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Hawthorne Effect in Screening Ambulatory Activity Status Using Wearable Pedometers Varies Across Age Groups
Saleh Hammad1,2,3, Abdelhafez Alnawayseh4, Rami Hammad5,6
1Department of Physical and Health Education, Faculty of Educational Sciences, Al-Ahliyya Amman University, Amman, Jordan.
AJPM Focus
|August 14, 2026
Summary
Wearing step-counting devices significantly boosts ambulatory activity across all age groups due to the Hawthorne effect. Men in experimental groups increased daily steps by over 50% when aware of monitoring.
Area of Science:
- Exercise Science
- Behavioral Science
- Human Physiology
Background:
- Wearable step-counting devices are common in research for ambulatory activity assessment.
- The Hawthorne effect, increased performance due to perceived monitoring, is often overlooked in such studies.
- Understanding this effect is crucial for accurate ambulatory activity measurement.
Purpose of the Study:
- To assess ambulatory activity levels across different age groups in men.
- To quantify the impact of wearing step-counting devices on daily ambulatory activity.
- To investigate the Hawthorne effect in the context of wearable technology.
Main Methods:
- 60 men were divided into 3 age groups (20-25, 40-45, 60-65 years).
- Participants were assigned to experimental (aware of monitoring) or control (blinded) groups.
- Step count data were collected before and after a 7-day intervention with a sham pedometer watch.
Main Results:
- A significant positive Hawthorne effect was observed across all age groups.
- Ambulatory activity increased by 62.90% in young, 55.58% in middle-aged, and 81.96% in older adults.
- Experimental groups showed significantly higher step counts than control groups (p<0.001).
Conclusions:
- The Hawthorne effect substantially increases ambulatory activity when individuals are aware of monitoring.
- All experimental groups demonstrated over a 50% increase in step count compared to baseline.
- This highlights the need to account for the Hawthorne effect in research using wearable activity trackers.

