Examining the Fidelity and Dose of a Mobile Health App for Micro-entrepreneurs' Recovery from Work-related Stress

Markku Kekkonen, Harri Oinas-Kukkonen, Sanni Tiitinen, Aija Logren, Sakari Ilomäki, Eveliina Korkiakangas, Piiastiina Tikka, Jaana Laitinen, Johanna Ruusuvuori

Research output: Chapter in Book/Report/Conference proceedingConference contributionScientificpeer-review

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Mobile apps as health interventions have proven effective in various settings such as the management of weight, sleep deprivation and depression. Yet, thorough descriptions and analyses of the development and implementation processes of such apps are still quite rare. Moreover, app process evaluations covering more than one health behaviour are even more scarce. This study describes a process evaluation for the implementation of a digital intervention developed for supporting micro-entrepreneurs' well-being through recovering from work and job strain in a study trial setting. The health intervention was implemented as a mobile app, which coached the users in seven selected health related domains: 1) Exercising (physical activity), 2) Stress management, 3) Time management (efficient working hours), 4) Recovery from work, 5) Sleep, 6) Healthy nutrition (dietary behaviour) and 7) Sedentary behaviour (excessive sitting). A total of 1225 eligible micro-entrepreneurs were included in the intervention study out of which 613 participants were randomized to the intervention group and 612 to the control group. A process evaluation regarding the intervention group was carried out after the trial. This paper focuses on discussing the technological intervention's fidelity and dose, the latter including both doses delivered and received. The dose delivered was extensive, whereas the dose received was less extensive. Fidelity was met with various levels, from none to some depending on user activity, as those users who used the app gained support for reaching their goals.

Original languageEnglish
Title of host publicationProceedings of the Annual Symposium of Computer Science 2023
EditorsJussi Kasurinen, Tero Päivärinta
Number of pages14
Publication statusPublished - 2023
Publication typeA4 Article in conference proceedings
EventAnnual Symposium of Computer Science TKTP - Oulu, Finland
Duration: 13 Jun 202314 Jun 2023

Publication series

NameCEUR Workshop Proceedings
ISSN (Electronic)1613-0073


ConferenceAnnual Symposium of Computer Science TKTP


  • Microentrepreneurs
  • Mobile app
  • Persuasive systems design
  • Process evaluation
  • Recovery from work
  • Smartphone

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • General Computer Science


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