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Updated: May 22, 2026

Behavioral Disturbances: An Innovative Approach to Monitor the Modulatory Effects of a Nutraceutical Diet
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Behavioral Disturbances: An Innovative Approach to Monitor the Modulatory Effects of a Nutraceutical Diet

Published on: January 3, 2017

Multiple behavior changes in diet and activity: a randomized controlled trial using mobile technology.

Bonnie Spring1, Kristin Schneider, H Gene McFadden

  • 1Department of Preventive Medicine, Northwestern University, 680 N Lake Shore Drive, Chicago, IL 60611, USA. bspring@northwestern.edu

Archives of Internal Medicine
|May 29, 2012
PubMed
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Targeting increased fruit/vegetable intake and reduced sedentary time together maximizes simultaneous health behavior changes. Remote coaching with mobile technology and incentives shows promise for improving diet and activity.

Area of Science:

  • Behavioral Science
  • Public Health
  • Digital Health

Background:

  • Multiple chronic disease risk behaviors are common.
  • Limited research exists on maximizing simultaneous behavior change.

Purpose of the Study:

  • To identify which combination of diet and activity advice best promotes multiple healthy behavior changes.

Main Methods:

  • 204 adults with elevated risk behaviors were randomized into 4 treatment groups.
  • Treatments involved remote coaching, mobile technology, and financial incentives over 3 weeks.
  • Outcomes measured composite improvement in diet and activity behaviors at treatment end and 5-month follow-up.

Main Results:

  • Increasing fruit/vegetable intake and decreasing sedentary leisure significantly outperformed other treatments (P < .001).

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Last Updated: May 22, 2026

Behavioral Disturbances: An Innovative Approach to Monitor the Modulatory Effects of a Nutraceutical Diet
07:05

Behavioral Disturbances: An Innovative Approach to Monitor the Modulatory Effects of a Nutraceutical Diet

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Iterative Development of an Innovative Smartphone-Based Dietary Assessment Tool: Traqq
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  • This group saw fruit/vegetable intake rise to 5.5 servings daily and sedentary time drop to 89.3 minutes.
  • These improvements were sustained through the 5-month follow-up.

    • Conclusions:

    • Remote coaching, mobile technology, and financial incentives are effective for improving diet and activity.
    • Simultaneously targeting fruit/vegetable intake and sedentary leisure maximizes adoption and maintenance of multiple healthy behaviors.