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

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Publicat a:Journal of Medical Internet Research vol. 27 (2025), p. e62962
Autor principal: Cho, Minseo
Altres autors: Park, Doeun, Choo, Myounglee, Han, Doug Hyun, Kim, Jinwoo
Publicat:
Gunther Eysenbach MD MPH, Associate Professor
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Accés en línia:Citation/Abstract
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LEADER 00000nab a2200000uu 4500
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022 |a 1438-8871 
024 7 |a 10.2196/62962  |2 doi 
035 |a 3222367943 
045 2 |b d20250101  |b d20251231 
100 1 |a Cho, Minseo 
245 1 |a Adolescent Self-Reflection Process Through Self-Recording on Multiple Health Metrics: Qualitative Study 
260 |b Gunther Eysenbach MD MPH, Associate Professor  |c 2025 
513 |a Journal Article 
520 3 |a Background:Self-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.Objective:This 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.Methods:We 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.Results:Under 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.Conclusions:This 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. 
653 |a Child development 
653 |a Emotional experiences 
653 |a Adolescents 
653 |a Selfreflection 
653 |a Management development programmes 
653 |a Health status 
653 |a Disease management 
653 |a Self awareness 
653 |a Emotions 
653 |a Task analysis 
653 |a Saturation 
653 |a Behavior modification 
653 |a Relatedness 
653 |a Lifestyles 
653 |a Self regulation 
653 |a Adolescence 
653 |a Health behavior 
653 |a Uncertainty 
653 |a Stress 
653 |a Behavior change 
653 |a Coping 
653 |a Selfawareness 
653 |a Decision making 
653 |a Emotional regulation 
653 |a Mental depression 
653 |a Mental health 
653 |a Self-efficacy 
653 |a Independent study 
653 |a Grounded theory 
653 |a Teenagers 
653 |a Regulation theory 
653 |a Health planning 
653 |a Grammatical aspect 
653 |a Prototypes 
653 |a Management 
653 |a Self concept 
653 |a Theory 
653 |a Self control 
653 |a Strategies 
653 |a Qualitative research 
653 |a Behavior 
653 |a Mental health services 
653 |a Regulation 
700 1 |a Park, Doeun 
700 1 |a Choo, Myounglee 
700 1 |a Han, Doug Hyun 
700 1 |a Kim, Jinwoo 
773 0 |t Journal of Medical Internet Research  |g vol. 27 (2025), p. e62962 
786 0 |d ProQuest  |t Library Science Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3222367943/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3222367943/fulltextwithgraphics/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3222367943/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch