An international evidence-base demonstrates that healthy lifestyle digital technologies, like exergames, health-related mobile applications (‘apps’) and wearable health devices are being used more and more within educational settings. Despite this, there is a lack of in-depth empirical evidence on young people’s experiences and uses of healthy lifestyle technologies. In this article we focus on young people’s uses of a wearable health device – Fitbit – and the associated health app. Informed by the work of Foucault, the purpose is to investigate the surveillance, self-surveillance and resistance that occur by young people. One hundred 13–14 years olds (53 females, 47 males), from five physical education classes in two UK schools participated. Data were generated through 8 focus group interviews, and the nominal interview group technique was applied. Data were analyzed using key concepts from Foucault’s theoretical framework. The results demonstrated that, the daily 10,000 step and calorie burning targets set by the Fitbit device encouraged the young people to do more physical activity. Increases in physical activity occurred because of the self-surveillant practices promoted by the Fitbit through; (i) the monitoring and recording of steps and calories burned, and (ii) peer comparison (or monitoring). Surveillance and self-surveillance practices, however, were clearly connected to health equating to fitness and being ‘fit’ or not being ‘fat’. These narrow interpretations of health, equally, underpinned resistance. Daily step and calorie burning targets, (i) did not sustain young people’s engagement with the device beyond a few weeks, (ii) promoted negative feelings, and (iii) the device was resisted because it did not record physical activity accurately as part of young people’s daily lives. In turn, the young people resisted the educational value of the Fitbit and demonstrated a sceptical stance toward introducing health devices in school and physical education settings.

Background: Considerable numbers of young people are not meeting physical activity guidelines. Wearable fitness devices can provide opportunities for physical activity promotion. Purpose: The aim of the study was to explore whether wearable healthy lifestyle technologies impacted on adolescents’ (13- to 14-year-olds) motivation for physical activity. Methods: The study was a mixed method sequential design. Participants were 84 adolescents (44 girls, 40 boys) from 6 physical education classes. Pupils were issued with a Fitbit to wear for 8 weeks and completed pre-/posttest questionnaires that assessed motivational regulation and psychological need satisfaction. Adolescents also engaged in focus group interviews after wearing the Fitbit for 8 weeks. Quantitative data were analyzed using a repeated measures multivariate analysis of variance (MANOVA) to explore differences between gender and time. Qualitative data analysis was conducted deductively using self-determination theory. Results: The quantitative findings identified significant reductions in need satisfaction and autonomous motivation and significant increases in amotivation after 8 weeks. Qualitative evidence suggested short-term increases in motivation through feelings of competition, guilt, and internal pressure. Discussion: Findings suggest that healthy lifestyle technology may have negative motivational consequences. Translation to Health Education Practice: Certified Health Education Specialists should support young people to personalize health targets in order to critically engage with normalized health targets.

Body image has implications for child and adolescent well-being. Schools have been positioned as a suitable site to provide body image education and support the development of body image; however, little is known about the role of physical education in body image education. The aim of this study was to systematically review the evidence on the content and effectiveness of physical education-based body image or body-focused programmes published between 2000 and 2021. Using seven databases (Web of Science, SCOPUS, EBSCO, PsycINFO, MEDLINE, Science Direct, and SportDiscus), a total of 1185 non-duplicated articles were retrieved. The articles were selected using the following inclusion criteria: (a) intervention, programme or curriculum based in physical education that explores body image or related phenomena, (b) focused on children or young people, aged 18 years or younger, (c) conducted between 2000 and 2021, (d) quantitative and/or qualitative methods: and (e) published in English. Following the screening process, a total of 19 articles were included in this review. Results showed that most programmes reported successful outcomes, yet there was no consistent approach to the programme design and delivery. Physical activity and fitness-based programmes were the most frequently used intervention type, followed by critical sociocultural perspectives and programmes focused on movement experiences and body functionality. Whilst fitness-based programmes were generally effective in improving body image and related phenomena, future research should explore the mechanisms associated with these changes and further consider how sociocultural perspectives can be used to support body image programmes.

Significant proportions of adolescents do not meet recommended physical activity levels. Finding new ways to motivate adolescents to be active is important for physical and psychological well-being. Health and fitness wearables such as the Fitbit have the potential to motivate young people to be active. The aim of this study is to explore if wearing a Fitbit for 5 weeks impacted adolescents’ (14–15 year olds) body satisfaction, physical activity motivation and objective physical activity. The study was conducted with 62 (38 boys, 24 girls) pupils aged 14–15, from five high school physical education classes, in one high school in the United Kingdom. Pupils wore a Fitbit Charge HR for 5 weeks. Pupils wore an accelerometer for 7 days pre and post the 5-week period to explore changes in physical activity levels. Pupils also completed pre-post-test questionnaires to measure body satisfaction and physical activity motivation. Data were analysed using a repeated measures Multivariate Analysis of Variance to explore differences in scores between time and sex. After wearing the Fitbit, the pupils experienced declines in autonomous motivation and increases in both amotivation and controlled motivation, but these differences were not significant. In line with these negative motivational outcomes, pupils engaged in significantly less moderate to vigorous physical activity after wearing the Fitbit. Significant increases in body satisfaction were also experienced by pupils after wearing the Fitbit. These findings suggest that without support Fitbits may make pupils less motivated to be active and decrease the physical activity levels of adolescents.

Regular physical activity (PA) is associated with numerous physical and psychological health benefits. Adolescents, specifically girls, are at risk of physical inactivity. To date, there is limited research on PA interventions involving peers, which could encourage more adolescent girls to engage in PA. The investigation aimed to evaluate the feasibility of a novel school three-tier peer-led mentoring model designed to improve PA levels and reduce sedentary time (ST) of adolescent girls. Two-hundred and forty-nine Year 9 adolescent girls (13–15 years old) from three UK secondary schools were invited to participate in a peer-led mentoring intervention (Girls Peer Activity (G-PACT) project). The peer-led mentoring model was delivered in all three schools. Two of the schools received an additional after-school PA component. PA and ST were assessed through wrist-worn accelerometry. Girls who received an exercise class after-school component significantly increased their whole day moderate-to-vigorous PA (MVPA) (3.2 min, p = 0.009, d = 0.33). Girls who received no after-school component significantly decreased their MVPA (3.5 min, p = 0.016, d = 0.36) and increased their ST (17.2 min, p = 0.006, d = 0.43). The G-PACT intervention demonstrated feasibility of recruitment and data collection procedures for adolescent girls. The peer-led mentoring model shows promise for impacting girls’ MVPA levels when combined with an after-school club PA opportunity.