Evaluating the influence of persuasive systems design on continuance intention, perceived effectiveness, and weight loss
By
Sharon Nabwire
Eunice Agyei
Heta Merikallio
Markku J. Savolainen
Janne Hukkanen
Harri Oinas-Kukkonen
June 16, 2026
Clinical Scorecard: Assessing the Impact of Persuasive Systems Design on Ongoing Engagement, Perceived Efficacy, and Weight Reduction
At a Glance
Category Detail
Condition Obesity and overweight
Key Mechanisms Behavior change support systems (BCSS) utilizing persuasive systems design (PSD) principles
Target Population Adults with overweight and obesity
Care Setting Digital health interventions
Key Highlights
Smartphone app-based interventions significantly reduce body weight, BMI, waist circumference, and fat mass. Behavior change support systems incorporate structured strategies to optimize outcomes. Persuasive design principles are crucial for user engagement and behavior change. The technology acceptance model is used to assess user adoption of digital interventions. Effective interventions combine user-centered design with behavior change techniques.
Guideline-Based Recommendations
Diagnosis
Assess user perceptions of system-related features.
Management
Incorporate persuasive design principles in weight management apps.
Monitoring & Follow-up
Track user engagement and perceived effectiveness of interventions.
Risks
Consider ethical issues in persuasive technology design.
Patient & Prescribing Data
Adults with overweight and obesity seeking digital interventions for weight management.
Utilize apps that provide self-monitoring tools, personalized feedback, and social support.
Clinical Best Practices
Employ behavior change techniques alongside persuasive design principles. Ensure interventions are user-friendly and transparent. Analyze user characteristics and technology-related factors for effective persuasion.
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