Previously submitted to: JMIR Mental Health (no longer under consideration since Jun 26, 2019)
Date Submitted: May 6, 2019
Open Peer Review Period: May 9, 2019 - Jun 17, 2019
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A Qualitative Study on Participants’ Experiences with a Community-based Mindful Walking Pilot Intervention Using Mobile Device Measurement
Background:
Wearable mobile devices have been increasingly used to measure outcomes of mindfulness interventions.
Objective:
This study documents participants’ experiences with a mindful walking (MW) intervention and their experiences with reporting daily step counts using a mobile device.
Methods:
The pilot study involved a randomized MW intervention including 38 participants with inadequate physical activity. All participants were provided with a mobile device (“Fitbit”) to measure and report physical activity. The intervention group received a four-week MW intervention. All participants reported their experiences with Fitbit in responses to open-ended survey questions; those in the intervention group reported their experiences with MW. We used a qualitative thematic analysis of this survey-collected narrative dataset.
Results:
Participants’ reported experiences using the Fitbit device were mostly positive, with a majority of participants (63%) providing feedback that using the device was “enjoyable” and “helpful”. The common negative experience, reported by 16% of participants, was that the Fitbit was “uncomfortable to wear”. Perceived benefits of using the device included raising awareness about participants’ physical activity level and providing motivation to reach fitness goals. Participant feedback about the MW arm of the intervention included positive reports of benefits such as, “helping to focus on the present”, “coping with stressful emotions”, and negative feedback related to lacking the patience or ability to engage in meditation.
Conclusions:
Most participants reported step count data, demonstrating the feasibility of a mobile-device-assisted MW intervention. While most of the feedback about MW and the device was positive, some reported discomfort with wearing the device and lack of patience with meditation. These barriers should be addressed in future mobile health and mindfulness interventions.
ClinicalTrial:
ClinicalTrials.gov NCT03856385, http://clinicaltrials.gov/ct2/show/ NCT03856385
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