Beyond Self-Tracking and Reminders: Designing Smartphone Apps That Support Habit Formation

Habit formation is an important part of behavior change interventions: to ensure an intervention has long-term effects, the new behavior has to turn into a habit and become automatic. Smartphone apps could help with this process by supporting habit formation. To better understand how, we conducted a 4-week study exploring the influence of different types of cues and positive reinforcement on habit formation and reviewed the functionality of 115 habit formation apps. We discovered that relying on reminders supported repetition but hindered habit development, while the use of event-based cues led to increased automaticity; positive reinforcement was ineffective. The functionality review revealed that existing apps focus on self-tracking and reminders, and do not support event-based cues. We argue that apps, and technology-based interventions in general, have the potential to provide real habit support, and present design guidelines for interventions that could support habit formation through contextual cues and implementation intentions.

[1]  B. Verplanken,et al.  Reflections on past behavior: A self-report index of habit strength , 2003 .

[2]  B. Verplanken,et al.  Interventions to Break and Create Consumer Habits , 2006 .

[3]  Thomas von Lengerke ABC of behavior change: a guide to successful disease prevention and health promotion , 2005, Sozial- und Präventivmedizin.

[4]  David W. McDonald,et al.  Flowers or a robot army?: encouraging awareness & activity with personal, mobile displays , 2008, UbiComp.

[5]  David T. Neal,et al.  A new look at habits and the habit-goal interface. , 2007, Psychological review.

[6]  R. Nelson Assessment and Therapeutic Functions of Self-Monitoring , 1977 .

[7]  Gilles O. Einstein,et al.  Prospective memory: When reminders fail , 1998, Memory & cognition.

[8]  A. Bandura Social cognitive theory of self-regulation☆ , 1991 .

[9]  B. Gardner,et al.  Towards parsimony in habit measurement: Testing the convergent and predictive validity of an automaticity subscale of the Self-Report Habit Index , 2012, International Journal of Behavioral Nutrition and Physical Activity.

[10]  A. Haines,et al.  The Effectiveness of Mobile-Health Technologies to Improve Health Care Service Delivery Processes: A Systematic Review and Meta-Analysis , 2013, PLoS medicine.

[11]  B. Gardner,et al.  Promoting habit formation , 2013 .

[12]  R. Tobias Changing behavior by memory aids: a social psychological model of prospective memory and habit development tested with dynamic field data. , 2009, Psychological review.

[13]  H. Aarts,et al.  Physical exercise habit: on the conceptualization and formation of habitual health behaviours. , 1997, Health education research.

[14]  C. Abraham,et al.  The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions , 2013, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[15]  J. Kopp,et al.  Self-monitoring: A literature review of research and practice , 1988 .

[16]  Ann Blandford,et al.  Don't forget your pill!: designing effective medication reminder apps that support users' daily routines , 2014, CHI.

[17]  J. Wardle,et al.  Experiences of habit formation: A qualitative study , 2011, Psychology, health & medicine.

[18]  Wanda Pratt,et al.  How to evaluate technologies for health behavior change in HCI research , 2011, CHI.

[19]  Matthew Chalmers,et al.  Personal tracking as lived informatics , 2014, CHI.

[20]  Lindsey E. Dayer,et al.  Smartphone medication adherence apps: potential benefits to patients and providers. , 2013, Journal of the American Pharmacists Association : JAPhA.

[21]  P. Lally,et al.  How are habits formed: Modelling habit formation in the real world , 2010 .

[22]  Jacqueline Kerr,et al.  ABC of behavior change : a guide to successful disease prevention and health promotion , 2005 .

[23]  David T. Neal,et al.  The habitual consumer. , 2009 .

[24]  David T. Neal,et al.  How do habits guide behavior? Perceived and actual triggers of habits in daily life , 2012 .

[25]  Denise C. Park,et al.  Prospective memory and medication adherence. , 1996 .

[26]  Joshua H. West,et al.  Apps of Steel: Are Exercise Apps Providing Consumers With Realistic Expectations? , 2013, Health education & behavior : the official publication of the Society for Public Health Education.

[27]  E. Deci,et al.  A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation. , 1999, Psychological bulletin.

[28]  P. Gollwitzer Implementation intentions: Strong effects of simple plans. , 1999 .

[29]  A. Dickinson Actions and habits: the development of behavioural autonomy , 1985 .

[30]  J. West,et al.  There ’ s an App for That : Content Analysis of Paid Health and Fitness Apps , 2018 .

[31]  Alexander J. Rothman,et al.  Toward a theory-based analysis of behavioral maintenance. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[32]  Evelyn G. Schaefer,et al.  ‘Please, remind me…’: The role of others in prospective remembering , 2000 .

[33]  Brigitte Maier Progress In Behavior Modification , 2016 .

[34]  Bas Verplanken,et al.  Habits and implementation intentions , 2005 .