From data to action: the FRAME conceptual framework for translating consumer wearable feedback into behavior change support.

Background: Consumer wearables are now widely used across health promotion, wellness, and recreational fitness. Although wearable-supported interventions can improve physical activity and related outcomes, effects are typically modest, heterogeneous, and more consistent when devices are embedded within broader behavior change support rather than used alone. In applied settings, however, wearable use often remains focused on metric display and passive monitoring, leaving practitioners without a clear framework for translating data into behaviorally meaningful support. Objective: This paper proposes FRAME, a theory-informed conceptual framework intended to help practitioners interpret consumer wearable outputs as behaviorally relevant signals rather than as self-sufficient indicators of progress or failure. Methods: The framework was developed through a targeted narrative synthesis of literature on wearable-supported interventions, self-monitoring, feedback design, engagement, adaptive support, and applied behavior change theory. The purpose of the synthesis was not to estimate pooled effects, but to identify recurring interpretive and implementation problems that arise when wearable data are used in real-world behavior support encounters. Framework overview: FRAME comprises five linked steps: Filter the signal, Read the behavior pattern, Align a behavior change target, Message and micro-plan, and Evaluate and iterate. Across these steps, wearable data are treated as inputs into interpretation, hypothesis generation, collaborative planning, and iterative review. The framework is grounded primarily in self-regulation, the Capability-Opportunity-Motivation-Behavior (COM-B) model, self-determination theory, social cognitive theory, habit formation, and relapse prevention. Conclusion: For practitioners, the framework offers a structured way to judge whether a wearable signal is usable, what behavior pattern it may reflect, which target to prioritize, and how to discuss the data in an autonomy-supportive way. For wearable users, this is intended to yield more collaborative and sustainable behavior change support.