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Updated: Aug 24, 2025

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Understanding super engaged users in the 10,000 Steps online physical activity program: A qualitative study.

Corneel Vandelanotte1, Cindy Hooker1, Anetta Van Itallie1

  • 1Appleton Institute, Central Queensland University, Rockhampton, Queensland, Australia.

Plos One
|October 21, 2022
PubMed
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Understanding long-term engagement in digital health is key. Super engaged users stick with programs because they become habitual, motivating, and easy to use, highlighting the importance of habit formation for sustained behavior change.

Area of Science:

  • Digital Health
  • Behavioral Science
  • Health Psychology

Background:

  • Sustained engagement is critical for internet-based behavioral interventions.
  • Most research focuses on low engagement, neglecting highly engaged users.
  • Understanding 'super engaged users' is vital for long-term intervention success.

Purpose of the Study:

  • To qualitatively explore characteristics, usage patterns, and motivations of 'super engaged users' in the 10,000 Steps program.
  • To identify factors contributing to continuous long-term engagement with digital health interventions.

Main Methods:

  • Semi-structured interviews were conducted with 20 long-term users of the 10,000 Steps program (10+ years and 1-10 years).
  • Interviews were transcribed and thematically analyzed to identify key themes related to sustained engagement.

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Related Experiment Videos

Last Updated: Aug 24, 2025

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Main Results:

  • Super engaged users, averaging 60 years old, often had chronic conditions but logged high step counts.
  • Sustained use was attributed to habit formation, program motivation, and ease of use.
  • Adoption of new program features was modest among this user group.

Conclusions:

  • Digital health programs should prioritize features that foster habit formation from the outset.
  • Habit formation appears more critical for long-term engagement than initial usability or acceptability.
  • Interventions supporting habit development are essential for sustained behavior change and program adherence.