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How to Increase Reach and Adherence of Web-Based Interventions: A Design Research Viewpoint.

Ludden GD, van Rompay TJ, Kelders SM, van Gemert-Pijnen JE - J. Med. Internet Res. (2015)

Bottom Line: However, analyses of current Web-based interventions show that many systems are only used by a specific group of users (eg, women, highly educated), and that even they often do not persist and drop out as the intervention unfolds.In this paper, we assess the impact of design features of Web-based interventions on reach and adherence and conclude that the power that design can have has not been used to its full potential.Finally, we discuss the future of persuasive eHealth interventions and suggest avenues for follow-up research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Design, Faculty of Engineering Technology, University of Twente, Enschede, Netherlands. g.d.s.ludden@utwente.nl.

ABSTRACT
Nowadays, technology is increasingly used to increase people's well-being. For example, many mobile and Web-based apps have been developed that can support people to become mentally fit or to manage their daily diet. However, analyses of current Web-based interventions show that many systems are only used by a specific group of users (eg, women, highly educated), and that even they often do not persist and drop out as the intervention unfolds. In this paper, we assess the impact of design features of Web-based interventions on reach and adherence and conclude that the power that design can have has not been used to its full potential. We propose looking at design research as a source of inspiration for new (to the field) design approaches. The paper goes on to specify and discuss three of these approaches: personalization, ambient information, and use of metaphors. Central to our viewpoint is the role of positive affect triggered by well-designed persuasive features to boost adherence and well-being. Finally, we discuss the future of persuasive eHealth interventions and suggest avenues for follow-up research.

No MeSH data available.


Related in: MedlinePlus

Schematic representation of how the design of a Web-based intervention can influence general subjective well-being following two different routes. Route 1 indicates the impact of design on adherence and thus on the focal health problem. Route 2 indicates how overall well-being is stimulated by elements of PERMA.
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figure1: Schematic representation of how the design of a Web-based intervention can influence general subjective well-being following two different routes. Route 1 indicates the impact of design on adherence and thus on the focal health problem. Route 2 indicates how overall well-being is stimulated by elements of PERMA.

Mentions: In the context of the design of a Web-based intervention, we would like to argue that design can have a positive effect on well-being following two different routes. First of all, a design aimed at a positive user experience by inducing, for example, positive emotion and/or engagement (P and E in PERMA) could positively influence well-being. Secondly, well-being during use could have an indirect effect on overall well-being because it can have a positive effect on adherence (ie, using the intervention as intended by the therapist). And better adherence to a Web-based intervention eventually has a positive effect on health, and thus on well-being. Next to this, successfully using the Web-based intervention could lead to a feeling of accomplishment (A in PERMA), again directly positively influencing well-being. Figure 1 shows how technology-supported health interventions can influence overall well-being via two routes.


How to Increase Reach and Adherence of Web-Based Interventions: A Design Research Viewpoint.

Ludden GD, van Rompay TJ, Kelders SM, van Gemert-Pijnen JE - J. Med. Internet Res. (2015)

Schematic representation of how the design of a Web-based intervention can influence general subjective well-being following two different routes. Route 1 indicates the impact of design on adherence and thus on the focal health problem. Route 2 indicates how overall well-being is stimulated by elements of PERMA.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4526989&req=5

figure1: Schematic representation of how the design of a Web-based intervention can influence general subjective well-being following two different routes. Route 1 indicates the impact of design on adherence and thus on the focal health problem. Route 2 indicates how overall well-being is stimulated by elements of PERMA.
Mentions: In the context of the design of a Web-based intervention, we would like to argue that design can have a positive effect on well-being following two different routes. First of all, a design aimed at a positive user experience by inducing, for example, positive emotion and/or engagement (P and E in PERMA) could positively influence well-being. Secondly, well-being during use could have an indirect effect on overall well-being because it can have a positive effect on adherence (ie, using the intervention as intended by the therapist). And better adherence to a Web-based intervention eventually has a positive effect on health, and thus on well-being. Next to this, successfully using the Web-based intervention could lead to a feeling of accomplishment (A in PERMA), again directly positively influencing well-being. Figure 1 shows how technology-supported health interventions can influence overall well-being via two routes.

Bottom Line: However, analyses of current Web-based interventions show that many systems are only used by a specific group of users (eg, women, highly educated), and that even they often do not persist and drop out as the intervention unfolds.In this paper, we assess the impact of design features of Web-based interventions on reach and adherence and conclude that the power that design can have has not been used to its full potential.Finally, we discuss the future of persuasive eHealth interventions and suggest avenues for follow-up research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Design, Faculty of Engineering Technology, University of Twente, Enschede, Netherlands. g.d.s.ludden@utwente.nl.

ABSTRACT
Nowadays, technology is increasingly used to increase people's well-being. For example, many mobile and Web-based apps have been developed that can support people to become mentally fit or to manage their daily diet. However, analyses of current Web-based interventions show that many systems are only used by a specific group of users (eg, women, highly educated), and that even they often do not persist and drop out as the intervention unfolds. In this paper, we assess the impact of design features of Web-based interventions on reach and adherence and conclude that the power that design can have has not been used to its full potential. We propose looking at design research as a source of inspiration for new (to the field) design approaches. The paper goes on to specify and discuss three of these approaches: personalization, ambient information, and use of metaphors. Central to our viewpoint is the role of positive affect triggered by well-designed persuasive features to boost adherence and well-being. Finally, we discuss the future of persuasive eHealth interventions and suggest avenues for follow-up research.

No MeSH data available.


Related in: MedlinePlus