Sustainable urban drainage systems (SuDS) or nature-based solutions (NBSs) are widely implemented to collect, store and infiltrate stormwater. The buildup of pollutants is expected in NBSs, and Dutch guidelines advise monitoring the topsoil of bio-swales every 5 years. In the Netherlands, almost every municipality has implemented bio-swales. Some municipalities have over 300 bio-swales, and monitoring all their NBSs is challenging due to cost and capacity. In this study, 20 locations where bio-swales with ages ranging between 10 and 20 years old were selected for a field investigation to answer the following question: is the soil quality of bio-swales after 10 years still acceptable? Portable XRF instruments were used to detect potential toxic elements (PTEs) for in situ measurements. The results showed that for copper (Cu), zinc (Zn) and lead (Pb), 30%, 40% and 25% of the locations show values above the threshold and 5%, 20% and 0% above the intervention threshold, meaning immediate action should be taken. The results are of importance for stakeholders in (inter)national cities that implement, maintain, and monitor NBS. Knowledge of stormwater and soil quality related to long-term health risks from NBS enables urban planners to implement the mostappropriate stormwater management strategies. With these research results, the Dutch guidelines for design, construction, and maintenance can be updated, and stakeholders are reminded that the monitoring of green infrastructure should be planned and executed every 5 years.
The development of eHealth applications requires a new methodological approach, departing from the more conventional methods dedicated to designing health information systems. There is a gap between theories to design persuasive eHealth applications and practices. We consequently advocate an integrated, systematic and practical but scientifically based methodology to design effective persuasive eHealth applications. This approach is being successfully embedded in our educational health informatics program.
Background:It is unclear why some physical activity (PA) mobile health (mHealth) interventions successfully promote PA whereas others do not. One possible explanation is the variety in PA mHealth interventions—not only do interventions differ in the selection of persuasive strategies but also the design and implementation of persuasive strategies can vary. However, limited studies have examined the different designs and technical implementations of strategies or explored if they indeed influenced the effectiveness of the intervention.Objective:This scoping review sets out to explore the different technical implementations and design characteristics of common and likely most effective persuasive strategies, namely, goal setting, monitoring, reminders, rewards, sharing, and social comparison. Furthermore, this review aims to explore whether previous mHealth studies examined the influence of the different design characteristics and technical operationalizations of common persuasive strategies on the effectiveness of the intervention to persuade the user to engage in PA.Methods:An unsystematic snowball and gray literature search was performed to identify the literature that evaluated the persuasive strategies in experimental trials (eg, randomized controlled trial, pre-post test). Studies were included if they targeted adults, if they were (partly) delivered by a mobile system, if they reported PA outcomes, if they used an experimental trial, and when they specifically compared the effect of different designs or implementations of persuasive strategies. The study methods, implementations, and designs of persuasive strategies, and the study results were systematically extracted from the literature by the reviewers.Results:A total of 29 experimental trials were identified. We found a heterogeneity in how the strategies are being implemented and designed. Moreover, the findings indicated that the implementation and design of the strategy has an influence on the effectiveness of the PA intervention. For instance, the effectiveness of rewarding was shown to vary between types of rewards; rewarding goal achievement seems to be more effective than rewarding each step taken. Furthermore, studies comparing different ways of goal setting suggested that assigning a goal to users might appear to be more effective than letting the user set their own goal, similar to using adaptively tailored goals as opposed to static generic goals. This study further demonstrates that only a few studies have examined the influence of different technical implementations on PA behavior.Conclusions:The different implementations and designs of persuasive strategies in mHealth interventions should be critically considered when developing such interventions and before drawing conclusions on the effectiveness of the strategy as a whole. Future efforts are needed to examine which implementations and designs are most effective to improve the translation of theory-based persuasive strategies into practical delivery forms.