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Medicine2.0'10: Technology and adherence in eHealth: a Systematic review

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  • 106/12/2010 Title: to modify choose 'View' then

    'Heater and footer'1

    Technology and adherence in eHealth:a Systematic review

    Saskia Kelders, MSc

    Robin Kok, MSc

    Lisette van Gemert-Pijnen, PhD

  • 2Motivation throughtechnology?

    Christensen et al, 2009 (JMIR 11(2):13)

  • 3Systematic review

    Health promotion

    Intervention

    Web-based

    Attrition

    9 (4)Other

    17 (12)Chronic disease

    37 (15)Mental health

    46 (22)Lifestyle

    N

    Main exclusion criteria:

    no objective usage

    no repeated usage

    no effects measured

    Included:

    109 papers on

    53 interventions

  • 4Statement 2: Dialogue support

    Review: Compare interventions without live/personal support Can automated dialogue support take over?

    Social role

    Liking

    Similarity

    Suggestion

    Reminders Rewards

    Praise

  • 5Statement 2: Dialogue support

    Test the effects of personal vs automated dialogue support on adherence

  • 6Statement 3: Free vs. fixed use

    Compare fixed and free use

    Preliminary results review: 16 fixed use interventions; mean adherence 61% (range 1% - 100%) 5 free use interventions; mean adherence 43% (range 31% - 61%)

  • 7 RealU (An 2008) Usage 18,9 / 30 weeks Intended: 20 weekly visits

    Quit Smoking Network (McKay 2008) Usage 2,1 / 26 weeks Intended: ??

  • 8 Fun, Food and Fitness Club (Thompson 2008) Mean adherence 74,5% 1 session each week

    Get Up & Go (Ferney 2009) Usage 8.2 / 26 weeks Intended: Once a week?

  • 9Statement 4: Methods

    How to measure and report usage? Standardized breadth and depth (Couper 2010, JMIR 12(4)) Relation to intended usage?

  • 10

    Statement 4: Methods

    How to describe interventions? Content Behavior change techniques

    Technology Persuasive features

    Communication Person system Person system person Community

  • 11

  • 12

  • 13

    PAM COACH (Slootmaker 2005)

  • 14

    Dieetinzicht with icat (Blanson Henkemans 2009)

  • 15

    Statement 4: Methods

    How to describe interventions? Content Behavior change techniques

    Technology Persuasive features

    Communication Person system Person system person Community

  • 16

    Discussion

    Unmotivated/unhealthy care consumers should be persuaded

    Dialogue support will increase adherence

    Fixed use will increase adherence

    Standardization of usage measures is needed

  • 17

    Thank you Questions?

    [email protected]

    ww.ehealthresearchcenter.org/wiki

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