A COVID Support App Demonstrating the Use of a Rapid Persuasive System Design Approach

Background: The persuasive systems design approach draws together theories around persuasive technology and their psychological foundations to form, alter and/or reinforce compliance, attitudes, and/or behaviors, which have been useful in building health and wellness apps. But with pandemics such as COVID and their ever-changing landscape, there is a need for such design processes to be even more time sensitive, while maintaining the inclusion of empirical evidence and rigorous testing that are the basis for the approach’s successful deployment and uptake. Objective: In response to this need, this study applied a recently developed rapid persuasive systems design (R-PSD) process to the development and testing of a COVID support app. The aim of this effort was to identify concrete steps for when and how to build new persuasion features on top of existing features in existing apps to support the changing landscape of target behaviors from COVID tracing and tracking, to long-term COVID support, information, and prevention. Methods: This study employed a two-fold approach to achieve this objective. First, a rapid persuasive systems design framework was implemented. A technology scan of current COVID apps was conducted to identify apps that had employed PSD principles, in the context of an ongoing analysis of behavioral challenges and needs that were surfacing in public health reports and other sources. Second, a test case of the R-PSD framework was implemented in the context of providing COVID support by building a COVID support app prototype. The COVID support prototype was then evaluated and tested to assess the effectiveness of the integrated approach. Results: The results of the study revealed the potential success that can be obtained from the application of the R-PSD framework to the development of rapid release apps. Importantly, this application provides the first concrete example of how the R-PSD framework can be operationalized to produce a functional, user-informed app under real-world time and resource constraints. Further, the persuasive design categories enabled the identification of essential persuasive features required for app development that are intended to facilitate, support, or precipitate behavior change. The small sample study facilitated the quick iteration of the app design to ensure time sensitivity and empirical evidence-based application improvements. The R-PSD approach can serve as a guided and practical design approach for future rapid release apps particularly in relation to the development of support apps for pandemics or other time-urgent community emergencies.