title: Microlearning mApp raises health competence: hybrid service design.
abstract: Work place health support interventions can help support our aging work force, with mApps offering cost-effectiveness opportunities. Previous research shows that health support apps should offer users enough newness and relevance each time they are used. Otherwise the 'eHealth law of attrition' applies: 90 % of users are lost prematurely. Our research study builds on this prior research with further investigation on whether a mobile health quiz provides added value for users within a hybrid service mix and whether it promotes long term health? We developed a hybrid health support intervention solution that uses a mix of electronic and physical support services for improving health behaviours, including a mobile micro-learning health quiz. This solution was evaluated in a multiple-case study at three work sites with 86 users. We find that both our mobile health quiz and the overall hybrid solution contributed to improvements in health readiness, -behaviour and -competence. Users indicated that the micro-learning health quiz courses provided new and relevant information. Relatively high utilization rates of the health quiz were observed. Participants indicated that health insights were given that directly influenced every day health perceptions, -choices, coping and goal achievement strategies, plus motivation and self-norms. This points to increased user health self-management competence. Moreover, even after 10 months they indicated to still have improved health awareness, -motivation and -behaviours (food, physical activity, mental recuperation). A design analysis was conducted regarding service mix efficacy; the mobile micro-learning health quiz helped fulfil a set of key requirements that exist for designing ICT-enabled lifestyle interventions, largely in the way it was anticipated.
authors.affiliation: Delft University of Technology, Delft, The Netherlands.
authors.forename: Luuk P A
authors.initials: LP
authors.lastname: Simons
authors.affiliation: Georgia Institute of Technology, Atlanta, GA USA.
authors.forename: Florian
authors.initials: F
authors.lastname: Foerster
authors.affiliation: Research Studios Austria Forschungsgesellschaft mbH, Wien, Austria.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Bruck
authors.affiliation: Operations & Info Systems Department, University of Massachusetts Lowell, Lowell, MA USA.
authors.forename: Luvai
authors.initials: L
authors.lastname: Motiwalla
authors.affiliation: Delft University of Technology, Delft, The Netherlands.
authors.forename: Catholijn M
authors.initials: CM
authors.lastname: Jonker
keywords: Health competence; Healthy lifestyle intervention; Mobile health; Multi-channel services; Self-management; Service design; mApp