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In Reply Drs Farmer and Tarassenko describe concerns over the role of passive vs active monitoring of individual behaviors as well as the ability to implement interventions that use concepts from behavioral economics. We agree with the notion that active self-monitoring is likely to have more of an effect on an individual’s behavior than passive self-monitoring, especially if that engagement arises from intrinsic motivation. We also agree that potential use of specific types of active self-monitoring differ based on the individual’s clinical and social characteristics and setting.
Patel MS, Asch DA, Volpp KG. Use of Wearable Monitoring Devices to Change Health Behavior—Reply. JAMA. 2015;313(18):1865-1866. doi:10.1001/jama.2015.3542