Table 1.
Description of behavior change strategies in the sleep, sedentary, and exercise components of BeWell24
| App component | Theoretical underpinning | BCT grouping | Strategy to implement BCT in BeWell24 |
|---|---|---|---|
| Sleep | Sleep education; sleep hygiene; stimulus control therapy | Goals and planning | • “Wake time calculator” to identify selectable goal for regular wake time |
| • Problem-solving strategies through “show me tips” interactive tool for common sleep-related beliefs and behaviors | |||
| Feedback and monitoring | • Graphical daily/weekly feedback on sleep duration, sleep onset latency, wakefulness after sleep onset, and sleep quality rating | ||
| Shaping knowledge | • Information on behavioral (e.g., alcohol, tobacco) and emotional (e.g., arousal) antecedents to sleep | ||
| Associations | • Reducing prompts/cues associating bed with “trying” to fall asleep with user-generated “my sleepy list” activities when having trouble falling asleep | ||
| Sedentary | Self-regulation | Feedback and monitoring | • Graphical daily/weekly feedback on context-specific sitting behaviors |
| Natural consequences | • Education on link between excessive sitting and chronic disease | ||
| Associations | • “My routines” tool to identify prompts/cues to reduce sitting (e.g., stand time a commercial appears on TV) | ||
| Repetition and substitution | • “Where do I sit?” tool to suggest context-specific replacements of sitting additional sleep or lifestyle behaviors | ||
| Exercise | Social cognitive theory | Goals and planning | • Selectable goal for weekly physical activity |
| • Problem-solving strategies through “give me tips” interactive tool for common barriers to exercise | |||
| Feedback and monitoring | • Graphical daily/weekly feedback on exercise behaviors | ||
| Shaping knowledge | • Advice and instruction on type and duration of exercise | ||
| Natural consequences | • Education on link between exercise and chronic disease | ||
| Associations | • “Motivate me” tool to identify prompts/cues to increase exercise motivation |
BCT behavior change technique, derived from Michie et al. [27]