Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study

BackgroundSelf-recording is an effective behavior change technology that has long been used in diverse health contexts. Recent technological advancements have broadened its applications. While previous studies have explored its role and benefits in enhancing self-awareness an...

Full description

Saved in:
Bibliographic Details
Main Authors: Minseo Cho, Doeun Park, Myounglee Choo, Doug Hyun Han, Jinwoo Kim
Format: Article
Language:English
Published: JMIR Publications 2025-04-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2025/1/e62962
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850185443853729792
author Minseo Cho
Doeun Park
Myounglee Choo
Doug Hyun Han
Jinwoo Kim
author_facet Minseo Cho
Doeun Park
Myounglee Choo
Doug Hyun Han
Jinwoo Kim
author_sort Minseo Cho
collection DOAJ
description BackgroundSelf-recording is an effective behavior change technology that has long been used in diverse health contexts. Recent technological advancements have broadened its applications. While previous studies have explored its role and benefits in enhancing self-awareness and informed decision-making, relatively little attention has been given to its potential to address the multidimensional nature of health with various health metrics. ObjectiveThis study investigates the process of self-recording in adolescent health, recognizing the connections between lifestyle behaviors and mental health. Specifically, we aim to incorporate both behavioral and emotional health metrics into the self-recording process. Grounded in self-regulation theory, we explore how adolescents record lifestyle behaviors and emotions, and how they inform and implement health management strategies. MethodsWe conducted a qualitative study using the grounded theory methodology. Data were collected through individual semistructured interviews with 17 adolescents, who recorded their emotions and behaviors over 4 weeks using a prototype application. Analysis followed iterative phases of coding, constant comparison, and theme saturation. This process revealed how adolescents engage in self-recording for behaviors and emotions, as well as their failures and potential system support strategies. We further examined the relevance of the identified themes to theoretical constructs in self-regulation theory. ResultsUnder self-regulation theory, we gained insights into how adolescents manage their health through self-recording. The findings suggested variability in the self-recording process, in relation to specific health metrics of lifestyle behaviors and emotions. Adolescents focused on evaluating behaviors for management purposes while exploring the causes underlying emotional experiences. Throughout the health management, which involved modifying behavior or distancing from triggering factors, they monitored progress and outcomes, demonstrating a self-experimental approach. Uncertainty emerged as a barrier throughout the self-regulation process, suggesting that self-recording systems for adolescents should prioritize strategies to address these uncertainties. In addition, the self-recording system demonstrated interventional effects in aiding future planning and fostering a sense of relatedness among users. ConclusionsThis study offers a theoretical framework for adolescents’ self-recording process on diverse health metrics. By integrating self-regulation theory, we suggest a stepwise process from recording lifestyle behaviors and emotions to health management behaviors. Through exploring potential features and health-supportive effects, our findings contribute to the development of digital self-recording systems that address various health metrics in adolescent health.
format Article
id doaj-art-8f200bfd51cc46e09887489f61bd1ef3
institution OA Journals
issn 1438-8871
language English
publishDate 2025-04-01
publisher JMIR Publications
record_format Article
series Journal of Medical Internet Research
spelling doaj-art-8f200bfd51cc46e09887489f61bd1ef32025-08-20T02:16:44ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-04-0127e6296210.2196/62962Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative StudyMinseo Chohttps://orcid.org/0000-0002-1866-6893Doeun Parkhttps://orcid.org/0000-0003-3416-0611Myounglee Choohttps://orcid.org/0000-0002-6162-2642Doug Hyun Hanhttps://orcid.org/0000-0002-8314-0767Jinwoo Kimhttps://orcid.org/0000-0002-0162-5446 BackgroundSelf-recording is an effective behavior change technology that has long been used in diverse health contexts. Recent technological advancements have broadened its applications. While previous studies have explored its role and benefits in enhancing self-awareness and informed decision-making, relatively little attention has been given to its potential to address the multidimensional nature of health with various health metrics. ObjectiveThis study investigates the process of self-recording in adolescent health, recognizing the connections between lifestyle behaviors and mental health. Specifically, we aim to incorporate both behavioral and emotional health metrics into the self-recording process. Grounded in self-regulation theory, we explore how adolescents record lifestyle behaviors and emotions, and how they inform and implement health management strategies. MethodsWe conducted a qualitative study using the grounded theory methodology. Data were collected through individual semistructured interviews with 17 adolescents, who recorded their emotions and behaviors over 4 weeks using a prototype application. Analysis followed iterative phases of coding, constant comparison, and theme saturation. This process revealed how adolescents engage in self-recording for behaviors and emotions, as well as their failures and potential system support strategies. We further examined the relevance of the identified themes to theoretical constructs in self-regulation theory. ResultsUnder self-regulation theory, we gained insights into how adolescents manage their health through self-recording. The findings suggested variability in the self-recording process, in relation to specific health metrics of lifestyle behaviors and emotions. Adolescents focused on evaluating behaviors for management purposes while exploring the causes underlying emotional experiences. Throughout the health management, which involved modifying behavior or distancing from triggering factors, they monitored progress and outcomes, demonstrating a self-experimental approach. Uncertainty emerged as a barrier throughout the self-regulation process, suggesting that self-recording systems for adolescents should prioritize strategies to address these uncertainties. In addition, the self-recording system demonstrated interventional effects in aiding future planning and fostering a sense of relatedness among users. ConclusionsThis study offers a theoretical framework for adolescents’ self-recording process on diverse health metrics. By integrating self-regulation theory, we suggest a stepwise process from recording lifestyle behaviors and emotions to health management behaviors. Through exploring potential features and health-supportive effects, our findings contribute to the development of digital self-recording systems that address various health metrics in adolescent health.https://www.jmir.org/2025/1/e62962
spellingShingle Minseo Cho
Doeun Park
Myounglee Choo
Doug Hyun Han
Jinwoo Kim
Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
Journal of Medical Internet Research
title Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
title_full Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
title_fullStr Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
title_full_unstemmed Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
title_short Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study
title_sort adolescent self reflection process through self recording on multiple health metrics qualitative study
url https://www.jmir.org/2025/1/e62962
work_keys_str_mv AT minseocho adolescentselfreflectionprocessthroughselfrecordingonmultiplehealthmetricsqualitativestudy
AT doeunpark adolescentselfreflectionprocessthroughselfrecordingonmultiplehealthmetricsqualitativestudy
AT myoungleechoo adolescentselfreflectionprocessthroughselfrecordingonmultiplehealthmetricsqualitativestudy
AT doughyunhan adolescentselfreflectionprocessthroughselfrecordingonmultiplehealthmetricsqualitativestudy
AT jinwookim adolescentselfreflectionprocessthroughselfrecordingonmultiplehealthmetricsqualitativestudy