Exploring Lifestyle Pressures and Expectations Induced by Continuous Health Monitoring

Orsolya  Demetrovics; Rafael  Ballester-Ripoll; Joel  Billieux

doi:10.61838/kman.hn.3.3.13

Authors

Orsolya Demetrovics * Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary orso.demetrovics@ehok.elte.hu

Rafael Ballester-Ripoll Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain

Joel Billieux Institute for Behavioural Addictions, Sigmund Freud University Vienna, Austria

https://doi.org/10.61838/kman.hn.3.3.13

Keywords:

continuous health monitoring, digital health, lifestyle pressure, wearable technology, qualitative study, self-tracking, psychological impact

Abstract

This study aimed to explore the lived experiences of individuals using continuous health monitoring technologies, with a focus on how these tools shape lifestyle pressures, behavioral expectations, and psychological responses. A qualitative exploratory design was employed, utilizing semi-structured interviews with 24 adult participants residing in Hungary who had used wearable or app-based health monitoring tools for at least six months. Participants were selected through purposive sampling to ensure diversity in age, gender, and health status. Data were collected until theoretical saturation was reached. Interviews were transcribed verbatim and analyzed thematically using NVivo 12 Plus software. The analysis followed a three-phase coding process: open coding to generate initial concepts, axial coding to identify thematic relationships, and selective coding to consolidate core categories. Five central themes emerged from the data: (1) data-driven identity and self-worth, in which participants linked their personal value to metrics and digital achievements; (2) emotional consequences of health surveillance, including anxiety, guilt, and frustration tied to device feedback; (3) behavioral conformity and goal obsession, reflecting compulsive engagement with digital targets; (4) loss of autonomy and bodily intuition, where users reported diminished reliance on internal cues; and (5) social surveillance and self-regulation fatigue, marked by perceived peer judgment and performance pressure. These findings suggest that continuous monitoring, while intended to promote health, may also contribute to psychological burden and lifestyle rigidity. Continuous health monitoring technologies have the potential to enhance preventive care but may simultaneously induce emotional distress and behavioral dependency. To support well-being, future designs must integrate adaptive feedback, contextual sensitivity, and emotional support mechanisms to mitigate unintended psychosocial consequences.

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