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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.


The Web-based intervention, Healthy Weight Assistant.
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Related In: Results  -  Collection

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figure3: The Web-based intervention, Healthy Weight Assistant.

Mentions: Consider another example of an intervention facing problems with reach and adherence (see Figure 3). The Healthy Weight Assistant is aimed at adults with healthy weight or who are slightly overweight. However, users were mainly female and highly educated [15]. Moreover, adherence to this intervention was as low as 3%, which the authors attribute to a mismatch between the goals of the intervention—long-term weight management—and the goals of the users—gain insight into their behaviors. This mismatch may have led to the low satisfaction and adherence found in the study.


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)

The Web-based intervention, Healthy Weight Assistant.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure3: The Web-based intervention, Healthy Weight Assistant.
Mentions: Consider another example of an intervention facing problems with reach and adherence (see Figure 3). The Healthy Weight Assistant is aimed at adults with healthy weight or who are slightly overweight. However, users were mainly female and highly educated [15]. Moreover, adherence to this intervention was as low as 3%, which the authors attribute to a mismatch between the goals of the intervention—long-term weight management—and the goals of the users—gain insight into their behaviors. This mismatch may have led to the low satisfaction and adherence found in the study.

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.