The DOI matches its Crossref record; 60 of the 62 references it cites were found in a registry or an index, and 1 are not checked yet.
Are you ready for the challenge? Social Media Health Challenges for Behaviour Change
Open accessAbstract
Challenges are one of the most common strategies used by Opinion Leaders on Social Media to engage users. They are often found in different areas; in the Health field, the use of challenges is growing, namely through initiatives aiming at eating behaviour change. Instagram is considered to be one of the most used Social Media applications to develop these initiatives, allowing Opinion Leaders to communicate and engage with their online followers. Despite this scenario, little is known regarding how Health Challenges are being used and what is their impact on behaviour change. Previous research has already shown how Opinion Leaders use Instagram to promote eating behaviour change. The purpose of this paper is to conceptualize, describe and discuss Social Media Health Challenges, aiming to analyse Instagram challenges on healthy eating. The study was organized in two phases: the first one is a literature review based on Prisma method that supported the conceptualisation of Social Media Challenges and the design for the second phase where Social Media Health Challenges of Opinion Leaders, such as Nutritionists, Health Lifestylers and Patient Opinion Leaders (POLS) were analysed. Results showed that most of the challenges are promoted by Patient Opinion Leaders and Health Lifestylers. Followers adhere to Social Media Health Challenges related to weight loss, engaging with Opinion Leaders. The psychological-cognitive components (such as habits, motivation, and self-control) were found in the analysed challenges, and Instagram is one of the used tools to promote these Initiatives. These results point to new paths regarding future research on other behaviour change online initiatives.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“SMCs serve not only as entertainment but also as a tool for social activism, community building, and public engagement (Burgess et al., 2018;Iara et al., 2020).”
From Social media challenges as an intersection between Internet memes and traditional challenges: a conceptual analysis (2026) · cites this paper as Iara et al., 2020
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Valente, T. W. (2003) · Genetics in Medicine · doi:10.1097/01.gim.0000061743.67794.c4 · Cited by 20,559
Bardin, L. (1977) · Cited by 10,510
Building a practically useful theory of goal setting and task motivation: A 35-year odyssey.
Locke, E. A., & Latham, G. P. (2002) · American Psychologist · doi:10.1037/0003-066x.57.9.705 · Cited by 7,766
The unbearable automaticity of being
Bargh, J. A., & Chartrand, T. L. (1999) · American Psychologist · doi:10.1037/0003-066x.54.7.462 · Cited by 3,699
Eysenbach, G. (2001) · Journal of Medical Internet Research · doi:10.2196/jmir.3.2.e20 · Cited by 2,449
Toward a theory of task motivation and incentives
Locke, E. A. (1968) · Organizational Behavior and Human Performance · doi:10.1016/0030-5073(68)90004-4 · Cited by 2,409
Planning health promotion programs an intervention mapping approach
Bartholomew, L. K., Parcel, G. S., Kok, G., & Gottlieb, N. (2006) · Cited by 2,038
Noncommunicable diseases country profiles 2011.
Alwan, A., Armstrong, T. P., Cowan, M. J., & Riley, L. M. (2011) · Cited by 1,880
Michie, S., Johnston, M., Francis, J., Hardeman, W., & Eccles, M. (2008) · Applied Psychology · doi:10.1111/j.1464-0597.2008.00341.x · Cited by 1,789
O’Reilly, T. (2009) · Medical Entomology and Zoology · Cited by 1,184
A Theory of Fun for Game Design
Koster, R., & Wright, W. (2004) · Cited by 1,110
Obesogenic environments: exploring the built and food environments
Lake, A. A., & Townshend, T. (2006) · The Journal of the Royal Society for the Promotion of Health · doi:10.1177/1466424006070487 · Cited by 679
The clinical basis of orthorexia nervosa: emerging perspectives
Koven, N. S., & Abry, A. W. (2015) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s61665 · Cited by 483
Instagram use is linked to increased symptoms of orthorexia nervosa.
Turner, P. G., & Lefevre, C. E. (2017) · Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity · doi:10.1007/s40519-017-0364-2 · Cited by 380 · cited 1×
“…several studies that relate Social Media to orthorexia, an eating disorder where there is an excessive worry to eat healthily (Koven & Wabry, 2015; Turner & Lefevre, 2017), leading to other negative aspects such as bulimia, anorexia, and others (Brien, 2015; Holland & Tiggemann, 2017; Pater,…”
BackgroundReflective and Automatic Processes in the Initiation and Maintenance of Dietary Change
Rothman, A. J., Sheeran, P., & Wood, W. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9118-3 · Cited by 368 · cited 5×
“An experience that is repeated has cumulative value, which formats deep processes that are part of the automatic system and can create attitudes and habits that are difficult to change (Bartholomew et al., 2006; Rothman et al., 2009).”
BackgroundInfluentialHolland, G., & Tiggemann, M. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22559 · Cited by 308
When Personal Tracking Becomes Social
Chung, C.-F., Agapie, E., Schroeder, J., Mishra, S. R., Fogarty, J. A., & Munson, S. A. (2017) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3025453.3025747 · Cited by 190
Historical perspectives in industrial and organizational psychology
(2007) · Choice Reviews Online · doi:10.5860/choice.44-4737 · Cited by 164
Work motivation: The high performance cycle.
Locke, E. A., & Latham, G. P. (1990) · Cited by 102
“Hunger Hurts but Starving Works”
Pater, J. A., Haimson, O. L., Andalibi, N., & Mynatt, E. D. (2016) · ACM Conference on Computer Supported Cooperative Work (CSCW) · doi:10.1145/2818048.2820030 · Cited by 101
Ingesting and Aspirating Dry Cinnamon by Children and Adolescents: The “Cinnamon Challenge”
Grant-Alfieri, A., Schaechter, J. L., & Lipshultz, S. E. (2013) · PEDIATRICS · doi:10.1542/peds.2012-3418 · Cited by 100
Pressgrove, G., McKeever, B. W., & Jones-Jang, S. M. (2017) · International Journal of Nonprofit and Voluntary Sector Marketing · doi:10.1002/nvsm.1586 · Cited by 96
A New Frontier: Integrating Behavioral and Digital Technology to Promote Health Behavior
Dallery, J., Kurti, A. N., & Erb, P. (2014) · The Behavior Analyst · doi:10.1007/s40614-014-0017-y · Cited by 95
Helm, J., & Jones, R. M. (2016) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2016.09.003 · Cited by 93
‘Blue Whale Challenge’: A Game or Crime?
Mukhra, R., Baryah, N., Krishan, K., & Kanchan, T. (2017) · Science and Engineering Ethics · doi:10.1007/s11948-017-0004-2 · Cited by 90
Epstein, D. A., Cordeiro, F., Fogarty, J. A., Hsieh, G., & Munson, S. A. (2016) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/2858036.2858044 · Cited by 88
Burford, O., Jiwa, M., Carter, O. B. J., Parsons, R. W., & Hendrie, D. V. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2337 · Cited by 74
Healthy food products at the point of purchase: An in‐store experimental analysis
Sigurðsson, V., Larsen, N. M., & Gunnarsson, D. (2013) · Journal of Applied Behavior Analysis · doi:10.1002/jaba.91 · Cited by 66
Emotional appeals and news values as factors of shareworthiness in ice bucket challenge coverage
Brown, D. K., Lough, K., & Riedl, M. J. (2020) · Digital Journalism · doi:10.1080/21670811.2017.1387501 · Cited by 62
Blogging for weight loss: personal accountability, writing selves, and the weight‐loss blogosphere
Leggatt‐Cook, C., & Chamberlain, K. (2011) · Sociology of Health & Illness · doi:10.1111/j.1467-9566.2011.01435.x · Cited by 60
The problematic messages of nutritional discourse: A case-based critical media analysis
Dodds, A., & Chamberlain, K. (2016) · Appetite · doi:10.1016/j.appet.2016.09.021 · Cited by 56
Lupariello, F., Curti, S. M., Coppo, E., Racalbuto, S. S., & Vella, G. D. (2018) · Journal of Forensic Sciences · doi:10.1111/1556-4029.13880 · Cited by 56
Hansen, A. B. G., Becker, U., Nielsen, A. S., Grønbæk, M., Tolstrup, J. S., & Thygesen, L. C. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1883 · Cited by 51
Improving Public Perception of Behavior Analysis
Freedman, D. H. (2015) · The Behavior Analyst · doi:10.1007/s40614-015-0045-2 · Cited by 47
Burgess, A., Miller, V., & Moore, S. (2018) · Sociology · doi:10.1177/0038038516680312 · Cited by 44
A lesson from the ice bucket challenge: using social networks to publicize science
Koohy, H., & Koohy, B. (2014) · Frontiers in Genetics · doi:10.3389/fgene.2014.00430 · Cited by 41
Kaipainen, K., Payne, C. R., & Wansink, B. C. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2218 · Cited by 37
I am with you: a netnographic analysis of the Instagram opinion leaders on eating behavior change
Saboia, I., Almeida, A. M. P., de Sousa, P. M. L., & Pernencar, C. A. D. C. (2018) · Procedia Computer Science · doi:10.1016/j.procs.2018.10.014 · Cited by 36
Self-citationClimate, Ecology and Human Health
Epstein, P. R. (2001) · Palgrave Macmillan UK eBooks · doi:10.1057/9780230524248_3 · Cited by 35
Temporal and Geographic Patterns of Social Media Posts About an Emerging Suicide Game
Sumner, S. A., Galik, S., Mathieu, J., Ward, M., Kiley, T., Bartholow, B., Dingwall, A., & Mork, P. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2018.12.025 · Cited by 30
The Study of Work Motivation in the 20th Century
Latham, G. P., & Budworth, M.-H. E. (2014) · doi:10.4324/9781315820972-28 · Cited by 27
Blue Whale Challenge: Perceptions of First Responders in Medical Profession
Mahadevaiah, M., & Nayak, R. B. (2018) · Indian Journal of Psychological Medicine · doi:10.4103/ijpsym.ijpsym_399_17 · Cited by 26
Online Healthy Food Experiments: Capturing Complexity by Using Choice-Based Conjoint Analysis
Sigurðsson, V., Menon, R. G. V., & Fagerstrøm, A. (2017) · The Behavior Analyst · doi:10.1007/s40614-017-0114-9 · Cited by 22
Smith, J. M. (2015) · The Behavior Analyst · doi:10.1007/s40614-015-0044-3 · Cited by 21
Rezan, A., & Erogul, Ç. (2012) · Psychology · doi:10.4236/psych.2012.310138 · Cited by 20
Hutchesson, M., Collins, C. E., Morgan, P. J., & Callister, R. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2540 · Cited by 18
Balhara, Y. P. S., Bhargava, R., Pakhre, A., & Bhati, N. (2018) · Asia-Pacific Psychiatry · doi:10.1111/appy.12317 · Cited by 18
Ni, M. Y., Chan, B. H. Y., Leung, G. M., Lau, E. H. Y., & Pang, H. (2014) · BMJ · doi:10.1136/bmj.g7185 · Cited by 17
The depressed boy who accepted “Blue Whale Challenge”
Narayan, R. K., Das, B., Das, S., & Bhandarı, S. S. (2019) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_234_18 · Cited by 11
New ways to promote public health: lessons from the international Ice Bucket Challenge
Gualano, M. R., Bert, F., Gili, R., Andriolo, V., Scaioli, G., & Siliquini, R. (2016) · Public Health · doi:10.1016/j.puhe.2016.05.026 · Cited by 9
A whale of a challenge for Pakistan and the World
Khan, A., Moin, A., Fatima, H., Hussain, S. A., & Qadir, T. F. (2018) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2018.01.010 · Cited by 8
The Cultivation of Eating Disorders through Instagram
O’Brien, K. (2015) · Digital Commons - University of South Florida (University of South Florida) · Cited by 8
Influential Sustainability on Social Networks
Chang, C.-W., Yang, P.-A., Lyu, M., & Chuang, K.-T. (2015) · Proceedings · doi:10.1109/icdm.2015.129 · Cited by 7
An Online Workplace Healthy Lunchbox Challenge for Adults
Matwiejczyk, L., Field, L., Withall, E., & Scott, J. A. (2015) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2015.04.001 · Cited by 6
A Comment on “Blue Whale Challenge: Perceptions of First Responders in Medical Profession”
Das, S., & Gowda, G. S. (2018) · Indian Journal of Psychological Medicine · doi:10.4103/ijpsym.ijpsym_163_18 · Cited by 4
One in three people worldwide is at risk of ill health from household air pollution
Bagcchi, S. (2014) · BMJ · doi:10.1136/bmj.g6102 · Cited by 3
Sequential Online Wellness Programming Is an Effective Strategy to Promote Behavior Change
MacNab, L. R., & Francis, S. L. (2015) · Journal of Extension · doi:10.34068/joe.53.02.04 · Cited by 3
Ingesting and aspirating dry cinnamon by children and adolescents: The "cinnamon challenge"
Grant-Alfieri, A., Schaechter, J. L., & Lipshultz, S. E. (2014) · Dysphagia · Cited by 2
Moher (2009) · doi:10.1371/journal.pmed1000097
Research works printed but not linked: 4
- Fox, S., & Duggan, M. (2013). Health online 2013. Washington, D.C.: Pew Research Center´s Internet & American Life Project Retrieved from https://www.pewinternet.org/2013/01/15/health-online-2013/.
- Glanz, K., Rimmer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: Therory, research and practice. San Francisco: Jossey-Bass.
- Little, L., Sillence, E., & Joinson, A. (2017). Behavior Change research and theory: psycological and technological perspectives. London: Academic Press. https://doi.org/10.1016/B978-0-12-802690-8/00011-6. · DOI
- Sillence, E., Little, L., & Joinson, A. (2017). Digital behavior change. In Behavior change research and theory: Psychological and technological perspectives (pp. XI–XIV). London: Academic Press.
Cited by
Sorted by citations
Viral internet challenges scale in preadolescents: An exploratory study
Ortega-Barón, J., Machimbarrena, J. M., Montiel, I., & González‐Cabrera, J. M. (2022) · Current Psychology · doi:10.1007/s12144-021-02692-6 · Cited by 46
Zielińska‐Tomczak, Ł., Przymuszała, P., Tomczak, S., Krzyśko-Pieczka, I., Marciniak, R., & Cerbin‐Koczorowska, M. (2021) · Nutrients · doi:10.3390/nu13062005 · Cited by 19
Kobilke, L., & Markiewitz, A. (2024) · Computers in Human Behavior · doi:10.1016/j.chb.2024.108265 · Cited by 12
Mancone, S., Celia, G., Zanon, A., Gentile, A., & Diotaiuti, P. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1527168 · Cited by 10
Nirmala, M., Bao, H., Jansen, B., Koh, M., Koh, M., Ng, J. J., & Lee, E. W. J. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.117683 · Cited by 2
Metadata
- Authors
- Saboia, I., Almeida, A. M. P., Sousa, P., & Pernencar, C.
- Affiliations
- Universidade Federal do Ceará (BR)
- University of Aveiro (PT)
- University of Lisbon (PT)
- Corresponding author
- Saboia, Inga
- Venue
- Perspectives on Behavior Science
- Published
- 2020-07-28
- Volume
- 43
- Issue
- 3
- Pages
- 543-578
- ISSN
- 2520-8969 (ISSN-L)
- 2520-8977
- PMC
- PMC7490303
- OpenAlex
- W3046009876
- Cited by
- 13
- References
- 62
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 2 · 2022: 1 · 2021: 1
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Perspectives on Behavior Science (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- Funders
- Fundação para a Ciência e a Tecnologia (SFRH/BD/137451/2018)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Social Sciences › Communication › Media Influence and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- behavior change, opinion leaders, Instagram, dietary behavior change, healthy eating, nutritionists, weight loss, user engagement, motivation, self-control, habit
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review