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Accepted for/Published in: JMIR Formative Research

Date Submitted: Jul 25, 2022
Date Accepted: Mar 21, 2023

The final, peer-reviewed published version of this preprint can be found here:

Motivational Message Framing Effects on Physical Activity Dynamics in a Digital Messaging Intervention: Secondary Analysis

Lee AM, Hojjatinia S, Courtney JB, Brunke-Reese D, Hojjatinia S, Lagoa CM, Conroy DE

Motivational Message Framing Effects on Physical Activity Dynamics in a Digital Messaging Intervention: Secondary Analysis

JMIR Form Res 2023;7:e41414

DOI: 10.2196/41414

PMID: 37083710

PMCID: 10163402

Motivational message framing effects on physical activity dynamics in a digital messaging intervention: A secondary analysis

  • Alexandra M. Lee; 
  • Sahar Hojjatinia; 
  • Jimikaye B. Courtney; 
  • Deborah Brunke-Reese; 
  • Sarah Hojjatinia; 
  • Constantino M. Lagoa; 
  • David E. Conroy

ABSTRACT

Background:

Digital smartphone messaging can be used to promote physical activity to large populations with limited cost. It is not clear which psychological constructs should be targeted by digital messages to promote physical activity. This gap presents a challenge for developing optimal content for digital messaging interventions.

Objective:

To compare affectively-framed and social-cognitively-framed messages on subsequent changes in physical activity using dynamical modeling techniques.

Methods:

We conducted a secondary analysis of data collected from a digital messaging intervention in insufficiently-active young adults (18-29 years) recruited between April 2019 and July 2020 who wore a Fitbit smartwatch for 6 months. Participants received 0-6 messages at random per day across the intervention period. Messages were drawn from three content libraries: affectively-framed, social-cognitively framed, or inspirational quotes. Person-specific dynamical models were identified, and model features of impulse response and cumulative step response were extracted for comparison. Two-way repeated measures ANOVAs evaluated the main effects and interaction of message type and day type on model features.

Results:

Messages (n = 20,689) were paired with valid physical activity monitoring data from 45 participants for analysis. Received messages were distributed as 40% affective (8299 messages), 39% social-cognitive (8187 messages), and 20% inspirational quotes (4219 messages). There were no statistically significant main effects for message type when evaluating steady state of step responses. Participants demonstrated heterogeneity in intervention response: some had their strongest responses to affectively-framed messages, some had their strongest responses to social-cognitively-framed messages, and some had their strongest responses to the inspirational quotes messages.

Conclusions:

No single type of digital message content universally promotes physical activity. Future work should evaluate the effects of multiple message types so that content can be continuously tuned based on person-specific responses to each message type.


 Citation

Please cite as:

Lee AM, Hojjatinia S, Courtney JB, Brunke-Reese D, Hojjatinia S, Lagoa CM, Conroy DE

Motivational Message Framing Effects on Physical Activity Dynamics in a Digital Messaging Intervention: Secondary Analysis

JMIR Form Res 2023;7:e41414

DOI: 10.2196/41414

PMID: 37083710

PMCID: 10163402

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