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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Investigating Efficacy of Regulatory Fit Theory in Design of Persuasive Systems that Promote Physical Activity</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Leila Sadat Rezai</string-name>
          <email>leila.rezai@uwaterloo.ca</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Jessie Chin</string-name>
          <email>jessie.chin@uwaterloo.ca</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Rebecca Bassett-Gunter</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Catherine Burns</string-name>
          <email>catherine.burns@uwaterloo.ca</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>University of Waterloo</institution>
          ,
          <addr-line>Waterloo</addr-line>
          ,
          <country country="CA">Canada</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>York University</institution>
          ,
          <addr-line>Toronto</addr-line>
          ,
          <country country="CA">Canada</country>
        </aff>
      </contrib-group>
      <fpage>21</fpage>
      <lpage>25</lpage>
      <abstract>
        <p>Copyright © by the paper's authors. Copying permitted for private and academic purposes. In: R. Orji, M. Reisinger, M. Busch, A. Dijkstra, M. Kaptein, E. Mattheiss (eds.): Proceedings of the Personalization in Persuasive Technology Workshop, Persuasive Technology 2017, Amsterdam, The Netherlands, 04-04-2017, published at http://ceur-ws.org</p>
      </abstract>
      <kwd-group>
        <kwd>Health behavior change support systems</kwd>
        <kwd>technology to promote physical activity</kwd>
        <kwd>tailoring persuasive messages</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Background</title>
      <p>
        Although the benefits of regular physical activity on individuals’ health have been
demonstrated extensively through research, motivating people to perform regular
physical activity has proven challenging. To achieve this goal and to help individuals adopt
a healthier lifestyle, many technological interventions have been designed that are
grounded in well-known behavior change theories. These interventions employ a
variety of persuasive mechanisms to influence users’ attitudes and behaviors [
        <xref ref-type="bibr" rid="ref1 ref2 ref3 ref4">1,2,3,4</xref>
        ]. One
commonly used strategy involves tailoring the communication between a persuasive
system and its users. Research shows that different individuals may react to the same
persuasive message differently [
        <xref ref-type="bibr" rid="ref5 ref6">5,6</xref>
        ]. Thus, in order to increase a system’s efficacy, its
messages should be adjusted to individuals’ psychological characteristics [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
      </p>
      <p>
        Over the last decade, researchers have investigated a variety of tailoring approaches
to use in the design of the persuasive systems. For example, based on a psychological
construct named Need for Cognition [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], Kaptein and colleagues [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] developed a
Susceptibility to Persuasion Scale (STPS) that measures individuals’ susceptibility to six
different influence strategies, including commitment, scarcity, authority, and
consensus. Other examples include the work of Halko and Kientz [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ], who used tailoring
based on the Big Five personality traits [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] to design a system that promotes
exercising, or the work Orji and colleagues [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], who used tailoring based on Bartle’s
taxonomy of gamers [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ] to design a persuasive health game that improves individuals’
eating habits.
      </p>
      <p>These are only a few examples of studies in which tailoring of persuasive
communication was done according to users’ psychological characteristics. Although in recent
years numerous other studies have also examined diverse tailoring strategies, many
questions remain unanswered, and there are not sufficient guidelines on the best
approach for tailoring as a persuasive mechanism.</p>
    </sec>
    <sec id="sec-2">
      <title>Objectives</title>
      <p>To address this issue, by drawing on the public health communication and consumer
psychology literature, we decided to examine the efficacy of a physical activity
promoting system that sends its users messages structured based on the concept of
regulatory fit.</p>
      <p>
        Regulatory fit theory, introduced by Higgins in the late 1990’s [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ], describes two
different self-regulatory orientations that individuals are inclined to while pursuing
their goals: promotion-orientation and prevention-orientation. Individuals with
promotion-orientation employ a motivational strategy that focuses on accomplishment and
potential gains, whereas individuals with prevention-orientation employ a motivational
strategy that focuses on safety and security, and preventing potential losses. According
to Higgins, when individuals’ self-regulatory orientation matches their goal-pursuit
strategy, they are more engaged in the process of pursuing their goals.
      </p>
      <p>
        This theory has played an important role in persuasion [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], and since its
introduction many public health scholars have conducted studies to investigate this tailoring
strategy’s efficacy in communicating health related content that can persuade
individuals to adopt a healthy lifestyle [
        <xref ref-type="bibr" rid="ref16 ref17 ref18">16,17,18</xref>
        ].
      </p>
      <p>
        Health messages can be framed to have either a promotion or a prevention focus. An
example of a promotion-focus message is: Regular physical activity can lead to better
physical health, and an example of a prevention-focus message is: By adding 10-minute
bouts of regular physical activity you will reduce your risk of heart attack and stroke.
Research shows that promotion-orientation individuals are more influenced by
promotion-focus messages, and prevention-oriented people by prevention-focus messages
[
        <xref ref-type="bibr" rid="ref19">19</xref>
        ].
      </p>
      <p>
        To examine the efficacy of employing such strategies in designing persuasive
systems that promote physical activity, we designed and developed an email intervention
that sends participants daily health messages. The messages were adapted from those
used in similar studies which investigated the effect of message framing to promote
physical activity and their persuasiveness were rated in a prior study by a group of
participants whose demographic characteristics matches those of the current study [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ].
      </p>
      <p>Over the period of the study, participants are repeatedly exposed to messages that
are framed to either match or not match their regulatory orientation. We postulate that
using this approach to tailor system-user communication increases the chance of
participants adopting target behavior—in this case performing regular physical activity.
3</p>
    </sec>
    <sec id="sec-3">
      <title>Method</title>
      <p>Sixty participants with sedentary lifestyles and between the age of 18 and 65 are
recruited. The study takes place over 23 days. On Day 1, individuals interested in
participating are provided with a web link, where they can read the study information letter,
containing a brief explanation about the study purpose and procedures, as well as a
consent form. Additionally, they are asked to provide an email address, where the health
messages can be sent over the period of the study. After indicating their consent to
Investigating Efficacy of Regulatory Fit Theory in Design of Persuasive Systems that Promote
Physical Activity 23
participate, they are asked to complete a demographic questionnaire, and only those
who meet the recruitment criteria (performing less than 150 minutes moderate physical
activity per week) are allowed to continue to the experiment. Consequently, participants
are required to answer a set of questionnaires that identifies their psychological
characteristics (i.e., regulatory-orientation and self-efficacy). Once the questionnaires are
answered, participants are assigned to one of three experimental conditions in a
counterbalanced order, in which the type of health messages varies. In Condition 1, participants
receive messages that match their regulatory orientations, and in Condition 2,
participants receive non-match messages. In addition, there is a control group (Condition 3)
in which participants only receive reminders (as opposed to tailored health messages).</p>
      <p>Between Days 2 and 15, depending on their experimental condition, the participants
continue receiving health messages that match or do not match their regulatory
orientations. Each day and after reading the message, they answer a short online
questionnaire (through a link provided in an email) that investigates their perceived
persuasiveness of that message, and to what degree they are motivated to go for a 20-min
leisuretime brisk walk that day. Additionally, they report how many minutes they did go for a
leisure-time brisk-walk the day before (after Day 2) and if they did not, why?</p>
      <p>On Day 16, participants complete a questionnaire that measures their self-efficacy
in performing regular physical activity within the next 7 days. Between Days 16 and
23, they receive no messages, and on Day 23, they answer how many minutes, in total,
they did go for leisure-time brisk walks during the past 7 days. On this day, they are
required to complete the physical activity self-efficacy questionnaire for the third time.
At the end of study, they are entered in a draw to win a $200 gift card for compensation.
4</p>
    </sec>
    <sec id="sec-4">
      <title>Results</title>
      <p>This is an on-going study and we are still collecting data. The anticipated completion
date is May 2017. We anticipate that participants’ levels of physical activity and
selfefficacy, as well as their intentions to become more active would be higher in the match
condition (Condition 1) compared to those in other two conditions, suggesting that
using tailoring health messages based on Higgins’ Regulatory Fit theory will increase the
efficacy of the persuasive physical activity intervention.
5</p>
    </sec>
    <sec id="sec-5">
      <title>Conclusions</title>
      <p>The outcome of this research will demonstrate if and how a tailoring mechanism
grounded in Higgins’ regulatory fit theory can be effective in persuading people to
become more physically active. It will also provide a deeper insight into the relationship
between regulatory fit theory, persuasive message construction, and individuals’
physical activity behavior.</p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgements</title>
      <p>The authors would like to thank the Natural Sciences and Engineering Research Canada
(NSERC) for funding this research.</p>
    </sec>
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