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Using Health and Well-Being Apps for Behavior Change: A Systematic Search and Rating of Apps
We began analyzing the responses in January 2022, and the publication of results is expected at the end of 2022. Example of screenshots of the prototype app, including the (A) functionality competition, (B) functionality level and progression, and (C) functionality social network. This study will allow us to validate our conceptual model by defining the preferred functionalities according to user profiles. Research suggests it takes an average of 66 days for a behavior to become automatic. Instead of just yes or no, you can mark habits as done, not done, or skipped. Sometimes you have a good reason to skip a habit and that should not break your streak.
Behavior Change Theory

Other feasibility measures included ease of use, perspectives on app features [29], and sustained interest in the intervention [28,35]. Approximately 23% (3/13) of studies reported on process indicators, including compliance measured via attendance tracking [32], recruitment and retention rates [25], and facilitator rating of participant compliance [24,25]. The next important step is to establish the effectiveness of the Health4Life intervention, including the Health4Life app. Many of these techniques have already been used in commercial apps to encourage engagement [57,61]. Although the actual efficacy of these strategies among adolescents is yet to be systematically tested, there are strong theoretical justifications for why their inclusion could improve adolescents’ engagement with a health app.
Quantitative Data
Research suggests that mental health apps can also help better monitor and manage symptoms or disorders. However, while there are many mental health apps available, not all of them are backed by research and may not be as effective as those that are. Mental health apps are digital tools to help improve your mental health and wellness. While these apps can’t treat or diagnose any conditions, they’re a convenient way to support your mental health journey in addition to therapy or other forms of treatment. HS and MU identified health and well-being apps in the Australian Apple iTunes and Google Play stores and collected data relating to app features and functionality using the MARS. FM led the research team that collected data relating to potential behavior change effectiveness using the ABACUS.
Focus on Positive Things

Self-determination theory and self-efficacy theory state the key characteristics to achieving behavior change are autonomy, self-efficacy and competence (Bandura 1977; Ryan & Deci 2017). From our earliest experiences onward, we’re inherently disposed to autonomy and self-efficacy as a pathway to decision-making. Nearly 400 years ago Blaise Pascal, renowned philosopher and polymath, observed that people are generally better persuaded by self-discovered reasons than by those from others’ minds (Pascal & Stewart 1950).
- The eligibility criteria and search strategy were based on the PICOS framework (Table 1; Richardson et al., 1995; Counsell, 1997).
- The whole point of habit formation is that the behavior becomes automatic, no longer requiring a digital nudge.
- The Mixed-Methods Appraisal Tool (MMAT) (Hong et al., 2018) was used to assess the quality of the remaining studies (Supplementary Appendix 6).
- CThese BCTs were not included in the apps evaluated, but were deemed by the authors to have potential associations with engagement based on the papers’ reported findings and included in Table 7.
- One way to achieve a balance between providing an effective reminder that will encourage users to adhere to the intervention and avoiding unnecessary reminders that will annoy user and make them disengage from the app is to tailor reminders to each individual.
- With Cronbach alpha coefficients ranging from .37 to .83, the internal scale reliability of the Big Five Inventory-10 is low.
1. Study design
An app that lets you set your own goals and adjust your pace tends to produce better outcomes than one that dictates a rigid program. This doesn’t mean structure is bad, it means the structure should feel chosen, not imposed. Then, they were presented with a series of prototyped functionalities to be ranked according to their preferences to analyze if they corresponded to those defined in our conceptual framework. We chose to contextualize the functionalities of adopting healthy diet and fitness apps as these issues allow to target a generic public. To ensure data are completely anonymous, participants’ IP addresses were not collected.
Social Facilitation Strategy
This process aims to identify the number of documents related to keywords while considering the context of the present review. Here, we can visualize a 20-year overview of how the search is narrowed down within the context of engineering and computer science to demonstrate the relationship between medical or psychological areas and engineering fields. This rating scale comprises 21 items and was used to examine the potential behavior change of the app in relation to goal setting, action planning, barrier identification, self-monitoring, and feedback. The ratings are housed on a website developed by the Victorian Health Promotion Foundation (VicHealth) to assist the public in making informed choices about effective healthy lifestyle apps. VicHealth is a public health agency based in the Australian state of Victoria that is focused on promoting good health and preventing chronic disease. The previously mentioned 5 healthy lifestyle areas were selected as these were the focus of VicHealth’s programs and reflected major lifestyle risk factors that contributed to the burden of disease in Australia [22].
Why Do Most People Quit Using Self-Improvement Apps Within the First Two Weeks?
The link between chronic diseases and the Big 6 lifestyle risk behaviors (ie, poor diet, physical inactivity, smoking, alcohol use, sedentary recreational screen time, and poor sleep) is well established. It is critical to target these lifestyle risk behaviors, as they often co-occur and emerge in adolescence. Smartphones have become an integral part of everyday life, and many adolescents already use mobile apps to monitor their lifestyle behaviors and improve their health. Smartphones may be a valuable platform for engaging adolescents with interventions to prevent key chronic disease risk behaviors. The Cochrane Risk of Bias Assessment is a good tool to assess the quality of intervention trials.
Increasing Physical Activity, Weight Control, and Diet Control
Of these studies, 2 reported significantly higher ratings for the intervention app than the control, and 6 more reported that more than 70% of the participants rated the app as satisfying, helpful, or enjoyable. Only 1 app (Crush the Crave) was found to have significantly lower helpfulness and satisfaction ratings than the control. The rest had mixed feedback or no significant differences between the ratings for the app and control.
5. Data extraction
Only considering studies that found a significant difference between groups in favor of the app as significant evidence of effectiveness is a conservative interpretation. However, randomized controlled trials are the gold standard for evaluating interventions because randomization allows differences in outcomes between groups to be attributed to the intervention [74]. To conclusively support the claim that mobile health apps are a useful tool for changing behavior and health outcomes, users should show greater improvement with the app than a comparator or control. The majority of the apps evaluated in this review were not significantly more effective in achieving their purposes than controls or alternative interventions. Recent research by Yang et al. [18] investigated the effectiveness of goal setting with wearable feedback on physical activity levels.
In total, we retrieved 5299 articles using the search terms in the four madmuscles apple reviews databases. Of these, 81 were selected for the full-text review, and 52 were selected for inclusion in the review. The reasons for exclusion in the full-text review stage are detailed in Figure 1. One article was excluded at the full-text stage for reporting the same trial as another article that was already included. This excluded article was more focused on the development of the app and did not provide any additional relevant data for extraction.
Top 9 Mental Health Apps in 2022 Supported by Science
BCTs can provide real-time feedback on progress towards these goals and can also suggest strategies for achieving them. In addition to collecting data, IoT devices can also be used to modify the user’s environment. For example, a device could adjust the temperature of a room or change the lighting. BCTs can be used to control the environment in ways that promote behavior change. For example, a device could remind a user to get up and move after sitting for a long period of time. Therefore, the relationship between IoT and BCTs is promising and has the potential to transform BCTs.
This study aimed to adapt a self-affirmation exercise to a form better suited for delivery through a mobile app targeting healthy eating behaviors, and to test the effect of differing self-affirmation doses on adherence to behavior change goals over time. The aim of the coding process in our study is to assess the number and type of persuasive strategies present in mental health apps. Collected apps were coded using both the Persuasive System Design model (PSD) (Harjumaa and Oinas-Kukkonen, 2009) by Oinas-Kukkonen and Harjuma, and Behavior Change Techniques BCTs (Michie et al., 2013) by Michie and Abraham.