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has total control over the data. All data are stored
locally in the mobile phone, and thus can be ac-
cessed, viewed, modified and deleted at anytime.
The users can transfer their WD data wirelessly
via the Multimedia Messaging Service (MMS),
Bluetooth, or email to researchers, experts or
peers. Also a two-way data synchronisation was
enabled between WD and its web-based counter-
part, Wellness Diary Connected (WDC; Nokia
Corp., Helsinki, Finland). In this case, user's data
is secured and can be viewed and manipulated by
the user also in the web service. All modes of data
transmission from WD are user-initiated to ensure
the user's control over his/her data. These choices
were made in order to increase the users' control
and ensure their privacy, and thereby enhance
their trust in the application.
A trust-related design decision was to protect
users from their own, over-ambitious targets. Goal
setting was designed to enable the user to commit
to a change by setting personal targets. In order to
prevent unrealistic targets, an algorithm to check
the weight target for safety was included. The
algorithm checks the user's target against healthy
BMI limits and weight management recommenda-
tions. The rules aim to discourage underweight
users to lose weight and to discourage normal or
overweight users to gain weight or lose weight
too dramatically. This feature was designed to
help the user avoid potentially unhealthy targets.
Another trust related design target was prevent-
ing user errors. A simple validation mechanism was
designed to prevent the user from unintentionally
saving empty entries. The application detects if a
mandatory field has not been filled in and asks the
user whether he/she really wants to save the entry.
Taking a new application into use is always a
challenge requiring learning and should be made
as effortless as possible. To facilitate the adoption,
the first versions of WD were integrated into the
standard Symbian Series 60 calendar. This design
provided users with a recognisable user interface
and a familiar way of using the application. In later
versions, the calendar integration was redesigned
in order to emphasize well-being management.
Still, sharing data between WD and the calendar,
calendar-like usage logic and many calendar-like
views were maintained. Another motivation for
the calendar paradigm was to provide a fit to the
existing usage culture of the mobile phone (daily
time management) and an opportunity to extend
it to daily well-being management, following one
of the TAMM design guidelines for facilitating
adoption.
The user acceptance of WD was evaluated in
three user studies as detailed in Table 10. The user
acceptance of WD in these studies was examined
based on the dimensions of TAMM, perceived
ease of use, ease of adoption, value, and trust.
Perceived ease of use of WD was high in all
studies. In Study I, about 90% of participants
perceived WD as a simple application and in Study
II, 100% of participants reported that it was easy
to make entries with a mobile phone. In Study III,
WD was perceived as easy to use by 60% of re-
spondents.
Table 5. User acceptance of the wellness diary was studied in three field trials
Health issue targeted
Population
Participants
Duration
Study I: Weight management (Mattila et al.,
2008)
E
Working-age adults, mean age 40
years
30 (21 males, 9
females)
12 wk
Study II: Occupational rehabilitation for stress-
related problems (Mattila et al., 2008)
Working-age, mean age 55 years
17 (3 males, 14
females)
12 wk
Study III: Occupational health promotion for
multiple health risks (Ahtinen et al. 2009)
Working-age, mean age 45 years
118 (35 males, 83
females)
12 mo
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