Digital Tools

Tutorial videos and smartphone applications were viewed as practical low-barrier supports for physicians. Wearables had the strongest engagement among the digital tool options and were viewed as useful for prompting breaks from sitting. Computer software was used least, possibly because it was less mobile and less relevant to participants who were not office workers; by 6 months no participants reported daily use. The review will map tool types, technological components, and how they relate to motivation, adherence, and physical activity outcomes rather than test causal effectiveness. Many digital tools include gamification, defined as game-design elements used outside game contexts. Declining use of digital tools over time may not always indicate failure; it could also reflect better self-regulation, habit formation, or confidence. Future community-based sitting-reduction interventions should include wearables and smartphone apps but must account for digital literacy, technical support, participant burden, and declining engagement. Engagement with digital tools declined from 3 to 6 months across wearables, smartphone apps, and computer software. Participants warned that digital d…