Page 35 - IJPS-10-2
P. 35

International Journal of
            Population Studies                                                Design and usability evaluations of a course



            peer support. However, physical impairments or lack   The elements of the model were considered in the
            of good health can be strong barriers to participation in   design of the course content in the following ways. Factual
            educational activities (Purdie & Boulton-Lewis, 2003).  information is provided, for example, light as the most
              While lifelong learning has received more attention in   potent external time cue for the internal body clock,
            recent years (Schmidt-Hertha et al., 2019), to the best of   characteristics of good indoor lighting, and the complex
            our knowledge, no research has addressed the design and   relationship between light, outdoor physical activity, and
            development of a complex behavioral change intervention   sleep. Motivation is considered through information
            comprising a web-based course targeting light, activity,   about the individual benefits of maintaining routines, the
            and sleep directed at older adults.                possibility of peer support, weekly encouragement from
                                                               the course leader/interventionist, and automatic feedback
            1.2. Objectives                                    through text messages on the mobile phone when each
            This paper reports on the evaluation of usability aspects   module has been completed. Course content is adapted to
            of  an intervention  delivered  as  a  web-based  course.  The   the target users (aged 70 and above) and includes practical
            evaluation was conducted in a laboratory setting with   exercises and skills training to make learning experiences
            invited experts and members of the target user group.  interesting and enjoyable. Behavioral skills involve how to
                                                               change certain lighting design features. Course participants
              The principal objective of this study was to design a   are encouraged to use a checklist and a test kit to identify
            user-friendly web-based course that encourages behavior   individual lighting needs and preferences.
            change related to outdoor physical activity, sleep patterns,
            and changes to the home environment, such as lighting   Behavioral  changes  entail  physical  activation
            and darkness. A second objective was to evaluate usability   (e.g., increased engagement in outdoor activities such as
            aspects of the course. The behavioral changes are intended   walking), changes to sleep routines based on the principles
            to promote well-being and improve lighting and darkness   of sleep restriction, and listing action plans to turn goals
            conditions in ordinary homes of older adults. The long-  into habits. Participants list strategies to accomplish the
            term goals of the course are social inclusion and continued   goal by creating “if-then” plans. “If” refers to the critical
            independent living.                                situation or situational cue, and “then” refers to the goal-
                                                               striving response (Gollwitzer & Sheeran, 2006).
              The target group – adults aged 70+, living in ordinary
            housing – was chosen because they are likely to have retired   The technology acceptance model was used as a
            from work and experienced changes in their daily routines.   framework to evaluate the course’s usability aspects (Davis,
            Furthermore, most older adults in Sweden live in ordinary   1989). According to the model, two factors predict and
            housing (95% of those aged 60+) (Statistics Sweden/  explain system use: “perceived usefulness” and “perceived
            Statistikmyndigheten, 2022). Ordinary housing refers to   ease of use.” This means that people will use an application
            all dwellings on the open market, including different forms   (e.g., a software tool or a technical product) if they find
            of housing tenure, while special housing denotes housing   that it helps them perform better. However, performance
            that requires an authority decision.               benefits  might  be  outweighed  by  the  effort  to  use  the
                                                               application.
            1.3. Theoretical approach to intervention strategy
            and usability evaluation                           2. Data and methods

            The intervention strategy departs from the information-  2.1. Course design and development
            motivation-behavioral skills model, which was developed   The non-credit web-based course “Light, activity and sleep
            in the nineties for promoting health-related behavior   in my daily life” was developed for the online learning
            (preventive behavior to reduce HIV risks) while    management system Canvas.  Figure  1 shows examples
            considering social and psychological factors that influence   of screenshots from Canvas. The course can be accessed
            such behaviors (Fisher  et al., 2003). The model was   on a computer, tablet, or mobile phone with an internet
            designed to be easy to translate into health promotion   connection using either an internet browser or a mobile
            interventions and claims that health-related information,
            motivation,  and behavioral  skills are  fundamental  for   app. Course participants are asked to use a browser (either
            health-related behaviors. When people are well informed,   on a large  tablet or a computer) to ensure that features
            motivated to act, and have the behavioral skills needed   work as intended and to facilitate typing when submitting
            for effective action, they are likely to initiate and maintain   online assignments.
            health-promoting behaviors and experience positive   The course includes various learning strategies, such as
            health outcomes.                                   reading and listening to factual information, doing practical


            Volume 10 Issue 2 (2024)                        29                         https://doi.org/10.36922/ijps.378
   30   31   32   33   34   35   36   37   38   39   40