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Can self-monitoring mobile health apps reduce sedentary behavior? A randomized controlled trial.
Kojiro Yamamoto1, Takeshi Ebara1, Fumiko Matsuda2
1Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Journal of Occupational Health
|August 27, 2020
Summary
Mobile health app interventions using self-monitoring did not reduce objective sedentary behavior. However, subjective sedentary time perception was altered, suggesting potential for misperception with information-only feedback.
Area of Science:
- Digital Health
- Behavioral Science
- Public Health
Background:
- Sedentary behavior is a growing public health concern.
- Mobile health (mHealth) apps offer potential interventions to reduce sedentary time.
Purpose of the Study:
- To evaluate the effectiveness of self-monitoring interventions via a mobile health app on reducing sedentary behavior.
- To assess both short-term (5 weeks) and long-term (13 weeks) effects.
Main Methods:
- A double-blind randomized controlled trial was conducted with 49 participants.
- Participants received either information only (control) or information plus real-time self-monitoring feedback via a smartphone app (intervention).
- Objective (OST, MSB, SB) and subjective (SST) sedentary behavior measures were collected.
Main Results:
- No significant short-term effects on any sedentary behavior measures were observed.
- In the long term, objective sedentary behavior (OST, MSB, SB) remained unchanged.
- Significant differences were found in subjective sedentary time (SST), indicating a potential change in perception.
Conclusions:
- Real-time self-monitoring feedback via smartphone apps does not significantly alter objective sedentary behavior.
- Providing only information about sedentary behavior may lead to a misperception of actual sedentary time.

