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Updated: May 8, 2026

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Digital Episodic Future Thinking Intervention (Luminaut): Co-Design and Iterative Development Study.

Naomi Hoffmann1, Caitlin A Howlett1, Kate Little2

  • 1Commonwealth Scientific and Industrial Research Organisation, PO Box 10041, Adelaide, SA, 5000, Australia.

JMIR Human Factors
|May 6, 2026
PubMed
Summary

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This summary is machine-generated.

This study co-designed a digital health app using Episodic Future Thinking (EFT) to improve long-term health behavior change. The app aims to overcome future discounting, a key barrier to adopting healthier habits.

Area of Science:

  • Digital health interventions
  • Behavioral science
  • Health psychology

Background:

  • Long-term adherence to digital health interventions is challenging.
  • Future discounting, preferring short-term rewards, hinders health behavior change.
  • Episodic Future Thinking (EFT) shows promise for improving health behaviors but lacks user-centered design.

Purpose of the Study:

  • To co-design a mobile application delivering an EFT intervention.
  • To promote health behavior change in individuals at risk for chronic conditions.
  • To address end-user needs in the development of digital health tools.

Main Methods:

  • Community members participated in co-design workshops.
  • Inductive thematic analysis was used to generate themes from user feedback.
Keywords:
Episodic Future Thinkingco-design methodsdigital interventionfuture discountinghealth behavior changehealth behaviorsmobile phone

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  • Iterative app development was informed by 26 suggestions from participants.

    • Main Results:

    • The study involved 30 South Australian adults, primarily women aged 25-44.
    • User feedback led to 15 specific suggestions incorporated into app development.
    • Key themes identified include concept acceptance, personalization, and user-friendly interface design.

    Conclusions:

    • Co-design methodology was successfully employed to develop an app-based EFT intervention.
    • Continued engagement with users and stakeholders is crucial for app evolution.
    • Future research will focus on evaluating the app's efficacy in a clinical trial.