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Focusing on the health context, this research examines the effectiveness of narrative-based feedback in motivating physical activity behaviors and underlying attitudes over longitudinal periods. After collecting two weeks of baseline physical activity levels, N=39 participants installed our smartphone application, WhoIsZuki. The WhoIsZuki app supports goal setting and semi-automated activity tracking, and it provides an ambient display that visually encodes these tracked activities as well as progress toward goals. Half of participants received a version of the interface that supplied behavioral feedback in the form of a multi-chapter episodic narrative, while the other half received a control condition version that provided an aesthetically-similar visualization but without any characterization, episodic structure, dramatic effect, or other narrative elements. After interacting with these versions for four months, our analysis showed that participants receiving the multi-chapter narrative feedback performed more physical activity, achieved more goals, experienced more positive psychological shifts, and overall engaged more meaningfully with the digital intervention.<\/jats:p>","DOI":"10.1145\/3580786","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T14:57:51Z","timestamp":1680015471000},"page":"1-36","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":20,"title":["Narrative-Based Visual Feedback to Encourage Sustained Physical Activity"],"prefix":"10.1145","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2089-207X","authenticated-orcid":false,"given":"Elizabeth L.","family":"Murnane","sequence":"first","affiliation":[{"name":"School of Engineering, Dartmouth College, Hanover, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7728-4764","authenticated-orcid":false,"given":"Yekaterina S.","family":"Glazko","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Stanford University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1926-4714","authenticated-orcid":false,"given":"Jean","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Stanford University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9319-6721","authenticated-orcid":false,"given":"Raymond","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Stanford University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8556-8628","authenticated-orcid":false,"given":"Grace","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Stanford University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3157-0607","authenticated-orcid":false,"given":"Paula M. 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