A monitor can help, but it is not the whole intervention
A 2022 BMJ review of 121 randomised trials, including 16,743 participants, found that activity-monitor interventions increased physical activity on average. The estimated effect was equivalent to about 1,235 extra steps a day, with low-certainty evidence for that outcome.
The trials tested feedback-based interventions, sometimes with goals or support. They do not show that buying a tracker alone produces the same result for everyone.
Longer-term results need context
A separate 2020 review examined step-count monitoring over different follow-up periods. The chart shows average differences between intervention and comparison groups. It is not a single group’s progress over time.
Extra daily steps at different follow-ups
Pooled between-group differences reported in the 2020 review.
Daily steps; scale 0–1,500. Different trials contribute at different times, so these bars do not describe one person’s decline or recovery. Estimates shown come from the review’s change-score analyses.
Give your next reading a job
Choose one decision: for example, whether a lunch walk fits your week. Establish several ordinary days of recording, choose a manageable opportunity, and log whether the walk happened. Review the same question a week later.
When the number looks low, check missing wear time and other activity before raising the target. Steps do not capture cycling, swimming or strengthening equally well.
Keep the feedback that changes behaviour
Keep one relevant measure, one action and a review time. Add a reminder only if forgetting is the obstacle. If time or access is the problem, change those instead.
A simple counter or written log may be enough. Simplify or pause tracking if it adds anxiety or work without helping you act.
Sources
Research and official guidance reviewed 3 November 2026; practical examples are illustrative.
- Larsen et al., BMJ 2022: activity-monitor interventions ↗
121 randomised trials, 16,743 participants; step-equivalent effect 1,235/day had low certainty. Activity-monitor interventions are not the same as purchasing a device.
- 2020 systematic review: step monitoring across follow-ups ↗
Reported step-count differences and confidence intervals at multiple follow-ups; chart uses the change-score analysis, with different contributing studies.
- NICE: behaviour change, goals and review ↗
Supports linking monitoring to goals, feedback and review rather than collecting data without a behaviour-change purpose.
