Activity Trackers: Comparing Athlete Runners versus Health
Runners through a Dedicated Technology Acceptance Model
Ricardo Sol
a
and Karolina Baras
b
Exact Sciences and Engineering, University of Madeira, Madeira, Portugal
Keywords: User Acceptance, Ubiquitous Systems, Personal Informatics, Personal Data Tracking, Wearable Computers,
Sports/Exercise.
Abstract: The conducted study seeks to learn if, why and how two different groups of Activity Trackers users, Athletes
and Health Runners, are utilizing these devices for their self-quantification. The study is based on the content
analysis of 20 semi-structured interviews, 10 of which were with Athletes. To achieve its goals, the authors
use a model based on the Technology Acceptance Model (TAM), a widely adopted technology acceptance
theory. Amongst our findings, the construct Perceived Ease of Use showed that Athletes find it hard to
program the settings for their training and Health Runners expressed that there is too much information
involved. This paper contributes by showing that an all-purpose interface is not suitable and offers new
knowledge for methodological discussions as it is, to the best of our knowledge, the first qualitative study to
employ a TAM like model in order to qualitatively interpret the use of Activity Trackers.
1 INTRODUCTION
Activity Trackers have become mainstream gadgets
for consumers in recent years. However, many people
still do not achieve the recommended levels of
activity for their age groups. For the activity of
walking, it has been widely recommended that
healthy adults should reach the goal of ten thousand
steps per day in order to maintain or improve their
health. The development and the commercialization
of Activity Trackers have showed a positive effect in
helping many users to reach this goal (Laranjo, 2021).
Research has shown that users of Activity Trackers,
when steadily checking their step count walk more
(Carels, 2005), lose more body weight (Akers 2012),
and are more in control of their actions (Burke, 2011).
Nevertheless, a study on the adoption of a specific
Activity Tracker found that half of the users stop
using the device after two weeks (Shih, 2015).
Several models to describe and capture the use of
Activity Trackers have been created since Li et al.’s
seminal work of a model with five iterative stages:
preparation, collection, integration, reflection, and
action (Li, 2010). These authors later refined their
model. Epstein et al. expanded that model by
a
https://orcid.org/0000-0003-4333-7140
b
https://orcid.org/0000-0002-2050-6565
including the lapses and interruptions of tracking, and
emphasizing the intricacy of integration, collection
and reflection (Epstein, 2015). This model was also
expanded to count for eudemonia and changing goals
(Niess, 2018). However, these models are not
quantitative, not dedicated exclusively to Activity
Trackers, do not have a Health oriented component,
and fall short in incorporating Data Control and
Privacy issues. To address these shortages, a
quantitative model was created, that has eleven
factors that influence the acceptance and usage of
Activity Trackers (Sol, 2016). Nevertheless,
constructs as Subjective Norm or Attitude failed to be
part of this model.
According to the International Data Corporation,
worldwide shipments of wearables grew 9.9% during
the third quarter of 2021 reaching 138.4 million units
(IDC, 2021). Within these millions of users, one may
be able to predict and identify that diversity can be
found in types of use of trackers. Researchers have
already noticed gender differences (Shih, 2015),
differences between health runners and pleasure
runners (Temir, 2016), others look to naïve users
(Rapp, 2016) and yet others looked at extreme users
(Sol, 2021). In our research we want to find and
78
Sol, R. and Baras, K.
Activity Trackers: Comparing Athlete Runners versus Health Runners through a Dedicated Technology Acceptance Model.
DOI: 10.5220/0011511400003321
In Proceedings of the 10th International Conference on Sport Sciences Research and Technology Support (icSPORTS 2022), pages 78-85
ISBN: 978-989-758-610-1; ISSN: 2184-3201
Copyright
c
2022 by SCITEPRESS Science and Technology Publications, Lda. All rights reserved
compare aspects that impact acceptance and use of
Activity Trackers by Athletes whose focus are to
better performance in competitions and Health or
Recreational Runners whose focus is to be healthy.
The used model takes into consideration Data
Control, unlike previous technology acceptance
models in the field (Kim, 2012). This is a construct of
importance, when only 31% of workers disagree to let
their employer make use of wearable devices to
monitor their performance at work, with 44% in favor
(PWC 2021). Specially, when research shows that
third-party vendors are collecting detailed data from
users (Ho 2014).
We applied a quantitative model used to
qualitatively elucidate why people are more or less
likely to adopt and use all kinds of Activity Trackers.
We propose recommendations about how that model
can be supported to enhance analyses of Activity
Trackers use.
2 LITERATURE REVIEW
In this section we review literature related to the use
of Activity Trackers. We also investigate Technology
Acceptance research to understand its associations,
relevance and definitions. The acceptance and use of
Activity Trackers is due to numerous reasons and
motives, some of which appear to conflict. Individual
users may start tracking their activity because they
have a specific goal in mind (Epstein, 2014). These
goals can be a healthier life or a beautiful physical
appearance, or both, the later being an excuse to reach
the former (Kay, 2013). Nevertheless, there are users
who begin to use Activity Trackers having no
objective in mind and use the device to help them set
a specific goal. This goal becomes more defined as
the usage moves from the discovery phase to the
maintenance phase of pondering (Li, 2010). Others
begin tracking simply moved by interest and curiosity
in quantitative data (Lindqvist, 2011). Many users
receive the device as a gift, but when having the
chance to choose specific tracking devices they base
their choices on online reviews, marketing
campaigns, specific features, portability, or follow an
advice given by friends or family members (Kaye,
2011). Goal setting is only one idea to support and
persuade health-related behavior change, others
include feedback, reminder notifications, and social
comparison (Shih, 2015). To become aware of one’s
performance and to regulate performance concerning
the defined objectives, users also tend to check the
data as soon as it is gathered (Fritz, 2014). Users tend
to change their habits, goals, and devices and the
related applications or dashboards are unprepared to
deal with this. When tracking, users tend to change
devices frequently or use several devices at the same
time, which leads to problems in assessing and
consolidating data (Rooksby, 2014).
2.1 Technology Acceptance Model
The conceptual framework applied in this work is
based on the Technology Acceptance Model (TAM),
a widely adopted technology acceptance theory that
can explain why different people have distinct levels
of adoption and use of a specific information
technology. TAM has its roots in Martin Fishbein and
Icek Ajzen’s Theory of Reasoned Action, a theory
that comes from social psychology and illustrates the
human behavior based on his intentions (Fishbein,
1997). TAM introduces two constructs: Perceived
Ease of Use (PEoU) and Perceived Usefulness (PU),
which determine Intention to Use through Attitude
(Davis, 1989). Perceived Usefulness is defined as
“the degree to which a person believes that using a
particular system would enhance his or her job
performance”, while Perceived Ease of Use is “the
degree to which a person believes that using a
particular system would be free of effort” (Davis,
1989). Further constructs used in this study are
detailed as follows: Image: “the degree to which use
of an innovation is perceived to enhance one’s image
or status in one’s social system” (Moore, 1991). Self-
Efficacy: “the judgment of one’s ability to use a
technology (e.g., computer) to accomplish a
particular job or task” (Compeau 1995). Habit: “the
extent to which people tend to perform behaviors
automatically because of learning” (Limayem, 2007).
Hedonic Motivation: “the fun or pleasure derived
from using a technology, and it has been shown to
play a key role in determining technology acceptance
and use” (Brown, 2005). Perceived Privacy Invasion:
“the degree to which a person feels that the
monitoring is invasive of their privacy” (Dryer 1999).
Perceived Data Control: “the degree to which a
person feels they have control over the use of, and
access to, the data collected” (Lindqvist, 2011).
Perceived Severity of Disease: “the beliefs a person
holds concerning the effects a given disease or
condition would have on one's state of affairs”. Health
Threat: “abstract assessing the susceptibility and the
severity, of disease- specificity” (Hochbaum, 1952).
Perceived Susceptibility of Disease: “the perception
of the likelihood of experiencing a condition that
would adversely affect one's health”. Health
Consciousness: “the degree to which health concerns
Activity Trackers: Comparing Athlete Runners versus Health Runners through a Dedicated Technology Acceptance Model
79
are integrated into a person’s daily activities”
(Jayanti, 1998).
3 METHODOLOGY
The study consisted of semi-structured interviews of
participants that were informed and gave their free
consent, recruited via convenience sample. In total,
the participant group consisted of twenty activity
tracker users. Of the 20 users interviewed for this
study, 10 were female and 10 were male. To help
ensure that there would be a variety of experiences
amongst participants, interviewees were recruited
from amateur running competitors and from the
general public, being 10 self-identified competition-
running athletes (4 females) and 10 self-identified
health runners (6 females) how were not so easy to
reach in our convenience sample. The athletes ranged
in age from 22 to 45 (average 35.5, standard deviation
7.5, median 36), and had the devices from 1 to 150
months (Av=51.1, SD=52.9, M=30). The Health
Runners ranged in age from 26 to 48 (Av=34, SD=8,
M=31.5), and had the devices from 12 to 50 months
(Av=24.5, SD=13.7, M=21). The participants were
from Western Europe. The first author conducted 19
interviews face to face and 1 through Skype video
call. From the 20 interviews 18 were made in the
participants’ native language. The interviews took off
from 22 trigger questions. However, the interview
protocol was used in a flexible manner according to
the flow of the interview. The average time of the
interviews was 18 minutes (12-34). Respondents
were first asked for the activity trackers they knew
and then asked for what purposes they used them. To
make the interview more focused, next we asked
participants to elaborate on their use of the device that
they defined as the most frequently used for
quantifying physical activity. In addition to finding
out about general trends in activity trackers use and
acceptance, we were interested in learning if activity
trackers have changed user’s attitudes. As part of the
interview process, we asked the participants, for
example, whether society recognizes activity trackers
as part of the promotion of ones image. All
interviews were digitally recorded using Word Audio
Notes and then manually transcribed. The
confidentiality and anonymity of all participants were
safeguarded by making the names of study interview
participants only known to the interviewer, using
aliases for the interviewees in the transcriptions.
To analyze the transcripts, we employed the
activity trackers acceptance model (Sol 2016) that
conducted an extensive review and analysis of
noticeable technology acceptance. Their resulting
model confirms PU and PEoU as strong predictors of
Behavior Intention to use. Although these kinds of
models are usually applied to analyze and explain the
quantitative data collected through a survey
instrument, the current study has taken a different
approach. To the best of our knowledge, this is the
first qualitative study that deploys this quantitative
model to study Activity Trackers use, which is an
evolving line of research.
The results of our study are presented in the
following sections. Firstly, we apply the model to
analyze the interview data and compare with previous
work. Next, we discuss its applicability to explain
Activity Trackers use and make recommendations
supported by the model. The concluding section
summarizes the results.
4 EMPLOYING THE MODEL TO
UNDERSTAND RUNNERS USE
OF ACTIVITY TRACKERS
Here we apply an activity tracker Technology
Acceptance Model to the interview data by examining
each of the eleven constructs shown in Figure 1. In
the following sections, we describe the participants
as, for example: P9H12M18, meaning: Participant
number (P1 to P10), runners’ group (H = Health, A =
Athlete), number of months using activity trackers,
gender (F = Female, M = Male) and age.
Figure 1: Activity Trackers Acceptance Model (Sol 2016).
4.1 Perceived Usefulness
When characterizing the Perceived Usefulness
construct, we used statements such as: How using
Activity Trackers was beneficial for you or not. All
participants mentioned that being aware of the
information collected by these kinds of devices was
particularly useful and stated that they do not use all
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80
the information. Nevertheless, Athletes were focused
on the immediacy for trainings, as said by P1A24F34:
I think it allows you to act on the spot and I think
that's the relevance, knowing where you are and being
able to correct it on the spot, or else correct it in the
coming weeks.” We also noticed that the Athletes
were inclined towards a perspective of near future
actions when using the devices, as emphasized by the
following quote by P1A24F34: “What changed the
most was having more information and with it being
able to plan my activity.” This confirms that the
devices should facilitate more these plans and
inclinations. Athletes also reported a focused
experience, as expressed by P5A150M44: “It gives
the necessary data to experience what I want. That's
why I don't take full advantage of the program.” This
points to the fact that some users are operating the
technology in a limited way. Similarly, young Health
Runners like P5H12M30 corroborate: “I don't think
there's the need to buy dedicated device for activity
tracking.” A few Health Runners were more
concerned with using the devices for an assortment of
situations, like P10H18F31 put it: “It doesn't have the
possibility for me to record a group class. It’s got a
set of activities, and it doesn't have what I need.”
Overall, it was confirmed by this construct that these
devices are useful, however it was also realized that
there are specifics that are distinctive between the two
groups. While both groups reported issues that are
important, these issues are quite different and need
specific design solutions.
4.2 Perceived Ease of Use
When characterizing the Perceived Ease of Use
construct, we used questions such as: Which were the
most difficult aspects when using Activity Trackers?
All participants mentioned that the devices were easy
to use. Nevertheless, Athletes find it hard to program
the settings for their trainings, like P8A1F22 noted:
“What is more complicated to do is, for example, the
programing of the training scheme.” Which was
corroborated by P9A60M41: “Not in the use part, but
in the configuration.” Whereas Health Runners were
more concerned, again, with using the devices for
specific sports, like P1H36F28 put it: “If I want to
ride a bike, I can't, I have to put the watch on my ankle
otherwise it won't register my steps.” There were
concerns about the understanding, meaning and
clarity of the information provided, like P5H12M30
stated: “You don't know in practical terms what that
means.” It is important to notice that users are not
specialists in analyzing data, so the data displayed
would need to be translated for the user. Overall, it
was confirmed that these devices are easy to use,
however some issues were reported, and these are
different between the two groups.
4.3 Perceived Data Control
When characterizing the Perceived Data Control
construct, we used statements such as: What do you
think about your control of the information. In both
groups there were users who did not care and there
were users who were worried. The Athletes who
cared were more concerned about the security
perspective than with the data itself, as described by
P1A24F34: “Hack the data, you can see what time the
person is not at home. To rob houses is good.” This
point was corroborated by P9A60M41: “Any person
that follows me in the social app of the tool, easily
finds out where I live, since my trainings start always
in the same place. That's what worries me the most.”
Most of the Health Runners stated that they knew that
they were not in control of the data and that they did
not introduce much personal information.
Nevertheless, they did not care that this kind of data
was available and exposed, except for participant
P2H12M32 who said: “I know that the data is not
locally stored and have access to the raw files.
Especially in the case of Google fit, I knew that the
data was in Google servers, and since they have
everything, my email, my calendar, and from my
physical performance, I felt a bit scared and stopped
using Google Fit and GPS tracking.” To summarize,
users are aware that their personal information can be
seen, as found before, nevertheless overall most users
in both groups are not overly concerned or worried
about data control. The differences between the two
groups did call our attention but were minor.
4.4 Self-efficacy
When characterizing the Self-efficacy construct, we
used statements such as: How do you feel when
managing the information. All users considered
themselves quite efficient users of the devices, as
stated by P7H15M33: “I'm not using it one hundred
percent in all features. But the ones I use, I use it very
well.” However, P3H24F40 noted: “I think there is
too much information to manage.” Again, it is
highlighted that information must be relevant for the
users or it will be considered superfluous. To
summarize, the major difference between the two
groups is that Health Runners think there is too much
information.
Activity Trackers: Comparing Athlete Runners versus Health Runners through a Dedicated Technology Acceptance Model
81
4.5 Image
When characterizing the Image construct, we used
statements such as: What do you think about other
people who use Activity Trackers. Both groups in our
sample gave ordinary importance to Image. However,
the idea of the device being an iconic trend was
mentioned by P1A24F34: “Theoretically this turns
out to be a cult.” The importance of the social aspect
is underlined here. On top of this, for Athletes, one
having a device was associated with a more
competitive person, as expressed by P4A24F38:
“They are people that have other goals, they are
committed to progress in their training to reach one
goal after another… improve their performances in
the competitions they enter.” Similarly, Health
Runners mirrored others, as expressed by P1H36F28:
“They are smart like me and want to improve their
health.” Nevertheless, P4H24F26 said: “I think the
devices are ugly, I don't like to wear a black thing.
This denotes the importance of visual design and the
consideration of gender differences or preferences.
Overall, both groups are of the opinion that other
people who use the devices have the same objectives
as themselves.
4.6 Hedonic Motivation
When characterizing the Hedonic Motivation
construct, we used statements such as: How do you
feel using Activity Trackers. Participants felt good
when using the devices. However, Athletes felt good
when using but also before using the devices, as
described by P5A150M44: “The more goals we
reach, which are the data that the device also gives,
the more desire to go training.” Whereas Health
Runners felt well when running, such as P7H15M33
put it: “I find it more motivating during exercise. Not
necessarily before doing the exercise.” This was
corroborated by P3H24F48: “Not that it's going to
make me get up one day and run-on purpose just
because of the device.” This can indicate that Athletes
are pre-motived to run while Health Runners need
support to encourage behavior change. To
summarize, there is a key difference between the
groups.
4.7 Habit
When characterizing the Habit construct, we used
statements such as: Using an Activity Tracker is or is
not a habit for you. For Athletes using the device, this
can be more than a habit they can be craving for it.
Nevertheless, Health Runners who do not make use
of the device as a habit blamed the recharging of the
device batteries for their inconsistent use of the
device, as said by P1H36F28: “What annoys me
sometimes is putting the watch on charge, I don't want
to get up without it counting those steps.” This point
was corroborated by P4H24F26: “For me it's boring
every three days to remember that the battery is going
to fail.” This shows that the device needs to be able to
encourage and give assistance in the implementation
of habits. To summarize, the differences between the
two groups are noticeable but were minor.
4.8 Perceived Susceptibility to Chronic
Diseases/ Perceived Severity of
Chronic Diseases/ Perceived Threat
- Health Consciousness
In our interviews the three health related constructs
were indistinctive. When characterizing the
Perceived Susceptibility to Chronic Diseases
construct, we used statements such as: What kind of
injury have you had. When characterizing the
Perceived Severity of Chronic Diseases construct, we
used statements such as: How do you react to the
possibility of having an injury. When characterizing
the Perceived Threat-Health Consciousness construct
we used statements such as: What kind of attitudes do
you take concerning your health. All participants
mentioned paying special attention to their diet,
alcohol intake, and sleep. In both groups there were
users with conflicting practices. Health Runners are
more inclined not to think that they could have a
health problem, most Athletes, on the other hand have
this in mind all the time and consider how this can
impact their occupation. As P3A36M45 noted: “I go
to competitions carefully to avoid serious injuries.
With care, with calm, because I see many competitors
especially downhill, and I get scared to see them
going downhill so fast. I'm often overpassed, because
that scares me.” Similar attitude was viewed in a
Health Runners, as described by P1H36F28: “In the
gym there are exercises that I know I cannot do, I only
do if I have someone next to me.” To summarize, the
differences between the two groups grasped our
attention but were minor.
4.9 Behavioral Intention to Use
(Acceptance)
When characterizing the “Behavioral Intention to Use
(Acceptance)” construct we used statements such as:
In the long run do you think you will still use the
device or not. All participants stated that they will
continue to use the device, except P9H12M46: “If I
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82
can achieve a weight loss goal without needing to use,
I will not use.”
5 DISCUSSION
Our findings suggest that the model constructs
revealed to be important in studying acceptance and
use of Activity Trackers. The primary performance
booster that participants saw in Activity Trackers was
the ability to show data that one had never been able
to see before. Other common useful practices of using
Activity Trackers included motivational support and
comparison with others and oneself.
We found that for this small sample population,
Perceived Usefulness, Perceived Ease of Use, Image,
Hedonic Motivation, and Habit were strongly
associated with the acceptance and use of Activity
Trackers and show significant differences between
groups. Perceived Usefulness and Perceived Ease of
Use constructs showed that Athletes experienced
difficulties and problems with configuring the
settings for their trainings, corroborating the design
idea of facilitating micro plans (Gouveia, 2018) and
that users are using the technology in a limited way
(Didziokaite, 2017). It also showed differences
among ages especially in young runners (Janssen
2020). Additionally, the study showed that Health
Runners felt that they were faced with too much
information or complex information and wanted the
possibility to track different exercises. A similar issue
with the volume of information has been described in
previous work stating that users are not data scientists
(Rooksby, 2014) and that the information is not in the
user’s language (Lazar, 2015). Perceived Data
Control showed conflicting differences within the
two groups, however generally speaking users are
conscious that their personal information can be
highly sensitive, as previously established (Lupton,
2017). However, most of our interviewees did not
have many concerns in sharing their data. Self-
efficacy construct showed that both groups are
efficient users. Nevertheless, we have seen here the
need of personal relevance of the data (Kim, 2016).
Image construct showed that both groups in our
sample gave ordinary importance to image and it is
underlined here the long-viewed importance of the
social aspect of these devices (Consolvo, 2006)
(Clawson, 2015) (Patel, 2015), also the importance of
aesthetics and form (Harrisson, 2015) and the
significance of gender differences (Shih, 2015).
Hedonic Motivation construct showed that both
groups felt good when using the devices. Athletes
find motivation before and during running, in
accordance with previous findings (Rapp, 2020). The
Health Runners denoted a previously identified need
for behavior change strategies (Klasnja, 2011) and the
two groups showed the need for egocentric design
(Elsden, 2015). Habit construct showed that Athletes
could be addicted to use while Health Runners use the
battery recharge as an excuse. Thus, we have noticed
the importance of the previously identified idea of
implementing routines (Lazar 2015) and adherence
(Tang, 2018). As for Perceived Susceptibility to
Chronic Diseases, Perceived Severity of Chronic
Diseases, Perceived Threat - Health Consciousness,
and Acceptance showed no major differences
between groups or conflicting differences within the
groups.
By the end of conducting this research it was clear
that an all-purpose interface is not suitable. The
novelty of the findings suggests specific design
considerations: designers should look at the ease of
use and usability of the overall settings, the need for
easy-to-use training plans and training settings. In
order to accomplish this, we propose that the software
has different modes that would be selected by
different types of users: pleasure runners, health
runners, athletes, etc. Other possibility would be to
associate the modes to the three classes of tracker
motivations: behavior change, instrumentation, and
curiosity. One limitation of this work is that it does
not make a clear split between intention to use activity
trackers and the actual use. This is because most of
the interviewees were users of at least one activity
tracker. Finally, we anticipate that the establishment
of specific models for each group may be a necessity
to better explain the acceptance and use of Activity
Trackers by these users.
6 CONCLUSIONS
There is an ample amount of studies looking into
users of activity trackers. However, only a small part
has compared different groups of users. This study
was based on 20 semi-structured interviews with
Health Runners and Athlete Runners. They offered us
a diverse variety of information on how users are
integrating Activity Trackers into their lives, their
paybacks, difficulties, and future tendencies. This
study shows that the Activity Trackers Acceptance
Model can be employed in this context and makes
suggestions for its future application. Participants that
use Activity Trackers in their daily lives found them
useful for emotional support, social parallelism and
competition, and, surprisingly interesting for the data
the device provides.
Activity Trackers: Comparing Athlete Runners versus Health Runners through a Dedicated Technology Acceptance Model
83
Our study revealed that there were significant
differences regarding difficulties of the users
experience, Athletes had issues with configuring the
settings for their trainings whereas Health Runners
found too much or complex information and wanted
the possibility to track different exercises. There were
also significant differences regarding motivation, the
devices motivated Athletes before and during running
while Health Runners were motivated by the devices
only when running. Both groups thought that the
people who use these devices had the same goals as
themselves. Health Runners used the excuse of
having to regularly recharge the device battery as the
reason for not making the use of the device a daily
habit in their lives. Even with a small number of users,
and by utilizing the model constructs we have been
able to gain new insight into the differences of how
these two groups use and accept Activity Trackers in
this initial investigation. This study brings to light the
value of looking more closely at specific types of
users and how their documented experiences and use
of these devices can be analyzed and applied to the
understanding of the use of Activity Trackers. Many
more such studies need to be carried out in order to
gain and maximize data pertaining to the abundant
diversity that exists with regards to user experiences,
which can then also impact future designs of Activity
Trackers.
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