Are free workplace health promotion apps adequately mapped with behavior change theories, techniques and desired features? A content analysis
Abstract
Free smartphone applications that aim to promote physical activity or reduce sedentary behavior at workplaces were questioned for its content such as technical features, behavior change techniques (BCT) and security concerns. To evaluate systematically whether smartphone apps are mapped adequately with BCTs and security concerns. Free apps in Google Play store were searched and coded for BCTs systematically in July 2020. Two reviewers independently coded apps that aimed to promote physical activity (n = 18) and reduce sedentary behavior (n = 16) using a taxonomy of 26 BCTs. BCTs, features and security concerns among apps promoting physical activity and reducing sedentary behavior were analyzed. While the features (social support, gamification, or rewards) help increase physical activity and decrease sedentary behavior, the apps do not typically include the above features. Further, the apps were based on an average of 13 (4-21) BCTs. The BCTs coded most frequently were "self-monitoring" (100%), "general encouragement" (97%), and "goal setting" (n = 94%). No significant relation between user rating and BCTs was found in the apps. Majority of the free apps that aimed to increase physical activity or reduce sedentary behavior at workplaces were not adequately based on BCTs and lacked essential features facilitating long term behavior compliance at workplaces. Hence, there is a need to develop newer applications mapped adequately with BCTs, involving the collaborative work of behavioral scientists, app developers and policymakers. Clinical Trial Registry of India CTRI/2020/03/024138.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Chandrasekaran et al. found that only a few BCTs were applied in free WHP apps for physical activity and sedentary behaviour and that most apps were not using BCTs to develop effective WHP apps; social support and gamification elements were lacking.
“a 2021 review by Chandrasekaran et al., which mapped free WHP apps for physical activity and sedentary behaviour to behavioural change techniques (BCTs), found that only a few BCTs were applied and that most apps were not using BCTs to develop effective WHP apps. In particular, social support and gamification elements were lacking in apps [13].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [13]
Another study found infrequent use of BCTs and that most apps have elicited safety and security concerns.
“Another study also found infrequent use of BCTs and further demonstrated that most apps have elicited safety and security concerns [13].”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [13]
Cites
World Health Organization 2020 guidelines on physical activity and sedentary behaviour
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102955 · Cited by 11,657 · see citing works
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013) · Annals of Behavioral Medicine · doi:10.1007/s12160-013-9486-6 · Cited by 7,629 · see citing works
Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011) · Psychology & Health · doi:10.1080/08870446.2010.540664 · Cited by 1,756 · see citing works
Encyclopedia of Behavioral Medicine
Denollet, J., Gellman, M. D., & Turner, J. R. (2012) · Springer eBooks · doi:10.1007/978-1-4419-1005-9 · Cited by 928 · see citing works
Carey, R., Bohlen, L. C., Johnston, M., Rothman, A. J., de Bruin, M., Kelly, M. P., & Michie, S. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kay078 · Cited by 692 · see citing works
Agarwal, S., LeFevre, A. E., Lee, J., L’Engle, K., Mehl, G., Sinha, C., & Labrique, A. (2016) · BMJ · doi:10.1136/bmj.i1174 · Cited by 639 · see citing works
Behavior Change Techniques in Top-Ranked Mobile Apps for Physical Activity
Conroy, D. E., Yang, C., & Maher, J. P. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.01.010 · Cited by 466 · see citing works
Is sedentary behaviour just physical inactivity by another name?
van der Ploeg, H. P., & Hillsdon, M. M. (2017) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-017-0601-0 · Cited by 310 · see citing works
Direito, A., Dale, L. P., Shields, E., Dobson, R., Whittaker, R., & Maddison, R. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-646 · Cited by 308 · see citing works
Fresh apps: an empirical study of frequently-updated mobile apps in the Google play store
Mcilroy, S., Ali, N., & Hassan, A. E. (2015) · Empirical Software Engineering · doi:10.1007/s10664-015-9388-2 · Cited by 202 · see citing works
Bond, D. S., Thomas, J. G., Raynor, H. A., Moon, J., Sieling, J., Trautvetter, J., Leblond, T. L., & Wing, R. R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0100821 · Cited by 202 · see citing works
Quality of Publicly Available Physical Activity Apps: Review and Content Analysis
Bondaronek, P., Alkhaldi, G., Slee, A., Hamilton, F. L., & Murray, E. (2018) · JMIR mHealth and uHealth · doi:10.2196/mhealth.9069 · Cited by 156 · see citing works
Desired Features of Smartphone Applications Promoting Physical Activity
Rabin, C., & Bock, B. C. (2011) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2011.0055 · Cited by 153 · see citing works
Palmer, M., Sutherland, J., Barnard, S., Wynne, A., Rezel, E., Doel, A., Grigsby-Duffy, L., Edwards, S., Russell, S., Hotopf, E., et al. (2018) · PLOS ONE · doi:10.1371/journal.pone.0189801 · Cited by 136 · see citing works
Hosseinpour, M., & Terlutter, R. (2019) · Sports Medicine · doi:10.1007/s40279-019-01128-3 · Cited by 76 · see citing works
Yang, X., Ma, L., Zhao, X., & Kankanhalli, A. (2019) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2019.104039 · Cited by 69 · see citing works
Social Comparison Features in Physical Activity Promotion Apps: Scoping Meta-Review
Arigo, D., Brown, M. M., Pasko, K., & Suls, J. M. (2020) · Journal of Medical Internet Research · doi:10.2196/15642 · Cited by 66 · see citing works
Mollee, J. S., Middelweerd, A., Kurvers, R., & Klein, M. C. A. (2017) · Personal and Ubiquitous Computing · doi:10.1007/s00779-017-1023-3 · Cited by 60 · see citing works
The role of smartphones in encouraging physical activity in adults
Stuckey, M. I., Carter, S., & Knight, E. (2017) · International Journal of General Medicine · doi:10.2147/ijgm.s134095 · Cited by 58 · see citing works
Comparison between android and iOS Operating System in terms of security
Ahmad, M. S., Musa, N. E., Nadarajah, R., Hassan, R. B., & Othman, N. E. (2013) · International Conference on Information Technology in Asia (CITA) · doi:10.1109/cita.2013.6637558 · Cited by 57 · see citing works
Arrogi, A., Bogaerts, A., Seghers, J., Devloo, K., Abeele, V. V., Geurts, L., Wauters, J., & Boen, F. (2017) · Health Promotion International · doi:10.1093/heapro/dax046 · Cited by 53 · see citing works
Android and iOS users' differences concerning security and privacy
Benenson, Z., Gassmann, F., & Reinfelder, L. (2013) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/2468356.2468502 · Cited by 52 · see citing works
de Korte, E., Wiezer, N. M., Roozeboom, M. B., Vink, P., & Kraaij, W. (2018) · JMIR mhealth and uhealth · doi:10.2196/mhealth.6363 · Cited by 41 · see citing works
Comparative study of Google Android, Apple iOS and Microsoft Windows Phone mobile operating systems
Novac, O. C., Novac, M. C., Gordan, C. E., Bérczes, T. M., & Bujdosó, G. (2017) · International Conference on Engineering of Modern Electric Systems · doi:10.1109/emes.2017.7980403 · Cited by 37 · see citing works
Behavior change techniques in mobile applications for sedentary behavior
Dunn, E. E., Gainforth, H. L., & Robertson‐Wilson, J. (2018) · Digital Health · doi:10.1177/2055207618785798 · Cited by 34 · see citing works
Too much sitting and dysglycemia: Mechanistic links and implications for obesity
Homer, A. R., Owen, N. G., & Dunstan, D. W. (2018) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2018.09.003 · Cited by 34 · see citing works
Haile, L. T., Fultz, H. M., Simmons, R. G., & Shelus, V. (2018) · mHealth · doi:10.21037/mhealth.2018.06.07 · Cited by 33 · see citing works
A content analysis of smartphone apps for adolescent smoking cessation
Robinson, C. D., Seaman, E. L., Grenen, E., Montgomery, L., Yockey, R. A., Coa, K. I., Prutzman, Y. M., & Augustson, E. M. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/iby113 · Cited by 23 · see citing works
Linnan, L. A., Fisher, E. B., & Hood, S. M. (2013) · American Journal of Health Promotion · doi:10.4278/ajhp.28.1.tahp · Cited by 21 · see citing works
Bondaronek, P., Slee, A. E., Hamilton, F. L., & Murray, E. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-027536 · Cited by 16 · see citing works
THE DIFFERENCE OF IoS AND ANDROID USAGE
Siburian, R. M., & Nuary, R. P. (2019) · Jurnal Darma Agung · doi:10.46930/ojsuda.v27i2.273 · Cited by 5 · see citing works
Kuru, H. (2018) · Springer eBooks · doi:10.1007/978-3-319-73135-3_3 · Cited by 3 · see citing works
Flagged first, then by citations
1 of the 33 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Panicker, R. M., & Chandrasekaran, B. (2022) · Sport Sciences for Health · doi:10.1007/s11332-021-00885-x · Cited by 22 · see citing works
Self-citationGamification in cybersecurity education; a state of the art review and research agenda
Pramod, D. (2024) · Journal of Applied Research in Higher Education · doi:10.1108/jarhe-02-2024-0072 · Cited by 24 · see citing works
Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review
Junker, M., Böhm, M., & Krcmar, H. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296212 · Cited by 15 · see citing works
Chandrasekaran, B., Arumugam, A., Pesola, A. J., Kundapur, P. P., & Rao, C. R. (2025) · BMC Public Health · doi:10.1186/s12889-025-23049-9 · Cited by 4 · see citing works
Self-citationGhazala, S., Veluswamy, S. K., Ravindra, S., Arena, R. A., & MYERS, J. N. (2024) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003229 · Cited by 4 · see citing works
Baldwin, T., Cadar, D., & Sigala, N. (2026) · BMC Digital Health · doi:10.1186/s44247-026-00268-7
Orhan, B. E., Alkasasbeh, W. J., Karaçam, A., Canlı, U., & Amawi, A. T. (2026) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2026.1880236
- Authors
- Chandrasekaran, B., Kundapur, P. P., & Rao, C. R.
- Affiliations
- Manipal Academy of Higher Education (IN)
- Corresponding author
- Rao, Chythra R
- Venue
- Translational Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-05-17
- Volume
- 11
- Issue
- 8
- Pages
- 1507-1516
- ISSN
- 1613-9860 (ISSN-L)
- 1869-6716
- OpenAlex
- W3161451320
- Cited by
- 7
- References
- 33
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2022: 1
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Translational Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- workplace health promotion, mobile application, behaviour change techniques, physical activity, sedentary behavior, self-monitoring, gamification, social support, free apps, Google Play Store
- MeSH terms
- Behavior Therapy, Health Promotion, Humans, Health Behavior, Exercise, Workplace, Mobile Applications
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