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. 2022 Dec 9;10(12):e40271. doi: 10.2196/40271

Table 6.

Characteristics of the included mobile physical activity (PA) interventions, coded behavior change techniques (BCTs), and outcomes measured (N=9).

Author, year Mobile PA
technology
Control group (if applicable) Duration BCTs Theoretical
contribution
Outcomes measured
Cadmus-Bertram et al [78], 2016 Fitbit-based PA intervention Basic step-counting pedometer+printed materials 16 weeks
  • Intervention group:

    • 1.1 Goal setting (behavior)

    • 1.4 Action planning

    • 1.5 Review behavior goals

    • 2.2 Feedback on behavior

    • 2.3 Self-monitoring of behavior

    • 2.6 Biofeedback

  • Control group:

    • 1.1 Goal setting (behavior)

    • 1.2 Problem solving

    • 1.4 Action planning

    • 2.3 Self-monitoring of behavior

The CALO-REa framework, known as a comprehensive and standardized protocol for the identification, reporting, and appraisal of behavior change interventions for health behaviors, including PA [86]
  • MVPAb (minutes per week) and increased steps per day using ActiGraph GT3X+ accelerometerc

  • Height and weight measured using standard procedures and

BMIc
Valle et al [81], 2017 Self-weighing and activity tracker mobile intervention Waiting list 6 months
  • 2.6 Biofeedback

  • 2.3 Self-monitoring of behavior

  • 1.2 Problem solving

  • 2.2 Feedback on behavior

  • 2.4 Self-monitoring of outcome of behavior

  • 1.6 Discrepancy between behavior and goal

  • 3.1 Social support (unspecified)

  • 4.1 Instruction on how to perform the behavior

  • 5.1 Information about health consequences

  • 7.1 Prompts and cues

  • 8.3 Habit formation

  • 12.5 Adding objects to the environment

SRTd, a set of psychological subfunctions that must be mobilized for self-directed change [87]
  • Weight change, measured using BMI and waist circumferencec

  • Energy expenditure (kcal per week), measured using the PAQe,c

Lynch et al [83], 2019 Wearable activity monitor and app (Garmin) Waiting list 12 weeks
  • 2.6 Biofeedback

  • 1.1 Goal setting (behavior)

  • 1.2 Problem solving

  • 1.5 Review behavior goals

  • 2.3 Self-monitoring of behavior

  • 2.2 Feedback on behavior

  • 3.1 Social support (unspecified)

  • 4.1 Instruction on how to perform the behavior

  • 5.3 Information about social and environmental consequences

  • 7.1 Prompts and cues

None
  • MVPA (minutes per week) using ActiGraph GT3X+f

  • Sedentary time, measured using an activPALf

  • Sleep disturbance, measured by actigraphy and self-reported PSQIg,f

Kashfi et al [76], 2021 WhatsApp-based mobile intervention No intervention 1 month
  • 1.1 Goal setting (behavior)

  • 1.2 Problem solving

  • 1.4 Action planning

  • 3.1 Social support (unspecified)

  • 5.1 Information about health consequences

  • 4.1 Instruction on how to perform the behavior

  • 6.1 Demonstration of the behavior

  • 7.1 Prompts and cues

None QoLh measured using self-reported MENQOLi,f
Butryn et al [79], 2016 Fitbit-based, blended PA intervention Baseline 6 months
  • 1.1 Goal setting (behavior)

  • 1.2 Problem solving

  • 1.6 Discrepancy between behavior and goal

  • 2.2 Feedback on behavior

  • 2.3 Self-monitoring of behavior

  • 2.5 Monitoring of outcome of behavior without feedback

  • 2.6 Biofeedback

  • 3.1 Social support (unspecified)

  • 6.2 Social comparison

  • 9.1 Credible source

None
  • MVPA (minutes per week), measured using ActiGraph GT3X+j

  • Sedentary timej

  • Weight loss, measured using a standardized scalej

Sengupta et al [84], 2020 Smartwatch and smartphone app (HerBeat) Baseline 12 weeks
  • 1.1 Goal setting

  • 1.4 Action planning

  • 1.6 Discrepancy between behavior and goal

  • 2.1 Monitoring of behavior by others without feedback

  • 2.3 Self-monitoring of behavior

  • 2.6 Biofeedback

  • 5.3 Information about health consequences

  • 7.1 Prompts and cues

  • 10.4 Social reward

None
  • Change in PA using IPAQ-SFk,l

  • Exercise and dietary self-efficacy using the Exercise Condensed Surveyl

  • Weight circumference and BMIj

  • Depressive symptoms, measured using the PHQ-9m,j

  • Perceived stressl

Joseph et al [56], 2021 Smart walk app and Fitbit Baseline 4 months
  • 1.1 Goal setting (behavior)

  • 1.2 Problem solving

  • 2.3 Self-monitoring of behavior

  • 2.6 Biofeedback

  • 3.1 Social support (unspecified)

  • 4.1 Instruction on how to perform the behavior

  • 5.3 Information about social and environmental consequences

  • 6.1 Demonstration of the behavior

SCTn, proposes that people are driven not by inner forces but by external factors [88]
  • MVPA (minutes per week) using the 2-item Exercise Vital Sign Questionnairej

  • Weekly estimated energy expenditurej

  • Changes in SCT mediators measured using self-reported questionnairesj, with unexpected decrease in self-efficacy for PA

Nguyen et al [80], 2017 WATso and paired apps: Fitbit One, Jawbone UP24, Garmin, Vivofit 2, Garmin Vivosmart, Garmin Vivoactive, and Polar A300 N/Ap 4 weeks
  • 2.3 Self-monitoring of behavior

  • 2.6 Biofeedback

  • 4.1 Instruction on how to perform the behavior

  • 7.1 Prompts and cues

None Preferences and experience of WATs to promote PA behavior change among postmenopausal women (generated themes)
Kim et al [85], 2020
  • Mobile-based living laboratory intervention

  • Fitbit and mobile app

N/A 24 weeks
  • 1.1 Goal setting (behavior)

  • 1.2 Problem solving

  • 1.5 Review behavior goals

  • 2.3 Self-monitoring of behavior

  • 2.6 Biofeedback

  • 3.1 Social support (unspecified)

  • 3.3 Social support (emotional)

  • 5.1 Information about health consequences

  • 6.1 Demonstration of the behavior

  • 4.1 Instruction on how to perform the behavior

  • 7.1 Prompts and cues

  • 10.4 Social reward

  • 15.1 Verbal persuasion about capability

SCT [88]
  • Involvement of middle-aged, migrant women in the development of a culturally appropriate, mobile intervention to promote PA

  • Validity testing of the developed app based on content, interface design, and technology criteria using a 23-item self-reported smartphone app evaluation tool for health care

aCALO-RE: Coventry, Aberdeen, and London-Refined.

bMVPA: moderate to vigorous physical activity.

cNo statistically significant difference between the groups (no evidence).

dSRT: self-regulation theory.

ePAQ: Paffenbarger Physical Activity Questionnaire.

fStatistically significant difference between the groups (significant evidence).

gPSQI: Pittsburgh Sleep Quality Index.

hQoL: quality of life.

iMENQOL: Menopause-Specific Quality of Life Questionnaire.

jStatistically significant difference from baseline (some supporting evidence).

kIPAQ-SF: International Physical Activity Questionnaire-Short Form.

lNo statistically significant difference from baseline (no evidence).

mPHQ-9: Patient Health Questionnaire-9.

nSCT: Social Cognitive Theory.

oWAT: wearable activity tracker.

pN/A: not applicable.