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. 2021 Mar 22;7(1):e23927. doi: 10.2196/23927

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