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Light, activity and sleep in my daily life: : Design of an online intervention targeting changes to routines and the home

Maini Gerhardsson, Kiran LU ; Iwarsson, Susanne LU and Schmidt, Steven LU orcid (2022) 33rd Annual Meeting SLTBR, Society for Light Treatment and Biological Rhythms p.40-41
Abstract
Background: Older adults spend more time at home after retirement, and the home becomes a central place for activity. While research indicates that indoor lighting, exposure to daylight, physical activity and sleep interact to influence functioning, mood and daily rhythm, strategies are needed to promote behavioural changes to optimise these factors in daily life. The objective is to design an intervention delivered as a web-based course to encourage behaviour change related to outdoor physical activity, sleep patterns and changes to the home environment. The behaviour changes are intended to promote mental wellbeing and improve lighting and darkness conditions. The intervention strategy departs from the Information-Motivation-Behavioural... (More)
Background: Older adults spend more time at home after retirement, and the home becomes a central place for activity. While research indicates that indoor lighting, exposure to daylight, physical activity and sleep interact to influence functioning, mood and daily rhythm, strategies are needed to promote behavioural changes to optimise these factors in daily life. The objective is to design an intervention delivered as a web-based course to encourage behaviour change related to outdoor physical activity, sleep patterns and changes to the home environment. The behaviour changes are intended to promote mental wellbeing and improve lighting and darkness conditions. The intervention strategy departs from the Information-Motivation-Behavioural Skills Model. Intervention components build on goal implementation theory. The Technology Acceptance Model is used as a framework to evaluate usability aspects of the course content and the learning management system.
Method: Using a mixed-methods approach, qualitative and quantitative data were collected through video observations, semi-structured interviews and a 10-item Likert scale questionnaire (The System Usability Scale). Scores were averaged for each participant and converted into a usability score out of 100 (a score of 68 or above is considered above average). In a first round, three experts on pedagogy, design for older people and/or interaction design were invited to independently assess the usability of the course content on their laptops in a full-scale model of an apartment. The setting enabled manipulations of the lighting conditions (daylight mode and night mode, change of luminaires), contextual interviews and video observation to identify any problems when participants experimented with the test kit included in the course material. They participated on three occasions lasting 2 hours each. Six healthy adults (aged 70+) participated in a similar usability trial in a second round.
Findings: Experts’ average usability score was 78.3, indicating “Good” usability. However, the interviews did reveal some issues (e.g. difficult or inconsistent terms, unclear instructions). Results were used to refine the course before the second usability trial with six participants. Based on the interviews and usability ratings, the participants were positive about the course, and the instructions were easy to follow. All six participants rated the overall user-friendliness of the course as 6 out of 7. The average usability score was 86.7, indicating “Excellent” usability. Based on the participants’ feedback and interactions in the apartment, changes to the course content included, e.g. clarifying terms, the different types of text links and instructions. Unexpected issues with online enrolment in the course appeared before the second trial because standard instructions developed by the university were not tailored to the participants.
Conclusions: A two-step usability evaluation by experts in the first round and target users in the second proved valuable. It enabled refinement of the course content and significantly reduced the number of identified usability issues in the second trial. A learning management system seems promising for use in behaviour-change interventions. However, the time-limited lab trials restricted a complete evaluation. Therefore, the next step is to pilot the course and evaluate the feasibility in real-world homes. (Less)
Abstract (Swedish)
Background: Older adults spend more time at home after retirement, and the home becomes a central place for activity. While research indicates that indoor lighting, exposure to daylight, physical activity and sleep interact to influence functioning, mood and daily rhythm, strategies are needed to promote behavioural changes to optimise these factors in daily life. The objective is to design an intervention delivered as a web-based course to encourage behaviour change related to outdoor physical activity, sleep patterns and changes to the home environment. The behaviour changes are intended to promote mental wellbeing and improve lighting and darkness conditions. The intervention strategy departs from the Information-Motivation-Behavioural... (More)
Background: Older adults spend more time at home after retirement, and the home becomes a central place for activity. While research indicates that indoor lighting, exposure to daylight, physical activity and sleep interact to influence functioning, mood and daily rhythm, strategies are needed to promote behavioural changes to optimise these factors in daily life. The objective is to design an intervention delivered as a web-based course to encourage behaviour change related to outdoor physical activity, sleep patterns and changes to the home environment. The behaviour changes are intended to promote mental wellbeing and improve lighting and darkness conditions. The intervention strategy departs from the Information-Motivation-Behavioural Skills Model. Intervention components build on goal implementation theory. The Technology Acceptance Model is used as a framework to evaluate usability aspects of the course content and the learning management system.
Method: Using a mixed-methods approach, qualitative and quantitative data were collected through video observations, semi-structured interviews and a 10-item Likert scale questionnaire (The System Usability Scale). Scores were averaged for each participant and converted into a usability score out of 100 (a score of 68 or above is considered above average). In a first round, three experts on pedagogy, design for older people and/or interaction design were invited to independently assess the usability of the course content on their laptops in a full-scale model of an apartment. The setting enabled manipulations of the lighting conditions (daylight mode and night mode, change of luminaires), contextual interviews and video observation to identify any problems when participants experimented with the test kit included in the course material. They participated on three occasions lasting 2 hours each. Six healthy adults (aged 70+) participated in a similar usability trial in a second round.
Findings: Experts’ average usability score was 78.3, indicating “Good” usability. However, the interviews did reveal some issues (e.g. difficult or inconsistent terms, unclear instructions). Results were used to refine the course before the second usability trial with six participants. Based on the interviews and usability ratings, the participants were positive about the course, and the instructions were easy to follow. All six participants rated the overall user-friendliness of the course as 6 out of 7. The average usability score was 86.7, indicating “Excellent” usability. Based on the participants’ feedback and interactions in the apartment, changes to the course content included, e.g. clarifying terms, the different types of text links and instructions. Unexpected issues with online enrolment in the course appeared before the second trial because standard instructions developed by the university were not tailored to the participants.
Conclusions: A two-step usability evaluation by experts in the first round and target users in the second proved valuable. It enabled refinement of the course content and significantly reduced the number of identified usability issues in the second trial. A learning management system seems promising for use in behaviour-change interventions. However, the time-limited lab trials restricted a complete evaluation. Therefore, the next step is to pilot the course and evaluate the feasibility in real-world homes. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to conference
publication status
published
subject
keywords
behaviour-change intervention, usability, older adults, Behaviour-change intervention, Usability
pages
2 pages
conference name
33rd Annual Meeting SLTBR, Society for Light Treatment and Biological Rhythms
conference location
Manchester, United Kingdom
conference dates
2022-06-23 - 2022-06-25
project
A digital tool for taking environmental control in the home and changing routines: light, acitivity and sleep
language
English
LU publication?
yes
id
e4e24fbe-c8a0-40e4-9064-5a9a57843cd7
date added to LUP
2022-06-25 20:45:21
date last changed
2023-11-14 14:37:40
@misc{e4e24fbe-c8a0-40e4-9064-5a9a57843cd7,
  abstract     = {{Background: Older adults spend more time at home after retirement, and the home becomes a central place for activity. While research indicates that indoor lighting, exposure to daylight, physical activity and sleep interact to influence functioning, mood and daily rhythm, strategies are needed to promote behavioural changes to optimise these factors in daily life. The objective is to design an intervention delivered as a web-based course to encourage behaviour change related to outdoor physical activity, sleep patterns and changes to the home environment. The behaviour changes are intended to promote mental wellbeing and improve lighting and darkness conditions. The intervention strategy departs from the Information-Motivation-Behavioural Skills Model. Intervention components build on goal implementation theory. The Technology Acceptance Model is used as a framework to evaluate usability aspects of the course content and the learning management system. <br/>Method: Using a mixed-methods approach, qualitative and quantitative data were collected through video observations, semi-structured interviews and a 10-item Likert scale questionnaire (The System Usability Scale). Scores were averaged for each participant and converted into a usability score out of 100 (a score of 68 or above is considered above average). In a first round, three experts on pedagogy, design for older people and/or interaction design were invited to independently assess the usability of the course content on their laptops in a full-scale model of an apartment. The setting enabled manipulations of the lighting conditions (daylight mode and night mode, change of luminaires), contextual interviews and video observation to identify any problems when participants experimented with the test kit included in the course material. They participated on three occasions lasting 2 hours each. Six healthy adults (aged 70+) participated in a similar usability trial in a second round. <br/>Findings: Experts’ average usability score was 78.3, indicating “Good” usability. However, the interviews did reveal some issues (e.g. difficult or inconsistent terms, unclear instructions). Results were used to refine the course before the second usability trial with six participants. Based on the interviews and usability ratings, the participants were positive about the course, and the instructions were easy to follow. All six participants rated the overall user-friendliness of the course as 6 out of 7. The average usability score was 86.7, indicating “Excellent” usability. Based on the participants’ feedback and interactions in the apartment, changes to the course content included, e.g. clarifying terms, the different types of text links and instructions. Unexpected issues with online enrolment in the course appeared before the second trial because standard instructions developed by the university were not tailored to the participants.<br/>Conclusions: A two-step usability evaluation by experts in the first round and target users in the second proved valuable. It enabled refinement of the course content and significantly reduced the number of identified usability issues in the second trial. A learning management system seems promising for use in behaviour-change interventions. However, the time-limited lab trials restricted a complete evaluation. Therefore, the next step is to pilot the course and evaluate the feasibility in real-world homes.}},
  author       = {{Maini Gerhardsson, Kiran and Iwarsson, Susanne and Schmidt, Steven}},
  keywords     = {{behaviour-change intervention; usability; older adults; Behaviour-change intervention; Usability}},
  language     = {{eng}},
  month        = {{06}},
  pages        = {{40--41}},
  title        = {{Light, activity and sleep in my daily life: : Design of an online intervention targeting changes to routines and the home}},
  url          = {{https://lup.lub.lu.se/search/files/120595079/2022_SLTBR_abstracts_full_version.pdf}},
  year         = {{2022}},
}