Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent

Detalhes bibliográficos
Autor(a) principal: Pimenta, Nuno
Data de Publicação: 2022
Outros Autores: Félix, Isa Brito, Monteiro, Diogo, Marques, Marta Moreira, Guerreiro, Mara Pereira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/143541
Resumo: Funding Information: This project was supported by FCT and Compete 2020 (grant number LISBOA-01-0145-FEDER-024250, 02/SAICT/2016). Publisher Copyright: Copyright © 2022 Pimenta, Félix, Monteiro, Marques and Guerreiro.
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spelling Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational AgentDevelopment of an Evidence and Theory-Based Multi-Behavior Interventionbehavior change techniquesconversational agentintervention developmentolder adultsphysical activityself-determination theorytype 2 diabetesPsychology(all)SDG 3 - Good Health and Well-beingFunding Information: This project was supported by FCT and Compete 2020 (grant number LISBOA-01-0145-FEDER-024250, 02/SAICT/2016). Publisher Copyright: Copyright © 2022 Pimenta, Félix, Monteiro, Marques and Guerreiro.Introduction: Anthropomorphic conversational agents (ACA) are a promising digital tool to support self-management of type 2 diabetes (T2D), albeit little explored. There is a dearth of literature on the detailed content of these interventions, which may limit effectiveness and replication. Our aim is to describe the development of an evidence and theory-based intervention to improve physical activity in older adults with T2D, subsumed in a multi-behavior intervention via a mobile application with an ACA. Methods: Overall decisions on the multi-behavior intervention design, such as the use of standardized behavior change techniques (BCTTv1), guided the development of the physical activity component. Firstly, recommendations on ambulatory activity were used to select the target behavior (walking). Meta-research on effective behavior change techniques (BCTs) was then identified. One meta-analysis linked effective BCTs with the three basic psychological needs of the self-determination theory (SDT). This meta-analysis, taken together with additional evidence on SDT, led to the selection of this theory to inform the design. BCTs were extracted from meta-research; we selected the most appropriate to be operationalized via the conversational agent through multidisciplinary discussions. Rules governing the dialogue flow and BCTs tailoring, taking the form “if some conditions hold then execute some action,” were derived based on the Basic Psychological in Exercise Scale (competence, autonomy, and relatedness scores), in conjunction with published evidence and multidisciplinary discussions. Results: Thirteen BCTs were implemented in the prototype via the ACA (e.g., goal setting behavior 1.1). Six if-then rules were derived and depicted in the dialogue steps through process flow diagrams, which map how the system functions. An example of a rule is “If competence score ≤ 10 then, apply BCT 1.1 with 500 steps increments as options for the daily walking goal; If competence score > 10 then, apply BCT 1.1 with 1,000 steps increments as options for the daily walking goal.” Conclusion: Evidence and SDT were translated into a mobile application prototype using an ACA to promote physical activity in older adults with T2D. This approach, which includes 13 BCTs and six if-then rules for their tailoring, may leverage the efforts of others in developing similar interventions.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNPimenta, NunoFélix, Isa BritoMonteiro, DiogoMarques, Marta MoreiraGuerreiro, Mara Pereira2022-09-06T22:37:55Z2022-07-122022-07-12T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/143541eng1664-1078PURE: 46124745https://doi.org/10.3389/fpsyg.2022.883354info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:21:58Zoai:run.unl.pt:10362/143541Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:51:00.118399Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
Development of an Evidence and Theory-Based Multi-Behavior Intervention
title Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
spellingShingle Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
Pimenta, Nuno
behavior change techniques
conversational agent
intervention development
older adults
physical activity
self-determination theory
type 2 diabetes
Psychology(all)
SDG 3 - Good Health and Well-being
title_short Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
title_full Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
title_fullStr Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
title_full_unstemmed Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
title_sort Promoting Physical Activity in Older Adults With Type 2 Diabetes via an Anthropomorphic Conversational Agent
author Pimenta, Nuno
author_facet Pimenta, Nuno
Félix, Isa Brito
Monteiro, Diogo
Marques, Marta Moreira
Guerreiro, Mara Pereira
author_role author
author2 Félix, Isa Brito
Monteiro, Diogo
Marques, Marta Moreira
Guerreiro, Mara Pereira
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Pimenta, Nuno
Félix, Isa Brito
Monteiro, Diogo
Marques, Marta Moreira
Guerreiro, Mara Pereira
dc.subject.por.fl_str_mv behavior change techniques
conversational agent
intervention development
older adults
physical activity
self-determination theory
type 2 diabetes
Psychology(all)
SDG 3 - Good Health and Well-being
topic behavior change techniques
conversational agent
intervention development
older adults
physical activity
self-determination theory
type 2 diabetes
Psychology(all)
SDG 3 - Good Health and Well-being
description Funding Information: This project was supported by FCT and Compete 2020 (grant number LISBOA-01-0145-FEDER-024250, 02/SAICT/2016). Publisher Copyright: Copyright © 2022 Pimenta, Félix, Monteiro, Marques and Guerreiro.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-06T22:37:55Z
2022-07-12
2022-07-12T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/143541
url http://hdl.handle.net/10362/143541
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1664-1078
PURE: 46124745
https://doi.org/10.3389/fpsyg.2022.883354
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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