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Behavior change beyond intervention: an activity-theoretical perspective on human-centered design of personal health technology
Umeå University, Faculty of Social Sciences, Department of Informatics.
Umeå University, Faculty of Science and Technology, Department of Computing Science.
Umeå University, Faculty of Science and Technology, Department of Computing Science.ORCID iD: 0000-0002-8430-4241
2026 (English)In: Frontiers in Digital Health, E-ISSN 2673-253X, Vol. 8, p. 1-17, article id 1754399Article in journal (Refereed) Published
Abstract [en]

Introduction – Modern personal technologies, such as smartphone apps with artificial intelligence (AI) capabilities, have a significant potential for helping people make necessary changes in their behavior (e.g., adopt healthier lifestyles). Current research highlights that realizing this potential through the design and use of personal technologies calls for a critical reappraisal of the role of healthcare interventions as the driving force of behavior change and requires a more explicit focus on human agency and experience.

Methods – This paper contributes to this line of investigation by developing and presenting a conceptual framework, informed by activity theory, which views behavior change as an outcome of the combined agencies of healthcare professionals, technology designers, and, most importantly, the persons themselves.

Results – According to the framework, the process of behavior change can be represented as a transformation, achieved through an interplay between the activity systems of intervention, development, and empowerment. In addition to presenting the conceptual framework, we offer insights into how these ideas can be implemented through examples of digital companions.

Discussion – Implications of the analysis for the design of personal technologies for supporting healthier lifestyles, with a special focus on intelligent digital companions, are discussed.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2026. Vol. 8, p. 1-17, article id 1754399
Keywords [en]
activity theory, behavior change, development, intelligent digital companions, intervention, persuasive technology
National Category
Information Systems, Social aspects
Identifiers
URN: urn:nbn:se:umu:diva-254075DOI: 10.3389/fdgth.2026.1754399ISI: 001754893800001PubMedID: 42089025Scopus ID: 2-s2.0-105039978389OAI: oai:DiVA.org:umu-254075DiVA, id: diva2:2068991
Funder
Marianne and Marcus Wallenberg FoundationWallenberg AI, Autonomous Systems and Software Program – Humanity and Society (WASP-HS)Swedish Research Council, 2021-05409Available from: 2026-06-10 Created: 2026-06-10 Last updated: 2026-06-10Bibliographically approved

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Kaptelinin, ViktorKilic, KaanLindgren, Helena

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