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. 2019 Feb 25;8(2):e12782. doi: 10.2196/12782

Table 2.

Overview of frequency, content, and technique of tailored email feedback for diet and physical activity behaviors.

Feedback frequency Feedback content Behavior-change techniques [52]

Diet Physical activity
2 weeks
  • 4-d summary (average + range) from mFRa showing average daily serves (kilojoule equivalent) for EDNPb foods, sugary drinks, and alcohol

  • Example ADGc serves for EDNP foods, sugary drinks, and alcohol

  • mFR food images showing participants the source of their EDNP foods, sugary drinks, and alcohol serves

  • Tailored feedback + goals based on key messages: avoid EDNP foods, avoid sugary drinks, avoid alcohol

  • Introduction of movement goals and wearable activity monitor guide

  • 7-d summary (average + range) for step count, MVPAd, and hourly movement

  • Tailored feedback + guidance based on movement goal achievement (not met, almost met, and met)

  • Instruction on how to perform the behavior

  • Feedback on behavior

  • Tailored personalized message

  • Prompt self-monitoring of behavior

  • Goal setting

  • Discrepancy between current behavior and recommendations


4 weeks
  • Weight loss goal of 10%

  • 4-d summary (average + range) from mFR showing average daily serves for fruit and vegetables

  • Example ADG serves for fruit and vegetables

  • mFR food images showing participants the source of their fruit and vegetable intake

  • Tailored feedback against recommended serves + goals to increase fruit and vegetable serves

  • 7-d visual summary of challenge movement goal, with comparison to goal target

  • Activity tips to assist with weight loss linked to movement goals

  • Review behavior goal

  • Feedback on behavior

  • Action planning

  • Prompt self-monitoring of behavior

  • Discrepancy between current behavior and recommendations

6 weeks
  • 1-d summary from 6-wk mFR showing daily serves of EDNP foods, sugary drinks, alcohol, and fruits and vegetables

  • Comparison against baseline diet

  • mFR food images showing participants the source of their EDNP foods, sugary drinks, alcohol, fruits, and vegetables

  • Tailored feedback against recommended serves + goals targeting:

  • Avoid or limit EDNP foods, sugary drinks and alcohol

  • Eat less at meals or snacks (except for fruit and vegetables)

  • Eat less often (eg, limit snacking)

  • Review of the movement goals

  • 7-d summary (average + range) for step count, MVPA, and hourly movement

  • Comparison with baseline activity for each movement goal

  • Tailored feedback + guidance based on movement goal achievement (not met, almost met, and met)

  • Review behavior goals

  • Self-comparison

  • Feedback on behavior

  • Tailored personalized message

  • Prompt self-monitoring of behavior

  • Goal setting

  • Discrepancy between current behavior and recommendations

12 weeks
  • 1-d summary from 12-wk mFR showing daily serves of EDNP foods, sugary drinks, alcohol

  • mFR food images showing participants the examples of meal or snack behaviors

  • Tailored feedback + goals targeting:

  • Eat less at meals or snacks (except for fruits and vegetables)

  • Avoid or limit snacking

  • Reiteration of energy deficit goal + instruction on how to create an energy deficit via energy output

  • 7-d summary (average + range) of MVPA goal

  • Tailored feedback + guidance based on movement goal achievement (not met, almost met, and met)

  • Translation of MVPA into energy output

  • Review of outcome goal

  • Review behavior goal

  • Feedback on behavior

  • Tailored personalized message

  • Prompt self-monitoring of behavior

  • Goal setting

  • Discrepancy between current behavior and recommendations

18 weeks
  • Reiteration of dietary goals + instruction on how to create an energy deficit from diet (eg, reduction in EDNP food serves)

  • Reiteration of “what’s a serve of EDNP foods”

  • Reminder of dietary goals + suggestions on how to achieve them:

  • Avoid or limit EDNP foods, sugary drinks, and alcohol

  • Eat less at meals or snacks (except for fruit and vegetables)

  • Eat less often (eg, limit snacking)

  • Reiteration of energy-deficit goal + instruction on how to create an energy deficit via energy output

  • 7-d summary (average + range) of MVPA goal

  • Tailored feedback + guidance based on movement goal achievement (not met, almost met, and met)

  • Translation of MVPA into energy output

  • Reminder of movement goal targets linked to creating an energy deficit

  • Review of outcome goal

  • Review behavior goals

  • Feedback on behavior

  • Tailored personalized message

  • Goal setting

  • Discrepancy between current behavior and recommendations


6 months
  • 4-d summary from 6-mo mFR showing daily serves with comparison against baseline diet

  • mFR food images showing participants the source of their EDNP foods, sugary drinks, alcohol, fruits, and vegetables

  • Tailored feedback against recommended serves + goals targeting:

  • Avoid or limit EDNP foods, sugary drinks, and alcohol

  • Eat less at meals or snacks (except for fruit and vegetables)

  • Eat less often (eg, limit snacking)

  • Tailored support for unhelpful behaviors: Emotional/restrained/uncontrolled eating (identified in the three-factor eating questionnaire)

  • Tailored feedback on how to make a healthy diet habitual based on habit index score

  • Face-to-face visit summary: comparison with baseline (body mass and aerobic fitness)

  • 7-d visual summary (average) for step count, MVPA, and hourly movement + comparison with baseline for each movement goal

  • Future goal setting for translation phase

  • Tailored guidance on how to make PA habitual based on habit index score

  • Review behavior goals

  • Self-comparison

  • Feedback on behavior

  • Tailored personalized message

  • Prompt self-monitoring of behavior

  • Goal setting

  • Discrepancy between current behavior and recommendations

12 months
  • 4-d summary from 12-mo mFR showing daily serves with

comparison against baseline
  • Tailored feedback against recommended serves + target goals

  • Face-to-face visit tabulated summary: comparison with baseline and 6 mo (body mass and aerobic fitness)

  • 7-d visual summary (average) for step count, MVPA, and hourly movement + comparison with baseline and 6 mo for each movement goal

  • Future goal setting for translation phase

  • Review behavior goals

  • Self-comparison

  • Social comparison with study participants

  • Feedback on behavior

  • Tailored personalized message

  • Prompt self-monitoring of behavior

  • Goal setting

  • Discrepancy between current behavior and recommendations

amFR: mobile food record.

bEDNP: energy-dense nutrient poor.

cADG: Australian Dietary Guidelines.

dMVPA: moderate-to-vigorous physical activity.