Evidence map›Paper›PMID 42048520›Full record

ArticleJMIR formative research2026

Restoring Engagement in Digital Self-Control Tools Using Nudge Reconfiguration Prompts: Quasi-Experimental Study.

Awen Kidel Peña-Albert, Sandy Ingram, Yasser Khazaal, Léo Litrico, Juan Carlos Farah, Denis Gillet

Abstract read
In one paragraph

Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Awen Kidel Peña-AlbertÉcole Polytechnique Fédérale de Lausanne, Rte Cantonale, Lausanne, 1015, Switzerland, 33 0782662496.ORCID 0009-0004-2502-5316
Sandy IngramSchool of Engineering and Architecture of Fribourg (HEIA-FR), HES-SO, Fribourg, Switzerland.ORCID 0000-0002-4050-580X
Yasser KhazaalAddiction Medicine, Department of Psychiatry, Lausanne University, University Hospital of Lausanne, Lausanne, Vaud, Switzerland.ORCID 0000-0002-8549-6599
Léo LitricoÉcole Polytechnique Fédérale de Lausanne, Rte Cantonale, Lausanne, 1015, Switzerland, 33 0782662496.ORCID 0009-0003-0535-4852
Juan Carlos FarahÉcole Polytechnique Fédérale de Lausanne, Rte Cantonale, Lausanne, 1015, Switzerland, 33 0782662496.ORCID 0000-0002-2477-4196
Denis GilletÉcole Polytechnique Fédérale de Lausanne, Rte Cantonale, Lausanne, 1015, Switzerland, 33 0782662496.ORCID 0000-0002-2570-929X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital self-control tools (DSCTs) have emerged as technological interventions to address excessive smartphone usage and promote digital well-being. However, these tools face persistent challenges with user attrition and sustained engagement, compromising their long-term effectiveness. Current literature lacks an understanding of how observable behavioral indicators, as opposed to self-reported measures, are associated with user engagement and readiness to change in DSCTs. Objective: This study addresses three research questions (RQs): (RQ1) whether prompting passive DSCT users to reconfigure nudges increases subsequent user-nudge interaction, (RQ2) how engagement evolves over time and what behavioral divergence emerges between accepting and rejecting users, and (RQ3) whether observable in-app behavioral indicators are more strongly associated with intervention acceptance than traditional self-reported measures. Methods: We conducted a quasi-experimental study (N=252) targeting users who had disabled nudges. Participants were randomly assigned to receive a prompt to reconfigure their nudge settings during daily check-ins (n=138, experimental group) or to a control condition (n=114, no intervention). The experimental group was further classified into acceptance and rejection subgroups based on their response to the intervention. Data collection included DSCT configuration logs, usage-triggered nudge logs, and self-reported questionnaire responses. We analyzed user-nudge interaction ratios using difference-in-differences with permutation tests (RQ1) and nudge configuration parameters and manual app blocking using independent-samples t tests with Cohen d (RQ2) and compared behavioral indicators against self-reported measures using t tests and chi-square tests (RQ3). Results: Of the experimental participants, 46% (63/138) accepted the nudge reconfiguration prompt. Post intervention, the acceptance subgroup's 7-day average user-nudge interaction ratio increased from 29.7% to 58.5% (peak of 65% on day 1), a significant increase even after controlling for the temporal decline observed in the control group (difference-in-differences=+36.3 percentage points, P<.001). The rejection subgroup's decline was not significantly different from the control group's decline (P=.82). The acceptance subgroup showed preexisting behavioral indicators of higher readiness to change, including 21.53% shorter consecutive usage thresholds (P=.03) compared to the rejection subgroup, with a directionally consistent but nonsignificant difference in cooldown length (+20.56%). Behavioral divergence in consecutive usage thresholds widened post intervention, with Cohen d increasing from -0.47 to -0.67 (P=.002). Acceptance subgroup participants demonstrated a significantly lower tendency to select leisure-oriented daily goals (15.6% vs 26.2%; chi-square P=.001, Cramer V=0.13). Self-reported measures of screen time goals and scrolling regret were not significantly associated with intervention acceptance (P>.10). Conclusions: Observable in-app behavioral indicators, rather than self-reported measures, effectively differentiate intervention receptiveness. Study results suggest that effective DSCT design should incorporate adaptive strategies that recognize and respond to users' readiness to change, as evidenced by their in-app behaviors, while preserving autonomy. Such systems are likely to outperform static interventions or designs that rely solely on self-reported preferences.

Indexed as

Mobile ApplicationsSelf-ControlFemaleHumansMaleSmartphoneSurveys and Questionnairesbehavior changedigital self-control toolsdigital well-beingmobile appsnudgescreen timeself-determination theoryself-reportsmartphone addictionuser engagement

Identifiers

PMID42048520
PMCPMC13123756

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.