Table 5.

Impact of self-monitoring on lifestyle awareness and behavior change—patient-reported experiences and outcomes.

Lifestyle behavior and experiential dimension			Patients (n=56), n (%)		Impact of self-monitoring on lifestyle awareness		Example quotes
Physical activity
	Awareness and reflection	25 (45)		Increased awareness of movement patterns Monitored steps and heart rate		“I was aware of my steps and movement, and that worked well for me.”
	Behavior change and adaptation	16 (29)		Motivated to move more Increased intentional activity choices Sustained change in daily activity levels		“If I was at 3000 steps, I made sure to add another 3000.” “Walking felt less intense over time, which was a good thing.”
Nutritional intake
	Awareness and reflection	29 (52)		Conscious of food choices and portion sizes Awareness of nutritional balance		“Through the chatbot, I became more aware of what I eat and how much I eat.”
	Behavior change and adaptation	16 (29)		Reduced unhealthy food intake More deliberate food selection Long-term changes in eating habits, such as switching to healthier alternatives		“I swapped bread for dairy, and I drink a little less wine now.” “I eat smaller portions because I have to log them; it stays in my mind.”
Sleep quality
	Awareness and reflection	7 (13)		Greater awareness of sleep patterns and rest quality		“Seeing my sleep graph helped me realize when my rest was disturbed.”
	Behavior change and adaptation	4 (7)		Adjusted bedtime habits to improve sleep duration		“I started going to bed earlier and making sure I got enough sleep.”
Mental stress levels
	Awareness and reflection	1 (2)		Awareness of general mood states		“When I have to fill in the mood states, I do think about it.”
	Behavior change and adaptation	0 (0)		—a		—

^aNot applicable.