title: In the loop: Practices of self-monitoring from accounts by trial participants.
abstract: Self-monitoring, by which individuals record and appraise ongoing information about the status of their body in order to improve their health, has been a key element in the personal management of conditions such as diabetes, but it is now also increasingly used in relation to health-associated behaviours. The introduction of self-monitoring as an intervention to change behaviour is intended to provide feedback that can be used by individuals to both assess their status and provide ongoing support towards a goal that may be formally set or remains implicit. However, little attention has been paid to how individuals actually engage in the process or act upon the information they receive. This article addresses this by exploring how participants in a particular trial ('Get Moving') experienced the process and nature of feedback. Although the trial aimed to compare the potential efficacy of three different monitoring activities designed to encourage greater physical activity, participants did not present distinctly different accounts of each intervention and the specifics of the feedback provided. Instead, their accounts took the form of much more extended and personal narratives that included other people and features of the environment. We draw on these broader descriptions to problematise the notion of self-monitoring and conclude that self-monitoring is neither solely about 'self' nor is it exclusively about 'monitoring'. We suggest that a more expansive social and material understanding of feedback can give insight into the ways information is made active and meaningful for individuals in their everyday contexts.
authors.affiliation: University of Cambridge, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Lynch
authors.affiliation: London School of Hygiene & Tropical Medicine, UK simon.cohn@lshtm.ac.uk.
authors.forename: Simon
authors.initials: S
authors.lastname: Cohn
mesh_terms: D000328:Adult; D001294:Attitude to Health; D015444:Exercise; D005246:Feedback; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory; D012648:Self Care
keywords: feedback; monitoring; physical activity; public health intervention; self-monitoring