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This paper is in the following e-collection/theme issue:

Viewpoints and Perspectives (1468) mHealth for Wellness, Behavior Change and Prevention (4332) Behavior Change (1103) Wearable Devices and Sensors (1653)

Published on in Vol 28 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/95781, first published .
Man's hand holding smartphone displaying a wellness app with calorie and activity tracker

The Sustainability Paradox in Digital Behavior Change Interventions: Narrative Ownership as a Design Principle for Lasting Change

The Sustainability Paradox in Digital Behavior Change Interventions: Narrative Ownership as a Design Principle for Lasting Change

Authors of this article:

Tsuyoshi Okuhara1 Author Orcid Image ;   Hiroko Okada1 Author Orcid Image ;   Emi Furukawa2 Author Orcid Image
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Tsuyoshi Okuhara   1 , MPH, PhD ;   Hiroko Okada   1 , MPH, PhD ;   Emi Furukawa   2 , MD, PhD

1 Department of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

2 University Hospital Medical Information Network (UMIN) Center, The University of Tokyo Hospital, Tokyo, Japan

Corresponding Author:

  • Tsuyoshi Okuhara, MPH, PhD
  • Department of Health Communication
  • School of Public Health, Graduate School of Medicine, The University of Tokyo
  • 7-3-1 Hongo, Bunkyo-ku
  • Tokyo 113-8655
  • Japan
  • Phone: 81 3-5800-6549
  • Email: okuhara-ctr@umin.ac.jp