Evidence mapPaperPMID 39302134Full record

ArticleJMIR formative research2024

The Feasibility of AgileNudge+ Software to Facilitate Positive Behavioral Change: Mixed Methods Design.

Fereshtehossadat Shojaei, Fatemehalsadat Shojaei, Archita P Desai, Emily Long, Jade Mehta, Nicole R Fowler, Richard J Holden, Eric S Orman, Malaz Boustani

Abstract read
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Creating demand for unmet needs: Agile Storytelling.Frontiers in health services · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Fereshtehossadat Shojaei *Luddy School of Informatics, Computing, and Engineering, Indiana University Bloomington, Bloomington, IN, United States.ORCID 0009-0000-0935-2510
Fatemehalsadat Shojaei *School of Computer Science, State University of New York, Oswego, NY, United States.ORCID 0009-0000-9313-8970
Archita P DesaiDivision of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID 0000-0001-8731-2370
Emily LongCenter for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.ORCID 0009-0009-3853-1193
Jade MehtaCenter for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.ORCID 0009-0000-7969-3521
Nicole R FowlerCenter for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.ORCID 0000-0002-6465-0008
Richard J HoldenCenter for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.ORCID 0000-0002-3603-6158
Eric S OrmanDivision of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID 0000-0002-8295-9076
Malaz BoustaniCenter for Health Innovation and Implementation Science, School of Medicine, Indiana University, Indianapolis, IN, United States.ORCID 0000-0003-0330-677X

Funding

The Agile Nudge University ProgramR25AG078136 · TRUSTEES OF INDIANA UNIVERSITY · 2025 to 2025
$140k
NIA NIH HHS R25 AG078136
6 · The paper itself

Abstract

backgroundIn today's digital age, web-based apps have become integral to daily life, driving transformative shifts in human behavior. "AgileNudge+" (Indiana University Center for Health Innovation and Implementation Science) is a web-based solution to simplify the process of positive behavior change using nudging as an intervention. By integrating knowledge from behavioral economics with technology, AgileNudge+ organizes multiple steps, simplifies complex tasks, minimizes errors by enhancing user engagement, and provides resources for creating and testing nudge interventions.

objectiveThis paper aimed to outline the design process, methodologies, and usefulness of "AgileNudge+" for the development of evidence-based nudges. It used a mixed methods approach to evaluate the software's interface usability and usefulness for creating and testing nudge interventions.

methodsAgileNudge+ was developed through iterative processes integrating principles from behavioral economics and user-centered design. The content of AgileNudge+ operationalizes an Agile science-based process to efficiently design, embed, and disseminate evidence-based nudges that encourage positive behavior change without limiting choice. Using a mixed methods approach, we tested AgileNudge+ software's ability to organize and simplify the nudge intervention process, allowing a diverse range of scholars with limited knowledge of Agile science to use nudges. Usability testing assessed the tool's usefulness and interface with a sample of 18 health care professionals, each asked to interact with the software and create a nudge intervention to solve a problem within their professional project's sphere.

resultsThe study was funded in August 2022, with data collection occurring from June 2023 to July 2024. As of July 2024, we have enrolled 18 participants. Quantitative results found a mean usefulness rating of AgileNudge+ of 3.83 (95% CI 3.00-4.66). Qualitative results highlighted ways to modify the language used in AgileNudge+ to be more comprehensible to a diverse user base and promoted modifications to the software that facilitate real-time assistance and prioritize time efficiency in user interactions. Feedback further supported the positive impact of gamification on participant motivation when using the software.

conclusionsAgileNudge+ is an effective assistive tool for simplifying the positive behavior change process using nudge interventions, with tailored content and interactions to meet users' needs and demands. Building onto the current design, future iterations of AgileNudge+ will use artificial intelligence to process large volumes of data while reducing the time and mental energy required to scan for existing cognitive biases and nudge prototypes. The software is also being upgraded to build on current gamification efforts, encouraging more sustained motivation by increasing the temporal resolution of the digital interface. These modifications stay true to the agility and user-centered aspects of AgileNudge+, emphasizing the novelty of the constantly evolving software design process.

Indexed as

Feasibility StudiesSoftwareAdultBehavior TherapyFemaleHealth BehaviorHumansMaleMobile Applicationsagileagile implementationAgileNudge+human behaviorhuman-computer interactionnudge strategynudging interventionssoftware designusability testinguser experience design

Identifiers

PMID39302134
PMCPMC11602761

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.