Table 1 Overview of intervention elements and recommended use.

From: Efficacy of a digital health application for weight management in people with obesity: 6-months results from a randomized controlled trial

Intervention element

Description

Recommended use and examples

Self-monitoring

Monitoring via logging of meals, weight, activity, symptoms, mood, fluid intake and other parameters. Aggregated logs are presented back as graphical progress reports.

Specific to the type of log:

• Daily: photo-logs of food.

• Weekly: weight.

Self-management

Short-term health-related tasks and goals are personalized and nudged via app alerts, push notifications and emails.

Specific to the type of task or goal:

• Daily: drink 2 liters of water per day.

• Weekly: conduct light exercise three times a week.

• Longer-term: personal weight loss goal at 3 months.

Education

Multimedia learning content (text, videos, podcasts) on diet, physical activity, and health-related behaviors is provided and unlocked upon completion of previous content (including a quiz).

Completion of the theme-based, weekly-provided content in any given week:

• Diet: personalized meal plans and recipes, meal frequency.

• Physical activity: movement instructions, value for well-being and health.

• Health-related behaviors: stress management, emotional eating, sleep.

Feedback

Based on self-monitoring data (see above), personalized feedback is provided on nutritional intake, weight, completed self-management tasks and goals. Achievements are celebrated via gamification.

Specific to type of feedback:

• In-the-moment: recommendation for healthier food choices upon photo-logging a meal, achieved completion of the daily step goal is celebrated via animated confetti.

• Longer-term: weight change trajectory in relation to personal weight loss goal.

  1. All intervention-related goals are personalized.