Table 4.
Solutions to reduce barriers.
| Barrier | Solution | ||
| Barriers to physical activity | |||
|
|
Joint pain and fatigue | Explain that being physically active can help reduce joint pain and fatigue | |
|
|
Reduced motivation | Offering rewards inside the challenge for regularity and improvements | |
|
|
Lack of time (eg, working again, family commitment) | Show different ways to gain steps each day without needing a lot of time (eg, leaving the bus/metro one stop early, parking the car farther away from the workplace/stores, taking the stairs, using the bathroom on another floor at work). Help participants to find ways of freeing some time | |
|
|
Counterintuitiveness of being active when fatigued or feeling pain | Explain that being physically active can help reduce joint pain and fatigue; tell them they will likely feel it after a few days | |
| Barriers to the use of mHealth and challenge improvements | |||
|
|
Complexity of the device’s use | A simpler way to record steps | |
|
|
Device only adapted to walking | An only device recording all kind of physical activity (cycling, swimming, etc) | |
|
|
Visibility of new messages in the chat | Build a pop-up alert when a new message is posted in the chat | |
|
|
Visibility of the itinerary (world tour) of the challenge on a mobile device | Seeing the map of the challenge more clearly on the phone (world tour) or finding another way to present it | |
|
|
Information about step counts | A day-by-day recap of the step count | |
|
|
Reduced motivation | Add more mini-games, more interactions between participants | |
|
|
Playing with strangers | Use the challenge in groups that already know each other | |