Behavior Change Support Systems for Self-Treating Procrastination: Systematic Search in App Stores and Analysis of Motivational Design Archetypes.

IF 6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Internet Research Pub Date : 2025-02-20 DOI:10.2196/65214
Jeanine Kirchner-Krath, Manuel Schmidt-Kraepelin, Katharina Schmähl, Christoph Schütz, Benedikt Morschheuser, Ali Sunyaev
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Abstract

Background: The phenomenon of procrastination refers to an individual's conscious decision to postpone the completion of tasks despite being aware of its adverse consequences in the future. Extant research in this field shows that procrastination is associated with increased levels of anxiety and stress and the likelihood of developing depression and calls for the development of suitable interventions that support individuals in making lasting positive changes to their procrastination behaviors. In parallel, practice has produced a plethora of behavior change support systems (BCSSs) that aim to provide a low-threshold, accessible alternative to in-person therapeutic approaches. Most of these BCSSs can be considered motivational BCSSs that combine functional, utilitarian components with hedonic and eudaimonic design elements to empower self-treatment. Although early studies have suggested the potential benefits of such BCSSs, research on understanding their specific design characteristics and support of individuals in self-treating procrastination is still in its infancy.

Objective: In response to this gap between practice and research, we aimed to analyze and systemize the multitude of practical design efforts in motivational BCSSs for the self-treatment of procrastination and identify the main design archetypes that have emerged.

Methods: We conducted a 3-step research approach. First, we identified 127 behavior change support apps for procrastination through a systematic screening process in the German and US Apple App Store and Google Play Store. Second, we systematically coded the identified apps in terms of the behavior change techniques targeted by their functional design and hedonic or eudaimonic design elements. Third, we conducted a 2-step cluster analysis to identify archetypes of motivational design in behavior change support apps to combat procrastination.

Results: A variety of motivational designs have been developed and implemented in practice, and our analysis identified five main archetypes: (1) structured progress monitor, (2) self-improvement guide, (3) productivity adventure, (4) emotional wellness coach, and (5) social focus companion. The identified archetypes target different psychological determinants of procrastination and successfully use a variety of hedonic and eudaimonic design elements that extend beyond the current state of research.

Conclusions: The results of our study provide a foundation for future research endeavors that aim to examine the comparative effects of motivational design archetypes and develop more effective interventions tailored to individual needs. For practitioners, the findings reveal the contemporary design space of motivational BCSSs to support the self-treatment of procrastination and may serve as blueprints that can guide the design of future systems. For individuals seeking support and health professionals treating procrastination, our study systemizes the landscape of apps, thereby facilitating the selection of one that best aligns with the patient's individual needs.

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自我治疗拖延症的行为改变支持系统:应用商店的系统搜索和动机设计原型分析。
背景:拖延症是指个体有意识地决定推迟完成任务,尽管意识到这样做在未来会产生不利后果。该领域的现有研究表明,拖延症与焦虑和压力水平的增加以及发展为抑郁症的可能性有关,并呼吁开发适当的干预措施,支持个人对拖延症行为做出持久的积极改变。与此同时,实践已经产生了大量的行为改变支持系统(BCSSs),旨在提供一个低门槛、可访问的替代面对面治疗方法。大多数此类bcss都可以被视为动机性bcss,它们将功能、实用成分与享乐和理想设计元素结合起来,赋予自我治疗权力。尽管早期的研究表明这种bcss有潜在的好处,但关于理解其具体设计特征和支持个体自我治疗拖延症的研究仍处于起步阶段。目的:针对这种实践与研究之间的差距,我们旨在分析和系统化动机性bcss中用于拖延症自我治疗的大量实际设计工作,并确定已经出现的主要设计原型。方法:采用三步研究方法。首先,我们在德国和美国的苹果应用商店和bb0 Play商店通过系统筛选程序确定了127个行为改变支持拖延症的应用程序。其次,我们根据应用的功能设计和享乐或理想设计元素所针对的行为改变技术,系统地对已识别的应用进行编码。第三,我们进行了两步聚类分析,以确定行为改变支持应用程序的动机设计原型,以对抗拖延症。结果:不同类型的激励设计在实践中被开发和实施,我们的分析确定了五个主要原型:(1)结构化进度监测,(2)自我完善指导,(3)生产力冒险,(4)情绪健康教练,(5)社会焦点伴侣。已确定的原型针对拖延症的不同心理决定因素,并成功地使用了各种超越当前研究状态的享乐主义和幸福主义设计元素。结论:我们的研究结果为未来的研究提供了基础,旨在检验动机设计原型的比较效果,并根据个人需求开发更有效的干预措施。对于从业者来说,研究结果揭示了动机性bcss的当代设计空间,以支持拖延症的自我治疗,并可能作为指导未来系统设计的蓝图。对于寻求支持的个人和治疗拖延症的健康专业人员,我们的研究将应用程序的景观系统化,从而促进选择最符合患者个人需求的应用程序。
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来源期刊
CiteScore
14.40
自引率
5.40%
发文量
654
审稿时长
1 months
期刊介绍: The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades. As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor. Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.
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