale organizational change: “10 high impact changes” to improve the national health service in England. J Appl Behav Sci. 2007, 43 (1): 135-152. 10.1177/0021886306297062.CrossRef
29.
go back to reference Nordfeldt S, Hanberger L, Malm F, Ludvigsson J: Development of a PC-based diabetes simulator in collaboration with teenagers with type 1 diabetes. Diabetes Technol Ther. 2007, 9 (1): 17-25. 10.1089/dia.2006.0053.CrossRefPubMed Nordfeldt S, Hanberger L, Malm F, Ludvigsson J: Development of a PC-based diabetes simulator in collaboration with teenagers with type 1 diabetes. Diabetes Technol Ther. 2007, 9 (1): 17-25. 10.1089/dia.2006.0053.CrossRefPubMed
30.
go back to reference Magnusson L, Hanson E, Brito L, Berthold H, Chambers M, Daly T: Supporting family carers through the use of information and communication technology–the EU project ACTION. Int J Nurs Stud. 2002, 39 (4): 369-381. 10.1016/S0020-7489(01)00034-7.CrossRefPubMed Magnusson L, Hanson E, Brito L, Berthold H, Chambers M, Daly T: Supporting family carers through the use of information and communication technology–the EU project ACTION. Int J Nurs Stud. 2002, 39 (4): 369-381. 10.1016/S0020-7489(01)00034-7.CrossRefPubMed
32.
go back to reference Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004, 24 (2): 105-112. 10.1016/j.nedt.2003.10.001.CrossRefPubMed Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004, 24 (2): 105-112. 10.1016/j.nedt.2003.10.001.CrossRefPubMed
33.
go back to reference Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, Medsger TA, Mitchell DM, Neustadt DH, Pinals RS, Schaller JG, Sharp JT, Wilder RD, Hunder GG: The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988, 31 (3): 315-324. 10.1002/art.1780310302.CrossRefPubMed Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, Medsger TA, Mitchell DM, Neustadt DH, Pinals RS, Schaller JG, Sharp JT, Wilder RD, Hunder GG: The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988, 31 (3): 315-324. 10.1002/art.1780310302.CrossRefPubMed
34.
go back to reference Prochaska JO, DiClemente CC, Norcross JC: In search of how people change. Applications to addictive behaviors. Am Psychol. 1992, 47 (9): 1102-1114.CrossRefPubMed Prochaska JO, DiClemente CC, Norcross JC: In search of how people change. Applications to addictive behaviors. Am Psychol. 1992, 47 (9): 1102-1114.CrossRefPubMed
35.
go back to reference Webb TL, Joseph J, Yardley L, Michie S: Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010, 12 (1): e4-10.2196/jmir.1376.CrossRefPubMedPubMedCentral Webb TL, Joseph J, Yardley L, Michie S: Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010, 12 (1): e4-10.2196/jmir.1376.CrossRefPubMedPubMedCentral
36.
go back to reference Newman MA, Ziebland S, Barker KL:Patients’ views of a multimedia resource featuring experiences of rheumatoid arthritis: pilot evaluation ofwww.healthtalkonline.org.Health Informatics J. 2009, 15 (2): 147-159. 10.1177/1460458209102974.CrossRefPubMed Newman MA, Ziebland S, Barker KL:Patients’ views of a multimedia resource featuring experiences of rheumatoid arthritis: pilot evaluation ofwww.healthtalkonline.org.Health Informatics J. 2009, 15 (2): 147-159. 10.1177/1460458209102974.CrossRefPubMed
37.
go back to reference Michie S, Abraham C, Whittington C, McAteer J, Gupta S: Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009, 28 (6): 690-701.CrossRefPubMed Michie S, Abraham C, Whittington C, McAteer J, Gupta S: Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009, 28 (6): 690-701.CrossRefPubMed
38.
go back to reference Norman GJ, Zabinski MF, Adams MA, Rosenberg DE, Yaroch AL, Atienza AA: A review of eHealth interventions for physical activity and dietary behavior change. Am J Prev Med. 2007, 33 (4): 336-345. 10.1016/j.amepre.2007.05.007. e316CrossRefPubMedPubMedCentral Norman GJ, Zabinski MF, Adams MA, Rosenberg DE, Yaroch AL, Atienza AA: A review of eHealth interventions for physical activity and dietary behavior change. Am J Prev Med. 2007, 33 (4): 336-345. 10.1016/j.amepre.2007.05.007. e316CrossRefPubMedPubMedCentral
39.
go back to reference Shigaki CL, Smarr KL, Yang G, Donovan-Hanson K, Siva C, Johnson RA, Ge B, Musser DR: Social interactions in an online self-management program for rheumatoid arthritis. Chronic Illn. 2008, 4 (4): 239-246. 10.1177/1742395308097862.CrossRefPubMed Shigaki CL, Smarr KL, Yang G, Donovan-Hanson K, Siva C, Johnson RA, Ge B, Musser DR: Social interactions in an online self-management program for rheumatoid arthritis. Chronic Illn. 2008, 4 (4): 239-246. 10.1177/1742395308097862.CrossRefPubMed
40.
go back to reference Lorig KR, Ritter PL, Laurent DD, Plant K: The internet-based arthritis self-management program: a one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Rheum. 2008, 59 (7): 1009-1017. 10.1002/art.23817.CrossRefPubMed Lorig KR, Ritter PL, Laurent DD, Plant K: The internet-based arthritis self-management program: a one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Rheum. 2008, 59 (7): 1009-1017. 10.1002/art.23817.CrossRefPubMed
41.
go back to reference Wilson AS, Kitas GD, Llewellyn P, Carruthers DM, Cheseldine DC, Harris S, Huissoon AP, Bacon PA, Young SP:Provision of Internet-based rheumatology education (http://rheuma.bham.ac.uk).Rheumatology (Oxford). 2001, 40 (6): 645-651. 10.1093/rheumatology/40.6.645.CrossRef Wilson AS, Kitas GD, Llewellyn P, Carruthers DM, Cheseldine DC, Harris S, Huissoon AP, Bacon PA, Young SP:Provision of Internet-based rheumatology education (http://​rheuma.​bham.​ac.​uk).Rheumatology (Oxford). 2001, 40 (6): 645-651. 10.1093/rheumatology/40.6.645.CrossRef
42.
go back to reference Nordfeldt S, Hanberger L, Bertero C: Patient and parent views on a Web 2.0 Diabetes portal-the management tool, the generator, and the gatekeeper: qualitative study. J Med Internet Res. 2010, 12 (2): Nordfeldt S, Hanberger L, Bertero C: Patient and parent views on a Web 2.0 Diabetes portal-the management tool, the generator, and the gatekeeper: qualitative study. J Med Internet Res. 2010, 12 (2):
43.
go back to reference Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. 1986, Englewood Cliffs, New Jersey: Prentice-Hall Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. 1986, Englewood Cliffs, New Jersey: Prentice-Hall
44.
go back to reference Webb TL, Sheeran P: Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006, 132 (2): 249-268.CrossRefPubMed Webb TL, Sheeran P: Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006, 132 (2): 249-268.CrossRefPubMed
45.
go back to reference Bandura A: Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001, 52 (1): 1-26. 10.1146/annurev.psych.52.1.1.CrossRefPubMed Bandura A: Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001, 52 (1): 1-26. 10.1146/annurev.psych.52.1.1.CrossRefPubMed
46.
go back to reference Bate P, Robert G: Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual Saf Health Care. 2006, 15 (5): 307-310. 10.1136/qshc.2005.016527.CrossRefPubMedPubMedCentral Bate P, Robert G: Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual Saf Health Care. 2006, 15 (5): 307-310. 10.1136/qshc.2005.016527.CrossRefPubMedPubMedCentral
Metadata
Title
Lead users’ ideas on core features to support physical activity in rheumatoid arthritis: a first step in the development of an internet service using participatory design
Authors
Åsa Revenäs
Christina H Opava
Pernilla Åsenlöf
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2014
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-14-21

Other articles of this Issue 1/2014

BMC Medical Informatics and Decision Making 1/2014 Go to the issue