Table 4 Application function module based on BCW theory.

From: Development and usability of the “Cognitive Evergreenland” app to engage individuals at high risk of dementia in lifestyle interventions

BCTs

Goals

Application features

4.1 Instruction on how to perform the behavior

Enhance capability

Health education: Provide illustrated training materials, such as application user manuals, digital skills tutorials, etc

Cognitive training: Implement cognitive training programs with varying difficulty levels

6.1 Demonstration of the behavior

8.7 Graded tasks

1.1 Goal setting (behavior)

Provide opportunities Generate motivation

Cognitive stimulation: Based on previous research1,2,3, regularly provide personalized and engaging cognitive stimulation activities, such as themed art creation

Cognitive training: Offer gamified cognitive training activities for users

Health diary: Patients can use this module to record daily monitored data, such as blood pressure, blood glucose levels, sleep duration, sleep quality, and exercise activity

Personal profile: Set point targets

2.3 Self-monitoring of behavior

Sustain motivation

Health diary: set up a dashboard interface for monitoring dementia risk factors

4.1 Instruction on how to perform the behavior

Provide opportunities Enhance capability

Personal profile: Users can seek advice from professionals through the “My consultation” module

15.1 Verbal persuasion about capability

Generate motivation

Sustain motivation

Personal profile: Administrators can leave encouraging messages for users through the “My Consultation” module

15.3 Focus on past success

Sustain motivation

Personal profile: Record users’ completed tasks in the “My Points” and “My Tasks” sections

5.1 Information about health consequences

Generate motivation

Sustain motivation

Health EDUCATION: Provide popular science knowledge on the benefits of consistent lifestyle intervention

5.4 Monitoring of emotional consequences

Sustain motivation

Functional assessment: Anxiety and depression assessment scales are regularly pushed to assess users’ mental state

9.1 Credible source

Provide opportunities Generate motivation

Health education: Provide professional popular science knowledge from medical authorities (Medical personnel with senior titles)

10.2 Material reward (behavior)

Generate motivation

Sustain motivation

According to the set points rules, the system can generate points rewards for completing corresponding intervention tasks, and the points can be redeemed for prizes (in the Health or Medical category)

2.3 Self-monitoring of behavior

Sustain motivation

Personal profile: In the “Health Record”, the health-related data collected by the system is displayed to users as intuitive charts, such as line charts

Functional assessment: Regularly push evaluation scales to evaluate users’ health status

7.1 Prompts/cues

Provide opportunities

System management: Manage user data and monitor user task completion progress

12.1 Restructuring the physical environment

Determine the specific delivery method of Cognitive Evergreenland as a WeChat Mini Program

3.1 Social support

6.3 Information about other’s approval

Provide opportunities

Generate motivation

Sustain motivation

Interactive communication: Provide users with a platform for showcasing personal achievements and interactive communication, where they can like and comment on each other’s posts

  1. BCW behaviour change wheel, BCTs behavior change techniques.