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
2
Motivation throughtechnology?
Christensen et al, 2009 (JMIR 11(2):13)
3
Systematic 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
4
Statement 2: Dialogue support
§ Review: Compare interventions without live/personal support§ Can automated dialogue support take over?
Social role
Liking
Similarity
Suggestion
Reminders Rewards
Praise
5
Statement 2: Dialogue support
§ Test the effects of personal vs automated dialogue support on adherence
6
Statement 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?
9
Statement 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
