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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Behavior Change Support Systems Research in the Era of Emerging Technologies</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Sharon Nabwire</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Harri Oinas-Kukkonen</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Oulu Advanced Research on Service and Information Systems, University of Oulu</institution>
          ,
          <country country="FI">Finland</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Behavior Change Support Systems (BCSS) have proven effective in encouraging and assisting individuals to change their behaviors and attitudes. As a research discipline, BCSS has been applied in various domains, from health and well-being to marketing, leveraging various technologies. This paper highlights how BCSS has been applied in research and discusses the technologies used for behavior change, presenting opportunities and raising concerns about the challenges they may pose. The paper also discusses this edition's latest contributions to the BCSS discourse.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Behavior change support systems</kwd>
        <kwd>emerging technology</kwd>
        <kwd>persuasive technology 1</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Systems targeting behavior change – often called, behavior change support systems – have
become increasingly popular for their transformative nature in modifying user behaviors. While
changing attitudes and behaviors have long been studied in information systems, behavior
science, and social psychology, the concept of “behavior change support systems (BCSS)" was
introduced in 2010 as an essential element in studying persuasive technology [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Typically, a
BCSS is a “socio-technical information system with psychological and behavioral outcomes
designed to form, alter or reinforce attitudes, behaviors or an act of complying without coercion or
deception” [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. Therefore, behavioral change can be divided into three progressive levels:
Cchange, which involves adhering to requests imposed by the system; B-change, which includes
more enduring modifications in behavior; and finally, A-change, which requires a change in an
individual's attitude.
      </p>
      <p>
        Over the years, BCSS research has grown, covering a wide range of application domains [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
While several areas, such as marketing, environmental sustainability, cybersecurity, and
education, have emerged, the health and well-being domain continues to gain the most
sustained interest [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Within this space, BCSS interventions (often referred to as health BCSS)
target alleviating known health challenges like being overweight and obesity, cardiovascular
care, cancer, and mental health (i.e., depression, anxiety, and stress).
      </p>
      <p>
        Health BCSS applications have shown promise in supporting sustainable and long-term
lifestyle changes. For instance, a two-year randomized controlled trial evaluating a weight loss
health BCSS found that while combining digital and face-to-face interventions produced the
most noticeable weight loss, also the health BCSS alone was effective as a scalable, low-resource
solution [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>
        Besides health, BCSS studies have explored a variety of lifestyle-related behaviors, including
waste disposal habits [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], digital addiction [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ], and smartphone security [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], to name a few. They
frequently employ interactive or visually engaging methods to change behavior. Relatedly, the
sustainability aspect (specifically concerning the environment) has suggestively contributed to
promoting eco-friendly behaviors, such as sustainable transportation and energy conservation,
through personalized support and unobtrusive feedback mechanisms [
        <xref ref-type="bibr" rid="ref10 ref9">9, 10</xref>
        ].
      </p>
      <p>Although some of these interventions remain web-based, mobile technology is currently the
most utilized, often in combination with other technologies. Still, with the ongoing
advancement of the digital landscape, BCSS research is starting to integrate emerging
technologies to provide other innovative solutions. Therefore, we reflect on technology
applications in BCSS research while presenting new opportunities for exploration.</p>
    </sec>
    <sec id="sec-2">
      <title>2. BCSS Technology Applications</title>
      <sec id="sec-2-1">
        <title>2.1. Mobile Phones as Catalyst for BCSS</title>
        <p>
          The term BCSS was initially introduced during the Web 2.0 period, which presented avenues
for web-based interventions. Yet, technological advancements have paved the way for smart,
virtual, and persuasive systems that offer a range of sensory cues and feedback, encouraging
personal development through improved emotional, social, and physical interactions. For
example, the increased penetration of mobile phones opened new opportunities for
costeffective mobile-based interventions, particularly in the health domain [
          <xref ref-type="bibr" rid="ref11">11</xref>
          ]. Moreover, the
proliferation of smartphones has served as a catalyst for innovation in BCSS, placing mobile
apps at the center of BCSS research [
          <xref ref-type="bibr" rid="ref3">3</xref>
          ].
        </p>
        <p>
          Studies have established that mobile apps can drive health behavior change, particularly by
incorporating features like reminders and offering real-time feedback, self-monitoring, and goal
setting [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ]. In addition, the apps provide user-focused interfaces through simple motivations,
not requiring a very high level of user attention. Because of their widespread availability, mobile
phones offer a robust platform for health BCSS, effectively facilitating the distribution of
educational content, continuous monitoring, and encouraging positive behavior changes. For
instance, Hartin et al. [
          <xref ref-type="bibr" rid="ref13">13</xref>
          ] demonstrated that sustained engagement with a mobile app, which
provided educational materials and personalized feedback, significantly improved health
outcomes (i.e., increased HDL cholesterol levels and reduced BMI). Similarly, Markkanen et al.
[14] showed that the mobile health BCSS, when used as a stand-alone intervention for obesity,
resulted in meaningful weight loss and sustained outcomes over 12 months without the need
for additional counseling. These studies point out the growing effectiveness and real potential
of BCSS interventions delivered via mobile technologies in managing health-related challenges.
        </p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2. Emerging Technology Paradigms into BCSS</title>
        <p>While mobile phones have played a significant role, strides have been made in research to
leverage emerging (perhaps newer) technologies in designing and implementing BCSS.</p>
      </sec>
      <sec id="sec-2-3">
        <title>2.2.1. Monitoring technologies</title>
        <p>The introduction of smartphone applications accelerated the growth of wearable sensors, such
as activity trackers, to collect real-time data. While some interventions still rely on users to
manually self-monitor, monitoring technologies, such as wearable trackers, blood pressure
monitors, and digital weight scales, are now being used to track users' step counts, sleep
patterns, and blood pressure [15]. Additionally, Internet of Things (IoT) devices, such as sensors
and other sensing technologies, have been utilized to monitor key signals and encourage
positive behavior change. For example, Vandelanotte et al. [16] used a ‘just-in-time’ adaptive
approach, activity trackers, to collect real-time physical activity data to provide personalized
content (conversations) on motivations to be more active through a digital assistant.</p>
        <p>To assess users' mobility patterns, i.e., travel trajectories, time spent outside the home, and
activity levels, Thorpe et al. [17] developed and evaluated a behavioral monitoring system to
support dementia patients using smartphones, smartwatches, and home locations based on
global positioning system (GPS). Findings highlight the potential of unobtrusively providing
personalized care to patients outside the clinical setting. Similarly, Ohira et al. [18], designed
and developed a BCSS that encourages people to take the stairs instead of the elevator using
Bluetooth low-energy signals transmitted from elevator terminals. These devices are coupled
with mobile or web solutions to create a seamless user experience, allowing users to monitor
things like weight, dietary choices, and physical activity. Ultimately, monitoring technologies
provide new opportunities to tailor interventions, give feedback based on individual needs, and
promote positive behavior.</p>
      </sec>
      <sec id="sec-2-4">
        <title>2.2.2. Immersive technologies</title>
        <p>Given virtual reality (VR) technology's potential to simulate reality, it presents a means to
enhance engagement through immersive, interactive, and personalized experiences. Klaassen
et al. [19], suggest persuasion by doing as an approach to behavior change by exploring a VR
environment integrated with therapy sessions on substance abuse for people with mild to
borderline intellectual disabilities. They propose a way to treat substance abuse (through
selfcontrol techniques) in a safe and personalized space by introducing participants to virtual risk
situations (i.e., bar and coffee-shop simulations). On the other hand, Wiafe et al. [20] examine
how persuasive system features influence students' learning satisfaction in immersive VR
learning environments, highlighting the value of incorporating persuasive design to effectively
engage students in immersive educational experiences. Overall, research highlights that VR can
effectively influence an individual’s behavior, such as paper conservation, by providing
perceptually rich and interactive experiences, and that these embodied, lived experiences have
an impact on both short and long-term behaviors [21].</p>
      </sec>
      <sec id="sec-2-5">
        <title>2.2.3. Social and collaborative technology</title>
        <p>The prevalent use of social (digital) media has presented opportunities to incorporate it into
behavior change applications that target various concerns, such as weight management, mental
health, diabetes management, and tobacco control [22,23,24]. Some of the platforms used
include Twitter and social messaging apps (e.g., WhatsApp) to deliver information or feedback,
encourage interactivity, and foster collaboration and social engagement. It is already established
that social support as a design principle is key to influencing and modifying behaviors. For
example, Tikka et al. [25] leveraged Twitter messaging to explore the social influence (peer
support) of individuals who are receiving (non-tweeting) versus sharing (tweeting) messages
that encourage healthier eating behaviors and their influence on perceived health behaviors.
Highlighting that peer support through social media supports health behavior.</p>
      </sec>
      <sec id="sec-2-6">
        <title>2.2.4. Artificial intelligence technology</title>
        <p>Different techniques of artificial intelligence (AI), like natural language processing [16],
machine learning [26], and large language models (LLM) [39] have powered its application,
acting as a driving force for innovative solutions in various fields. A common methodological
approach leveraging techniques like machine learning is the “just-in-time” approach to
delivering adaptive and context-aware interventions that are personalized to the users and
delivered at the time when needed [16,26,27].</p>
        <p>The use of conversational AI agents (AI chatbots) to provide real-time feedback and promote
behavior change is on the rise (see review by [28,29]. Studies demonstrate the high effectiveness
of AI chatbots in promoting healthy lifestyles, such as increased medication adherence and
decreased substance abuse [28]. We are also starting to see the use of generative AI in
implementing behavior change support systems to provide meaningful information as a
response to user queries. For example, in their study on increasing physical activity, for their
Queston &amp; Answer feature, generative AI, such as ChatGPT, Bard was used to generate content
related to users' questions on physical activity [16]. AI chatbots are emerging as new solutions
to ongoing health challenges. Research on experiences of using generative AI for mental health
reported high engagement and positive impacts such as better relationships and healing from
trauma and loss [30].</p>
        <p>With the rise of generative AI and the continued advancement of intelligent systems, so do
the potential opportunities and challenges associated with BCSS. We now see a transition of
BCSS research from conceptual to real-world applications greatly informed by user data,
providing opportunities for tailored and highly personalized systems. However, even with the
increased prospects of new technology, it is not without challenges. It is, therefore, important
to consider ethical and human-centered design for BCSS, which is at the heart of these systems
(as per definition), encouraging behavior change without deceit or coercion.</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. Latest Contribution to the BCSS Discourse</title>
      <p>The 2025 workshop edition highlighted research papers focused on the design and
implementation of BCSS, from health and well-being to renewable energy communities to its
ethical applications.</p>
      <sec id="sec-3-1">
        <title>3.1. From Theories to Design Practice for BCSS</title>
        <p>To connect theoretical frameworks with practical applications of BCSS, Tikka et al. [31] explore
how features of a persuasive system can be explicitly mapped to the psychological needs defined
by Self-Determination Theory (SDT) [32] to foster motivation in a mobile BCSS. Using a mobile
app for microentrepreneurs' occupational health as a case study, the authors align Persuasive
Systems Design (PSD) [33] features with SDT needs of autonomy, competence, and relatedness.
The study highlights the practical importance of designing software features intentionally to
support theory-based motivational goals, enabling a clearer evaluation of how digital systems
influence behavior change</p>
        <p>In the study by Koranteng et al. [34] the concept of personalization is addressed by
investigating how different approaches influence users’ credibility perceptions of academic
social networking sites. Through a survey of ASNS users and analysis using Partial Least
Squares Structural Equation Modeling, the study found that implicit personalization (i.e., where
systems automatically adapt to user behavior) enhances perceived credibility. In contrast,
explicit personalization (where users manually adjust system settings) has a negative effect.
Implicit personalization was also identified as important and effective in fostering credibility
perceptions. These findings provide practical guidance for designers of such systems and
highlight the need to prioritize seamless, adaptive system behavior to build trust.</p>
        <p>Sharma and Ludden [35] explore older adults' challenges, motivations, and needs to inform
the design of a user-centered, self-managed, multidomain digital toolkit to support cognitive
health in the Dutch aging population. Drawing insights from domain experts, the study
highlights the importance of incorporating features personalization, autonomy, adaptive goal
setting, education, and skill development into the support systems. They suggest that effective
adoption hinges on flexibility, trustworthiness, and relevance to individual users’
circumstances. The study contributes to the design of digital health interventions that promote
sustained cognitive well-being in older adults.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. BCSS Practical Applications</title>
        <p>Manzke’s [36] research-in-progress aims to promote healthier food choices through an
randomized controlled trial in a simulated online grocery store. Grounded in Fogg's Behavior
Model [37], the study seeks to investigate how real-time feedback, personalized reflection
prompts, or their combination can enhance fruit and vegetable purchases. Participants will
complete two shopping tasks spaced a week apart, with interventions introduced during the
second task. These interventions consist of a live counter displaying the portions of fruit and
vegetables in the basket (real-time feedback) and a personalized message referring to previous
shopping behavior (reflection prompt). The findings are anticipated to deepen understanding
of food choice behavior and guide the design of persuasive systems that promote healthier
shopping habits in online environments.</p>
        <p>Haque et al. [38] investigate how Moodle, as a BCSS, supports metacognitive strategies to
enhance self-regulated learning among software engineering students. Through a master’s
course case study, they find that while students effectively engage in monitoring, evaluation,
and self-regulation, goal setting and planning remain challenging. Feedback and interviews
indicate overall satisfaction with the self-study module. The study suggests improving BCSS
design by emphasizing structured goal setting and integrating gamified features to sustain
learner engagement and autonomy.</p>
        <p>In their study, Deconcini et al. [39] propose a recommender system that combines rule-based
user modeling with large language models to promote participation in renewable energy
communities. Unlike traditional recommender systems, their system personalizes its
recommendations based on users’ values, expertise, and available resources, generating tailored
benefit descriptions through a dialogue-like interaction. The system uses LLMs to describe
userprofiles and craft persuasive, context-aware messages that adapt to feedback. By fine-tuning
models like Llama-3-8B-Instruct and integrating prompt engineering, the authors demonstrate
the system’s potential to engage users meaningfully and support sustainable behavior change.</p>
        <p>Federspiel et al. [40] investigate how social bonding and situational motivation influence
user acceptance of interactive systems, in continuous improvement environments. By
proposing an extension to the Unified Theory of Acceptance and Use of Technology (UTAUT)
[41], the paper introduces two key constructs: techno-social bonding and situational
motivation, which better explain long-term engagement beyond utility and usability. Their
conceptual model, informed by emotional attachment theory [42] and motivation science,
focuses on the roles of personalized avatars and conversational chatbots in enhancing system
engagement. The study proposes a four-week micro-randomized trial in a second labor market
setting to evaluate how avatar customization and chatbot interactions affect feedback quality,
user situational motivation, and techno-social bonding. Ultimately, this research aims to
demonstrate that integrating social and motivational design elements into what the authors call
‘continuous improvement systems’ can foster deeper user engagement, improve system
feedback quality, and promote sustainable behavior.</p>
      </sec>
      <sec id="sec-3-3">
        <title>3.3. Upholding Ethical Designs</title>
        <p>Trust plays a vital role in the acceptance and success of persuasive technologies; however, many
current systems lack clear design elements that foster trust. In their study, Rahman and Adaji
[43] explore how ethical design elements – such as transparency, autonomy, consent, data
privacy, and security – impact users' trust in persuasive systems. A user study revealed that
interfaces featuring ethical elements consistently scored higher in trust, with transparency
being the most significant factor. These findings emphasize the importance of user-centered,
ethical design in building trust.</p>
        <p>Algorithm-driven user interfaces have revolutionized digital experiences by enabling
personalized interactions. However, they raise ethical concerns when the underlying
algorithms introduce biases. Abhadiomhen and Oyibo [44] explore how such interfaces can
facilitate discrimination through biased personalization, manipulative design (i.e., dark
patterns), and exclusionary algorithms. They assert that algorithmic bias is not inevitable but
stems from design choices that prioritize engagement and profit over fairness. They advocate
for industry-wide efforts toward ethical, inclusive, and transparent design. The authors
recommend fairness-oriented design strategies, including algorithmic transparency, regular
bias audits, inclusive training data, and user-centric control features.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Conclusion</title>
      <p>The incorporation of various emerging technologies raises significant design and ethical
considerations. For instance, how can one achieve a balance between customization and
privacy? What ethical concerns arise from immersive persuasive environments that must be
addressed? Although mobile applications lay the groundwork for BCSS, technological
advancements offer new methods and tools to shape behaviors. The latest contributions provide
distinct perspectives on how BCSS research can transition from theoretical frameworks to
practical applications, utilizing recent technologies like LLM to implement and ensure the
ethical design of these systems.
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