{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:59:29Z","timestamp":1787961569942,"version":"build-2784847793"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":197,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objectives: Use of commercially available mobile health (mHealth) applications in supporting lifestyle improvements has become popular in recent years. However, the effectiveness of advice promoting the use of such applications based on individual behavioral goals in a health guidance setting remains unclear. This study explored how guiding participants of the Specific Health Guidance (SHG) program, a Japanese public health initiative to prevent cardiovascular disease, to use commercially available mHealth applications impacted their application usage, lifestyle habits, and cardiovascular risk factors.<\/jats:p>\n               <jats:p>Methods: In this multicenter, randomized, open-label, parallel-group comparison study, 156 individuals with a history of SHG participation and who were engaged in the Motivational Health Guidance program (a type of SHG) in 2021 were assigned to intervention (n\u2009=\u200976) or control (n\u2009=\u200980) groups. Whereas both groups received standard guidance, the intervention group also received recommendations for mHealth applications based on their individual behavioral goals. The participants\u2019 application usage, behavioral changes, and body weight were assessed after 3\u00a0months, with health checkup data evaluated after 1\u00a0year.<\/jats:p>\n               <jats:p>Results: The proportion of mHealth application users after 3\u00a0months was significantly higher in the intervention group (68.4%) than in the control group (40.0%). The intervention group also reported a significantly greater weekly frequency of mHealth application usage. Moreover, the intervention group reported a significantly decreased change in triglyceride levels after 1\u00a0year compared with the control group.<\/jats:p>\n               <jats:p>Conclusions: Recommending commercially available mHealth applications in a health guidance setting significantly increased the number of mHealth application users and their frequency of use.<\/jats:p>","DOI":"10.1093\/joccuh\/uiaf036","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T09:49:43Z","timestamp":1752745783000},"source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of recommendations in promoting the use of mobile health applications in health guidance: a randomized controlled trial"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8589-9937","authenticated-orcid":false,"given":"Takeshi","family":"Onoue","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine , Nagoya ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0367-8557","authenticated-orcid":false,"given":"Kazuki","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Advanced Medicine, Nagoya University Hospital , Nagoya ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0888-4440","authenticated-orcid":false,"given":"Yoshio","family":"Nakata","sequence":"additional","affiliation":[{"name":"Institute of Health and Sport Sciences, University of Tsukuba , Tsukuba ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3422-0138","authenticated-orcid":false,"given":"Fumi","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Graduate School of Nutrition Sciences, Kagawa Nutrition University , Saitama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4786-3167","authenticated-orcid":false,"given":"Miki","family":"Marutani","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, National Institute of Public Health , Saitama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2625-571X","authenticated-orcid":false,"given":"Naoki","family":"Sakane","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, Clinical Research Institute for Endocrine and Metabolic Disease, National Hospital Organization, Kyoto Medical Center , Kyoto ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiro","family":"Moriguchi","sequence":"additional","affiliation":[{"name":"Occupational Health Research Center, Kyoto Industrial Health Association , Kyoto ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Muto","sequence":"additional","affiliation":[{"name":"Department of Health Care, Seirei Center for Health Promotion and Preventive Medicine , Hamamatsu ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiminori","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Prevention of Noncommunicable Diseases and Promotion of Health Checkup, Niigata University Graduate School of Medical and Dental Sciences , Niigata ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izuru","family":"Masuda","sequence":"additional","affiliation":[{"name":"Ningen Dock Center, Mitsubishi Kyoto Hospital , Kyoto ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0488-0351","authenticated-orcid":false,"given":"Tomonori","family":"Okamura","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Keio University School of Medicine , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2113-1574","authenticated-orcid":false,"given":"Keiichi","family":"Matsuzaki","sequence":"additional","affiliation":[{"name":"Department of Public Health, Kitasato University School of Medicine , Kanagawa ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4539-1338","authenticated-orcid":false,"given":"Takashi","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Preventive Services, Kyoto University School of Public Health , Kyoto ,","place":["Japan"]},{"name":"National Hospital Organization, Kyoto Medical Center , Kyoto ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5755-9345","authenticated-orcid":false,"given":"Kazuyo","family":"Tsushita","sequence":"additional","affiliation":[{"name":"Graduate School of Nutrition Sciences, Kagawa Nutrition University , Saitama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"issue":"2","key":"2025080419265369900_ref1","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1536\/ihj.49.193","article-title":"The Japanese national health screening and intervention program aimed at preventing worsening of the metabolic syndrome","volume":"49","author":"Kohro","year":"2008","journal-title":"Int Heart J"},{"issue":"4","key":"2025080419265369900_ref2","doi-asserted-by":"publisher","first-page":"308","DOI":"10.5551\/jat.42010","article-title":"Rationale and descriptive analysis of specific health guidance: the nationwide lifestyle intervention program targeting metabolic syndrome in Japan","volume":"25","author":"Tsushita","year":"2018","journal-title":"J Atheroscler Thromb"},{"issue":"5","key":"2025080419265369900_ref3","doi-asserted-by":"publisher","first-page":"e466","DOI":"10.1016\/j.orcp.2013.10.003","article-title":"Three percent weight reduction is the minimum requirement to improve health hazards in obese and overweight people in Japan","volume":"8","author":"Muramoto","year":"2014","journal-title":"Obes Res Clin Pract"},{"key":"2025080419265369900_ref4","doi-asserted-by":"publisher","first-page":"317","DOI":"10.11260\/kenkokyoiku.21.317","article-title":"Relationship between weight loss of at least 4% and lifestyle improvement on receiving active support of specific health instructions","volume":"21","author":"Nakashita","year":"2013","journal-title":"Nihon Kenko Kyoiku Gakkai Zasshi (Japanese Journal of Health Education and Promotion)"},{"key":"2025080419265369900_ref5","doi-asserted-by":"publisher","first-page":"75","DOI":"10.11320\/ningendock.26.75","article-title":"Effectiveness of specific health guidance against metabolic syndrome","volume":"26","author":"Moriguchi","year":"2011","journal-title":"Ningen Dock"},{"key":"2025080419265369900_ref6","doi-asserted-by":"publisher","first-page":"eohp.2024-0011-OA","DOI":"10.1539\/eohp.2024-0011-OA","article-title":"Influence of previous health guidance history: impact and limitations of a single health guidance session","volume":"6","author":"Hayase","year":"2024","journal-title":"Environ Occup Health Practice"},{"issue":"6","key":"2025080419265369900_ref7","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1097\/AJP.0000000000000171","article-title":"\"There's a pain app for that\": review of patient-targeted smartphone applications for pain management","volume":"31","author":"Lalloo","year":"2015","journal-title":"Clin J Pain"},{"issue":"3","key":"2025080419265369900_ref8","doi-asserted-by":"publisher","first-page":"e87","DOI":"10.2196\/mhealth.5115","article-title":"Mobile apps for weight management: a scoping review","volume":"4","author":"Rivera","year":"2016","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"2025080419265369900_ref9","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1177\/1932296819851785","article-title":"Automated feedback messages with shichifukujin characters using IoT system-improved glycemic control in people with diabetes: a prospective, multicenter randomized controlled trial","volume":"13","author":"Kobayashi","year":"2019","journal-title":"J Diabetes Sci Technol"},{"key":"2025080419265369900_ref10","doi-asserted-by":"publisher","first-page":"e43236","DOI":"10.2196\/43236","article-title":"The effect of a mHealth app (KENPO-app) for specific health guidance on weight changes in adults with obesity and hypertension: pilot randomized controlled trial","volume":"11","author":"Sakane","year":"2023","journal-title":"JMIR Mhealth Uhealth"},{"issue":"3","key":"2025080419265369900_ref11","doi-asserted-by":"publisher","first-page":"e33852","DOI":"10.2196\/33852","article-title":"Effect of information and communication technology-based self-management system DialBeticsLite on treating abdominal obesity in the specific health guidance in Japan: randomized controlled trial","volume":"6","author":"Kondo","year":"2022","journal-title":"JMIR Form Res"},{"issue":"21","key":"2025080419265369900_ref12","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3390\/ijerph17218147","article-title":"A health guidance app to improve motivation, adherence to lifestyle changes and indicators of metabolic disturbances among Japanese civil servants","volume":"17","author":"Takeyama","year":"2020","journal-title":"Int J Environ Res Public Healthv"},{"key":"2025080419265369900_ref13","author":"Ministry of Health, Labour and Welfare"},{"issue":"21","key":"2025080419265369900_ref14","doi-asserted-by":"publisher","first-page":"14","DOI":"10.3390\/nu14214608","article-title":"A smartphone healthcare application","volume":"14","author":"Nakata","year":"2022","journal-title":"Nutrients"},{"issue":"8","key":"2025080419265369900_ref15","doi-asserted-by":"publisher","first-page":"e0305765","DOI":"10.1371\/journal.pone.0305765","article-title":"Impact on step count by commitment-based health application","volume":"19","author":"Takebayashi","year":"2024","journal-title":"PLoS One"},{"issue":"1","key":"2025080419265369900_ref16","doi-asserted-by":"publisher","first-page":"e31875","DOI":"10.2196\/31875","article-title":"Nutrient and food group prediction as orchestrated by an automated image recognition system in a smartphone app (CALO mama): validation study","volume":"6","author":"Sasaki","year":"2022","journal-title":"JMIR Form Res"},{"key":"2025080419265369900_ref17","volume-title":"The Research Group for the Development of Motivational Support Techniques for the Prevention of Lifestyle-Related Diseases in Middle-Aged Workers","year":"2021"},{"issue":"4","key":"2025080419265369900_ref18","doi-asserted-by":"publisher","first-page":"e13204","DOI":"10.2196\/13204","article-title":"Usage patterns of GlucoNote, a self-management smartphone app, based on ResearchKit for patients with type 2 diabetes and prediabetes","volume":"7","author":"Yamaguchi","year":"2019","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"2025080419265369900_ref19","doi-asserted-by":"publisher","first-page":"e109","DOI":"10.2196\/jmir.3084","article-title":"Factors related to sustained use of a free mobile app for dietary self-monitoring with photography and peer feedback: retrospective cohort study","volume":"16","author":"Helander","year":"2014","journal-title":"J Med Internet Res"},{"key":"2025080419265369900_ref20","doi-asserted-by":"publisher","first-page":"e48019","DOI":"10.2196\/48019","article-title":"Effects of digitization of self-monitoring of blood glucose records using a mobile app and the cloud system on outpatient management of diabetes: single-armed prospective study","volume":"9","author":"Handa","year":"2024","journal-title":"JMIR Diabetes"},{"issue":"19","key":"2025080419265369900_ref21","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3390\/ijerph181910351","article-title":"The association of mobile health applications with self-management behaviors among adults with chronic conditions in the United States","volume":"18","author":"Wang","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025080419265369900_ref22","doi-asserted-by":"publisher","first-page":"e44030","DOI":"10.2196\/44030","article-title":"Quality, usability, and effectiveness of mHealth apps and the role of artificial intelligence: current scenario and challenges","volume":"25","author":"Deniz-Garcia","year":"2023","journal-title":"J Med Internet Res"},{"issue":"5","key":"2025080419265369900_ref23","doi-asserted-by":"publisher","first-page":"e162","DOI":"10.2196\/jmir.9751","article-title":"The effectiveness of smartphone apps for lifestyle improvement in noncommunicable diseases: systematic review and meta-analyses","volume":"20","author":"Lunde","year":"2018","journal-title":"J Med Internet Res"},{"issue":"9","key":"2025080419265369900_ref24","doi-asserted-by":"crossref","first-page":"e14567","DOI":"10.2196\/14567","article-title":"Objective user engagement with mental health apps: systematic search and panel-based usage analysis","volume":"21","author":"Baumel","year":"2019","journal-title":"J Med Internet Res"},{"issue":"5","key":"2025080419265369900_ref25","doi-asserted-by":"publisher","first-page":"e35371","DOI":"10.2196\/35371","article-title":"Factors influencing adherence to mhealth apps for prevention or management of noncommunicable diseases: systematic review","volume":"24","author":"Jakob","year":"2022","journal-title":"J Med Internet Res"},{"issue":"1","key":"2025080419265369900_ref26","doi-asserted-by":"publisher","first-page":"15","DOI":"10.3390\/nu15010179","article-title":"Effectiveness and components of web-based interventions on weight changes in adults who were overweight and obese: a systematic review with meta-analyses","volume":"15","author":"Shi","year":"2022","journal-title":"Nutrients"},{"key":"2025080419265369900_ref27","doi-asserted-by":"publisher","first-page":"108084","DOI":"10.1016\/j.diabres.2020.108084","article-title":"Cost and cost-effectiveness of mHealth interventions for the prevention and control of type 2 diabetes mellitus: a systematic review","volume":"162","author":"Rinaldi","year":"2020","journal-title":"Diabetes Res Clin Pract"},{"issue":"5","key":"2025080419265369900_ref28","doi-asserted-by":"publisher","first-page":"772","DOI":"10.3390\/su9050772","article-title":"Mobile healthcare applications and gamification for sustained health maintenance","volume":"9","author":"Lee","year":"2017","journal-title":"Sustainability"}],"container-title":["Journal of Occupational Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/joh\/advance-article-pdf\/doi\/10.1093\/joccuh\/uiaf036\/63786194\/uiaf036.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/joh\/article-pdf\/67\/1\/uiaf036\/63786194\/uiaf036.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/joh\/article-pdf\/67\/1\/uiaf036\/63786194\/uiaf036.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T23:26:59Z","timestamp":1754350019000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joh\/article\/doi\/10.1093\/joccuh\/uiaf036\/8204796"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1,7]]}},"URL":"https:\/\/doi.org\/10.1093\/joccuh\/uiaf036","relation":{},"ISSN":["1348-9585"],"issn-type":[{"value":"1348-9585","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2025,1]]},"article-number":"uiaf036"}}