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Authors
Advisor(s)
Abstract(s)
: Chronic illnesses cause considerable burden in quality of life, often leading to physical, psychological, and social dysfunctioning of
the sufferers and their family. There is a growing need for flexible provision of home-based psychological services to increase reach even for
traditionally underserved chronic illness sufferer populations. Digital interventions can fulfill this role and provide a range of psychological
services to improve functioning. Despite the potential of digital interventions, concerns remain regarding users’ engagement, as low
engagement is associated with low adherence rates, high attrition, and suboptimal exposure to the intervention. Human–computer interaction
(e.g., theoretical models of persuasive system design, gamification, tailoring, and supportive accountability) and user characteristics (e.g.,
gender, age, computer literacy) are the main identified culprits contributing to engagement and adherence difficulties. To date, there have not
been any clear and concise recommendations for improved utilization and engagement in digital interventions. This paper provides an overview
of user engagement factors and proposes research informed recommendations for engagement and adherence planning in digital intervention
development. The recommendations were derived from the literature and consensualized by expert members of the European Federation of
Psychology Associations, Psychology and Health Standing Committee, and e-Health Task Force. These recommendations serve as a starting
point for researchers and clinicians interested in the digitalized health field and promote effective planning for engagement when developing
digital interventions with the potential to maximize adherence and optimal exposure in the treatment of chronic health conditions.
Description
Keywords
Digital interventions E-health Recommendations Adherence Engagement
Citation
Journal of Humanistic Psychology Doi: org/10.1177/0022167818802905
Publisher
Sage