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6-11-year-old children provide a critical window for physical activity (PA) interventions. The Virtual Fitness Buddy ecosystem is a precision health PA intervention for children integrating mixed reality technology to connect people and devices. A cluster randomized, controlled trial was conducted across 19 afterschool sites over two 6-month cohorts to test its efficacy in increasing PA and decreasing sedentary behavior. In the treatment group, a custom virtual dog via a mixed reality kiosk helped children set PA goals while sharing progress with parents to receive feedback and support. Children in the control group set PA goals using a computer without support from the virtual dog or parents. 303 children had 8+ hours of PA data on at least one day of each of the 3 intervention time intervals. Conversion of sedentary time was primarily to light-intensity PA and was strongest for children with low baseline moderate-to-vigorous PA than children above 45 min of baseline moderate-to-vigorous PA. Findings suggest that the VFB ecosystem can promote sustainable PA in children and may be rapidly diffused for widespread public health impact., (© 2024. The Author(s).)

Physical activity (PA) estimates from the Fitbit Flex 2 were compared to those from the ActiGraph GT9X Link in 123 elementary school children. Steps and intensity-specific estimates of PA and 3-month PA change were calculated using two different ActiGraph cut-points (Evenson and Romanzini). Fitbit estimates were 35% higher for steps compared to the ActiGraph. Fitbit and ActiGraph intensity-specific estimates were closest for sedentary and light PA while estimates of moderate and vigorous PA varied substantially depending upon the ActiGraph cut-points used. Spearman correlations between device estimates were higher for steps ( r s =.70) than for moderate ( r s =.54 to .55) or vigorous ( r s =.29 to .48) PA. There was low concordance between devices in assessing PA changes over time. Agreement between Fitbit Flex 2 and ActiGraph estimates may depend upon the cut-points used to classify PA intensity. However, there is fair to good agreement between devices in ranking children's steps and MVPA.

Childhood obesity is a growing concern as it can lead to lifelong health problems that carry over into adulthood. A substantial contributing factor to obesity is the physical activity (PA) habits that are formed in early childhood, as these habits tend to sustain throughout adulthood. To aid children in forming healthy PA habits, we designed a mixed reality system called the Virtual Fitness Buddy ecosystem, in which children can interact with a virtual pet agent. As a child exercises, their pet becomes slimmer, faster, and able to play more games with them. Our initial deployment of this project showed promise but was only designed for a short-term intervention lasting three days. More recently, we have scaled it from a pilot grade study to a 9-month intervention comprised of 422 children. Ultimately, our goal is to scale this project to be a nationwide primary prevention program to encourage moderate to vigorous PA in children. This article explores the challenges and lessons learned during the design and deployment of this system at scale in the field.

Interpersonal synchrony serves as a subtle, yet powerful bonding mechanism in social interactions. Problematically, the term 'synchrony' has been used to label a variety of distinct aspects of interpersonal coordination, such as postural similarities or movement activity entrainment. Accordingly, different algorithms have been suggested to quantify interpersonal synchrony. Yet, it remains unknown whether the different measures of synchrony represent correlated features of the same perceivable core phenomenon. The current study addresses this by comparing the suitability of a set of algorithms with respect to their association with observers' judgments of dyadic synchrony and leader-followership. One-hundred fifteen observers viewed computer animations of characters portraying the movements of real dyads who performed a repetitive motor task with instruction to move in unison. Animations were based on full-body motion capture data synchronously collected for both partners during the joint exercise. Results showed most synchrony measures significantly correlated with (a) perceived synchrony and (b) the perceived level of balance of leading/following by each dyad member. Phase synchrony and Pearson correlations were associated most strongly with the observer ratings. This might be typical for intentional, structured forms synchrony such as ritualized group activities. It remains open if these findings also apply to spontaneous forms of synchrony as, for instance, occurring in free-running conversations., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.)