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Online and Offline Behavior Change Techniques to Promote a Healthy Lifestyle

Abstract: Combined lifestyle interventions (CLI) are focused on guiding clients with weight-related health risks into a healthy lifestyle. CLIs are most often delivered through face-to-face sessions with limited use of eHealth technologies. To integrate eHealth into existing CLIs, it is important to identify how behavior change techniques are being used by health professionals in the online and offline treatment of overweight clients. Therefore, we conducted online semi-structured interviews with providers of online and offline lifestyle interventions. Data were analyzed using an inductive thematic approach. Thirty-eight professionals with (n = 23) and without (n = 15) eHealth experience were interviewed. Professionals indicate that goal setting and action planning, providing feedback and monitoring, facilitating social support, and shaping knowledge are of high value to improve physical activity and eating behaviors. These findings suggest that it may be beneficial to use monitoring devices combined with video consultations to provide just-in-time feedback based on the client’s actual performance. In addition, it can be useful to incorporate specific social support functions allowing CLI clients to interact with each other. Lastly, our results indicate that online modules can be used to enhance knowledge about health consequences of unhealthy behavior in clients with weight-related health risks.

The Recognition of Facial Expression an Experiment of Still Photos versus Three Dimensional Computer Graphic Images

The relation between financial knowledge, attitudes towards money, financial self-efficacy, and financial behavior among high school students in the Netherlands

We provide evidence on the relationship between four different aspects of Financial Literacy: Financial knowledge, attitudes towards money, self-efficacy, and financial behavior. Ninth-grade high school students (N = 2,025) in 22 schools and in four different educational tracks in the western part of the Netherlands took part in the survey. A multilevel analysis at school and individual level was applied. Findings show that financial behavior is highly associated with attitudes towards money as well as financial knowledge. Attitudes towards money, in turn, are associated with financial behavior and financial knowledge. Furthermore, financial knowledge is related to attitudes to-wards money and financial behavior. In order to improve financial behavior among high-school students, financial education programs should have a holistic approach and address all aspects of Financial Literacy.

Optimization and validation of an adjustable activity classification algorithm for assessment of physical behavior in elderly

Due to a lack of transparency in both algorithm and validation methodology, it is diffcult for researchers and clinicians to select the appropriate tracker for their application. The aim of this work is to transparently present an adjustable physical activity classification algorithm that discriminates between dynamic, standing, and sedentary behavior. By means of easily adjustable parameters, the algorithm performance can be optimized for applications using different target populations and locations for tracker wear. Concerning an elderly target population with a tracker worn on the upper leg, the algorithm is optimized and validated under simulated free-living conditions. The fixed activity protocol (FAP) is performed by 20 participants; the simulated free-living protocol (SFP) involves another 20. Data segmentation window size and amount of physical activity threshold are optimized. The sensor orientation threshold does not vary. The validation of the algorithm is performed on 10 participants who perform the FAP and on 10 participants who perform the SFP. Percentage error (PE) and absolute percentage error (APE) are used to assess the algorithm performance. Standing and sedentary behavior are classified within acceptable limits (+/- 10% error) both under fixed and simulated free-living conditions. Dynamic behavior is within acceptable limits under fixed conditions but has some limitations under simulated free-living conditions. We propose that this approach should be adopted by developers of activity trackers to facilitate the activity tracker selection process for researchers and clinicians. Furthermore, we are convinced that the adjustable algorithm potentially could contribute to the fast realization of new applications.

Using feedback through digital technology to disrupt and change habitual behavior

Habitual behavior is often hard to change because of a lack of self-monitoring skills. Digital technologies offer an unprecedented chance to facilitate self-monitoring by delivering feedback on undesired habitual behavior. This review analyzed the results of 72 studies in which feedback from digital technology attempted to disrupt and change undesired habits. A vast majority of these studies found that feedback through digital technology is an effective way to disrupt habits, regardless of target behavior or feedback technology used.

Behavior patterns related to the agricultural practices in the production of Persian lime (Citrus latifolia tanaka) in the seasonal orchard

Production of the Persian lime (Citrus latifolia tanaka) has been the main objective of several studies related to the problem of low performance of yield and fruit quality in the orchard, attributed among different technological factors to the minimal application of Good Agricultural Practices (GAP) and to the cultural aspects of the producer. This paper contributes to the recognition of the behavior patterns of GAP for seasonal orchard (SO), to allow the Persian lime producers to make the right decisions assessing and improving the management of their orchards. To identify the behavior patterns in the Persian lime production process an expert system (ES) based on fuzzy logic proposed by Fernández et al. (2014) has been used, in which a set of inference rules based on the knowledge of experts in this field is encoded to explain the interrelationship of the agricultural practices and uncertainties in the production of Persian lime: Pruning, Soil nutrition, Pests Control, Planting density, Tree production, Wind, Rainfall. The ES simulates from agricultural practices and uncertainties, the Persian lime production system in three stages of fruit growth, which represent the fuzzy models of the ES: flowering, bud, and fruit. The manipulation of the agricultural practices in the ES allowed to model production scenarios for SO of Persian lime, and helped to identify behavior patterns in these practices with production yield and fruit quality. The results demonstrate that if prior to fertilization, the practice of "pruning" the tree is performed, orchard productivity increases. However, when the "pruning" (aesthetics or stressful) is performed less than 50mmmonth-1 of rain, even in optimal conditions of application of nutrients and pest control, the production yield is similar. The modeling scenarios of the ES provide information regarding behavior patterns to the producer, and the interrelation of agricultural practices in uncertain environments of rain and wind in order to improve the decision-making process in Persian lime production.