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

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Technology and adherence in eHealth:
a Systematic review as presented at Medicine 2.0'10

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

  1. 1. Technology and adherence in eHealth: a Systematic review Saskia Kelders, MSc Robin Kok, MSc Lisette van Gemert-Pijnen, PhD06/12/2010 Title: to modify choose View then 1 1 Heater and footer
  2. 2. Motivation throughtechnology? Christensen et al, 2009 (JMIR 11(2):13) 2
  3. 3. Systematic review§ Health promotion § Main exclusion criteria:§ Intervention § no objective usage§ Web-based § no repeated usage§ Attrition § no effects measured N Included: Lifestyle 46 (22) 109 papers on Mental health 37 (15) 53 interventions Chronic disease 17 (12) Other 9 (4) 3
  4. 4. Statement 2: Dialogue support§ Review: Compare interventions without live/personal support § Can automated dialogue support take over? Social role Similarity Liking Praise Suggestion Reminders Rewards 4
  5. 5. Statement 2: Dialogue support§ Test the effects of personal vs automated dialogue support on adherence 5
  6. 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%) 6
  7. 7. § RealU (An 2008) § Quit Smoking Network (McKay 2008)§ Usage 18,9 / 30 weeks § Usage 2,1 / 26 weeks § Intended: 20 weekly visits § Intended: ?? 7
  8. 8. § Fun, Food and Fitness Club § Get Up & Go (Ferney 2009) (Thompson 2008) § Usage 8.2 / 26 weeks § Mean adherence 74,5% § Intended: Once a week? § 1 session each week 8
  9. 9. Statement 4: Methods§ How to measure and report usage? § Standardized breadth and depth (Couper 2010, JMIR 12(4)) § Relation to intended usage? 9
  10. 10. Statement 4: Methods§ How to describe interventions? § Content § Behavior change techniques § Technology § Persuasive features § Communication § Person system § Person system person § Community 10
  11. 11. 11
  12. 12. 12
  13. 13. § PAM COACH (Slootmaker 2005) 13
  14. 14. Dieetinzicht with icat (Blanson Henkemans 2009) 14
  15. 15. Statement 4: Methods§ How to describe interventions? § Content § Behavior change techniques § Technology § Persuasive features § Communication § Person system § Person system person § Community 15
  16. 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 16
  17. 17. Thank youQuestions?s.m.kelders@utwente.nlww.ehealthresearchcenter.org/wiki 17

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