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Using computer, mobile and wearable technology enhanced interventions to reduce sedentary behaviour: a systematic
Aoife Stephenson1, Suzanne M McDonough2,3,4, Marie H Murphy5
1, Shore Rd, Newtownabbey, BT37 0QB, Northern Ireland. stephenson-a@email.ulster.ac.uk.
Summary
Technology-enhanced interventions significantly reduce daily sitting time in adults, decreasing sedentary behaviour (SB) by over 40 minutes. However, effectiveness wanes over time, highlighting the need for improved study designs and long-term strategies.
Area of Science:
- Public Health
- Behavioral Science
- Digital Health
Background:
- High sedentary behaviour (SB) poses significant health risks.
- Technology-enhanced solutions (apps, wearables) are increasingly used to mitigate SB.
- This review evaluates the efficacy of these tech-based interventions in healthy adults.
Purpose of the Study:
- To assess the effectiveness of technology-enhanced interventions in reducing SB.
- To identify and analyze the behavior change techniques (BCTs) employed in these interventions.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) published up to June 2016.
- Inclusion criteria: interventions using computer, mobile, or wearable tech to reduce SB.
- Risk of bias assessment and coding of BCTs using the BCT Taxonomy (v1).
Main Results:
- Meta-analysis of 15/17 RCTs showed a mean reduction of 41.28 min/day of sitting time.
- Effectiveness was most pronounced in the short-term (≤ 3 months) and diminished over longer follow-ups.
- Common BCTs included prompts/cues, self-monitoring, social support, and goal setting.
Conclusions:
- Technology-enhanced interventions are effective for reducing SB, particularly in the short term.
- Intervention effectiveness decreases over time, suggesting a need for sustained strategies.
- Future research should focus on robust study designs, objective SB measures, and minimizing attrition.

