| Date post: | 16-Jul-2015 |
| Category: | Health & Medicine |
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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?
ww.ehealthresearchcenter.org/wiki
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