A systematic review and meta-analysis of studies of reactivity to digital in-the-moment measurement of health behaviour

König, Laura M; Allmeta, Anila; Christlein, Nora; Emmenis, Miranda Van; Sutton, Stephen

doi:10.31234/osf.io/xkrg5

Cited by 4 publications

(2 citation statements)

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“…Second, although our review provided an overview of theoretical and methodological aspects of EMA studies, we did not attempt to quantify potential reactivity effects (i.e., whether repeatedly responding to EMAs may lead to behaviour change) (Wilding et al, 2016 ). However, this has been explicitly studied in extant EMA reviews (König, Allmeta, et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Understanding health behaviours in context: A systematic review and meta-analysis of ecological momentary assessment studies of five key health behaviours

Perski

Keller

Kale

et al. 2022

Health Psychology Review

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Ecological Momentary Assessment (EMA) involves repeated, real-time sampling of health behaviours in context. We present the state-of-knowledge in EMA research focused on five key health behaviours (physical activity and sedentary behaviour, dietary behaviour, alcohol consumption, tobacco smoking, sexual health), summarising theoretical (e.g., psychological and contextual predictors) and methodological aspects (e.g., study characteristics, EMA adherence). We searched Ovid MEDLINE, Embase, PsycINFO and Web of Science until February 2021. We included studies focused on any of the aforementioned health behaviours in adult, non-clinical populations that assessed ≥1 psychological/contextual predictor and reported a predictor-behaviour association. A narrative synthesis and random-effects meta-analyses of EMA adherence were conducted. We included 633 studies. The median study duration was 14 days. The most frequently assessed predictors were ‘negative feeling states’ (21%) and ‘motivation and goals’ (16.5%). The pooled percentage of EMA adherence was high at 81.4% (95% CI = 80.0%, 82.8%, k = 348) and did not differ by target behaviour but was somewhat higher in student (vs. general population) samples, when EMAs were delivered via mobile phones/smartphones (vs. handheld devices), and when event contingent (vs. fixed) sampling was used. This review showcases how the EMA method has been applied to improve understanding and prediction of health behaviours in context.

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Section: Discussionmentioning

confidence: 99%

Understanding health behaviours in context: A systematic review and meta-analysis of ecological momentary assessment studies of five key health behaviours

Perski

Keller

Kale

et al. 2022

Health Psychology Review

View full text Add to dashboard Cite

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“…The third United Nations (UN) Sustainable Development Goal (SDG) aims to ensure healthy lives and promote well-being for different age groups (Transforming Our World: The 2030 Agenda for Sustainable Development, 2015). Health behaviour manifests as a behavioural pattern that comprises appropriate actions or habits employed to maintain, restore, or improve health (König et al, 2022). Nonetheless, improving health behaviour would be challenging for certain individuals owing to the alterations in daily routines to allocate time for exercise (Kaewkannate & Kim, 2016).…”

Section: Health Behaviourmentioning

confidence: 99%

It’s Cool to be Healthy! The Effect of Perceived Coolness on the Adoption of Fitness Bands and Health Behaviour

Noor

Zolkepli

Omar

2023

Journal of Information and Communication Technology

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Contemporary technology success is frequently associated with the competitive advantage of being cool. A fitness band is one of thesmart wearable devices promoting health behaviours, which is one of the cool lifestyle trends in modern societies. Although past research established the profound effects of coolness on user technology acceptance, the influencing role in fostering health behaviour remained obscure. To bridge the existing literature gap, the current study aims to examine the perception of coolness as a higher-order construct with multiple dimensions, namely originality, attractiveness, and sub-cultural appeals, by investigating the direct effect on fitness band adoption and indirect influence on users’ health behaviour. An online survey was conducted on 280 fitness band users, and the data was subsequently analysed via the Partial Least Squares-Structural Equation Modeling (PLS-SEM). The study results demonstrated that the perceived coolness of fitness bands significantly affects users’ device adoption levels, which subsequently influence personal health behaviour. This study thus contributes to health communication research by testing the coolness concept and developing the diffusioninnovation framework from current human-computer interaction literature. The findings would guide future developers of fitness bands to emphasise the coolness functions for higher degrees of adoption and positive impact on society.

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Effects of a Chatbot-Based Intervention on Stress and Health-Related Parameters in a Stressed Sample: Randomized Controlled Trial

Schillings,

Meißner,

Erb

et al. 2024

JMIR Ment Health

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Background Stress levels and the prevalence of mental disorders in the general population have been rising in recent years. Chatbot-based interventions represent novel and promising digital approaches to improve health-related parameters. However, there is a lack of research on chatbot-based interventions in the area of mental health. Objective The aim of this study was to investigate the effects of a 3-week chatbot-based intervention guided by the chatbot ELME, specifically with respect to the ability to reduce stress and improve various health-related parameters in a stressed sample. Methods In this multicenter two-armed randomized controlled trial, 118 individuals with medium to high stress levels were randomized to the intervention group (n=59) or the treatment-as-usual control group (n=59). The ELME chatbot guided participants of the intervention group through 3 weeks of training based on the topics stress, mindfulness, and interoception, with practical and psychoeducative elements delivered in two daily interactive intervention sessions via a smartphone (approximately 10-20 minutes each). The primary outcome (perceived stress) and secondary outcomes (mindfulness; interoception or interoceptive sensibility; subjective well-being; and emotion regulation, including the subfacets reappraisal and suppression) were assessed preintervention (T1), post intervention (T2; after 3 weeks), and at follow-up (T3; after 6 weeks). During both conditions, participants also underwent ecological momentary assessments of stress and interoceptive sensibility. Results There were no significant changes in perceived stress (β03=–.018, SE=.329; P=.96) and momentary stress. Mindfulness and the subfacet reappraisal significantly increased in the intervention group over time, whereas there was no change in the subfacet suppression. Well-being and momentary interoceptive sensibility increased in both groups over time. Conclusions To gain insight into how the intervention can be improved to achieve its full potential for stress reduction, besides a longer intervention duration, specific sample subgroups should be considered. The chatbot-based intervention seems to have the potential to improve mindfulness and emotion regulation in a stressed sample. Future chatbot-based studies and interventions in health care should be designed based on the latest findings on the efficacy of rule-based and artificial intelligence–based chatbots. Trial Registration German Clinical Trials Register DRKS00027560; https://drks.de/search/en/trial/DRKS00027560 International Registered Report Identifier (IRRID) RR2-doi.org/10.3389/fdgth.2023.1046202

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A systematic review and meta-analysis of studies of reactivity to digital in-the-moment measurement of health behaviour

Cited by 4 publications

References 0 publications

Understanding health behaviours in context: A systematic review and meta-analysis of ecological momentary assessment studies of five key health behaviours

Understanding health behaviours in context: A systematic review and meta-analysis of ecological momentary assessment studies of five key health behaviours

It’s Cool to be Healthy! The Effect of Perceived Coolness on the Adoption of Fitness Bands and Health Behaviour

Effects of a Chatbot-Based Intervention on Stress and Health-Related Parameters in a Stressed Sample: Randomized Controlled Trial

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