Internet Interventions,
Journal Year:
2023,
Volume and Issue:
34, P. 100680 - 100680
Published: Oct. 4, 2023
Understanding
how
to
design
engaging
unguided
digital
health
interventions
is
key
in
our
ability
utilize
tools
improve
access
care.
Therapeutic
persuasiveness
(TP)
a
concept
that
relates
the
intervention
features
as
whole
should
be
designed
encourage
users
make
positive
changes
their
lives,
while
reducing
experienced
effort
required
from
them
engage
these
activities.
In
previous
work,
we
examined
user
traffic
of
publicly
available
programs,
finding
programs'
TP
quality
reliable,
robust,
and
stable
predictor
real-world
usage;
however,
findings
have
not
been
subject
experimental
manipulation
controlled
trial.
The
current
study
impact
parent
training
programs
(DPTs)
aimed
at
treating
child's
behavior
problems.
We
conducted
pilot
randomized
trial
comparing
two
same
evidence-based
content
established
DPTs,
but
differ
terms
(standard:
DPT-STD;
enhanced:
DPT-TP).
Altogether,
parents
88
families
who
child
with
problems
were
enrolled
study.
Compared
DPT-STD
(n
=
43),
participants
allocated
DPT-TP
45)
used
program
significantly
more
(ps
<
0.001;
Cohen's
ds
0.91-2.22).
completion,
68.9
%
completed
it
compared
27.9
participants.
Significant
differences
between
also
found
reported
improvements
favoring
0.05;
0.43-0.54).
results
point
importance
adequate
product
utilization
conceptual
frameworks
order
engagement
challenges.
Frontiers in Psychiatry,
Journal Year:
2024,
Volume and Issue:
15
Published: Sept. 3, 2024
Mental
health
disorders
affect
a
substantial
portion
of
the
global
population.
Despite
preferences
for
psychotherapy,
access
remains
limited
due
to
various
barriers.
Digital
mental
interventions
(DMHIs)
have
emerged
increase
accessibility,
yet
engagement
and
treatment
completion
rates
are
concerning.
Evidence
across
healthcare
where
some
degree
self-management
is
required
show
that
negatively
influenced
by
contextual
complexity.
This
article
examines
non-random
factors
influencing
patient
in
digital
face-to-face
psychological
therapies.
It
reviews
established
models
introduces
an
adapted
version
Cumulative
Complexity
Model
(CuCoM)
as
framework
understanding
context
health.
Theoretical
like
Fogg
Behavior
Model,
Persuasive
System
Design,
Self-Determination
Theory,
Supportive
Accountability
aim
explain
disengagement.
However,
none
adequately
consider
these
broader
their
complex
interactions
with
personal
characteristics,
intervention
requirements
technology
features.
We
expand
on
proposing
application
CuCoM’s
contexts
(known
DiCuCoM),
focusing
interplay
between
burden,
capacity,
demands.
Standardized
DMHIs
often
fail
individual
variations
burden
leading
variation.
DiCuCoM
highlights
need
balancing
workload
capacity
improve
engagement.
Factors
such
life
demands,
treatment,
examined
influence
adherence.
The
proposes
person-centered
approach
informed
CuCoM
Minimally
Disruptive
Medicine,
emphasizing
systems
acknowledge
address
unique
burdens
capacities
individuals.
Strategies
enhancing
include
assessing
reducing
utilizing
predict
respond
New
could
lead
better
ultimately
outcomes.
Objective:
Web-based
cognitive
bias
modification
for
interpretation
(CBM-I)
can
improve
biases
and
anxiety
symptoms
but
faces
high
rates
of
dropout.
This
study
tested
the
effectiveness
web-based
CBM-I
relative
to
an
active
psychoeducation
condition
addition
low-intensity
telecoaching
a
subset
participants.
Method:
1,234
anxious
community
adults
(M_age
=
35.09
years,
81.2%
female,
72.1%
white,
82.6%
not
Hispanic)
were
randomly
assigned
at
Stage
1
sequential,
multiple-assignment
randomized
trial
complete
five
weekly
sessions
or
on
our
team’s
public
research
website.
After
first
session,
2,
algorithm
attempted
classify
participants
as
higher
(vs.
lower)
risk
dropping
out;
those
classified
then
four
brief
check-ins
no
coaching).
Results:
As
hypothesized
(https://doi.org/j2xr;
Daniel,
Eberle,
&
Teachman,
2020),
significantly
outperformed
improving
positive
negative
(Recognition
Ratings,
Brief
Body
Sensations
Interpretation
Questionnaire)
(Overall
Anxiety
Severity
Impairment
Scale,
Scale
from
Depression
Stress
Scales–Short
Form),
with
smaller
treatment
gains
remaining
significant
2-month
follow-up.
Unexpectedly,
had
worse
dropout
outcomes
than
psychoeducation,
adding
coaching
coaching)
did
efficacy
(notably,
many
chose
interact
their
coach).
Conclusions:
appears
effective,
supplemental
may
mitigate
challenge
Current Directions in Psychological Science,
Journal Year:
2024,
Volume and Issue:
33(4), P. 239 - 246
Published: June 3, 2024
Digital
technologies,
such
as
mobile
devices
and
wearable
sensors,
are
ingrained
in
daily
life,
making
them
a
promising
vehicle
for
delivering
health
behavior
interventions.
However,
critical
challenge
that
undermines
the
utility
of
digital
interventions
is
suboptimal
engagement
participants,
where
participant
defined
investment
physical,
cognitive,
affective
energies
focal
stimulus
or
task.
Research
aiming
to
understand
how
increase
with
has
grown
substantially
recent
years.
This
article
highlights
several
limitations
existing
evidence
restrict
its
scientific
practical
discusses
opportunities
advancing
science
Synthesizing
current
body
evidence,
we
call
conceptualizing
collection
stimuli
(e.g.,
notifications,
reminders)
tasks
open
app,
practice
relaxation
technique)
considering
process
rather
than
state
(i.e.,
momentary
conditions/experiences)
trait
relatively
stable
disposition).
approach
potential
enhance
rigor
transparency
measuring,
reporting,
interpreting
would
ultimately
serve
bolster
progress
toward
developing
strategies
optimizing
engagement.
Clinical Psychological Science,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 26, 2024
Despite
growing
popularity,
associations
between
dosage
and
outcomes
in
meditation
app
interventions
have
not
been
established.
We
examined
this
relationship
using
a
range
of
operationalizations
(e.g.,
minutes
use,
days
number
type
activities
completed)
strategies
for
modeling
ordinary
least
squares
regression,
multilevel
modeling,
latent
class
analysis).
used
data
from
recently
completed
randomized
controlled
trial
testing
(n=662;
80.4%
with
elevated
depression/anxiety)
which
included
psychological
distress
as
its
preregistered
primary
outcome.
Across
41
models,
whether
or
an
association
was
detected
well
the
shape
direction
varied.
Although
several
models
indicated
that
higher
associated
larger
decreases
distress,
many
failed
to
show
some
even
showed
opposite.
These
results
may
implications
optimizing
studying
apps
open
science
practices.
Advances in Methods and Practices in Psychological Science,
Journal Year:
2022,
Volume and Issue:
5(3)
Published: July 1, 2022
Advances
in
mobile
and
wireless
technologies
offer
tremendous
opportunities
for
extending
the
reach
impact
of
psychological
interventions
adapting
to
unique
changing
needs
individuals.
However,
insufficient
engagement
remains
a
critical
barrier
effectiveness
digital
interventions.
Human
delivery
(e.g.,
by
clinical
staff)
can
be
more
engaging
but
potentially
expensive
burdensome.
Hence,
integration
human-delivered
components
is
building
effective
scalable
Existing
experimental
designs
used
answer
questions
either
about
that
are
typically
sequenced
adapted
at
relatively
slow
timescales
monthly)
or
much
faster
daily).
these
methodologies
do
not
accommodate
sequencing
adaptation
multiple
hence
cannot
empirically
inform
joint
components.
Here,
we
introduce
hybrid
design
(HED)—a
new
approach
scientific
which
integrated
timescales.
We
describe
key
characteristics
HEDs
(i.e.,
what
they
are),
explain
their
rationale
why
needed),
provide
guidelines
corresponding
data
analysis
how
arising
from
interventions).
Advances in Nutrition,
Journal Year:
2023,
Volume and Issue:
14(5), P. 983 - 994
Published: July 5, 2023
Nearly
all
approaches
to
personalized
nutrition
(PN)
use
information
such
as
the
gene
variants
of
individuals
deliver
advice
that
is
more
beneficial
than
a
generic
"1-size-fits-all"
recommendation.
Despite
great
enthusiasm
and
increased
availability
commercial
services,
thus
far,
scientific
studies
have
only
revealed
small
negligible
effects
on
efficacy
effectiveness
dietary
recommendations,
even
when
using
genetic
or
other
individual
information.
In
addition,
from
public
health
perspective,
scholars
are
critical
PN
because
it
primarily
targets
socially
privileged
groups
rather
general
population,
thereby
potentially
widening
inequality.
Therefore,
in
this
we
propose
extend
current
by
creating
adaptive
systems
(APNASs)
tailored
type
timing
for
needs,
capacities,
receptivity
real-life
food
environments.
These
encompass
broadening
goals
(i.e.,
what
should
be
achieved)
incorporate
"individual
goal
preferences"
beyond
currently
advocated
biomedical
(e.g.,
making
sustainable
choices).
Moreover,
they
cover
"personalization
processes
behavior
change"
providing
situ,
"just-in-time"
environments
(how
change),
which
accounts
capacities
constraints
economic
resources).
Finally,
concerned
with
"participatory
dialog
between
experts"
actual
virtual
dieticians,
nutritionists,
advisors)
setting
deriving
measures
adaption.
Within
framework,
emerging
digital
ecosystems
enable
continuous,
real-time
monitoring,
advice,
support
exposure
consumption.
We
present
vision
novel
framework
along
scenarios
arguments
describe
its
potential
efficiently
address
population
needs
target
would
benefit
most
implementation.
JMIR mhealth and uhealth,
Journal Year:
2023,
Volume and Issue:
11, P. e38342 - e38342
Published: April 1, 2023
Drink
Less
is
a
behavior
change
app
to
help
higher-risk
drinkers
in
the
United
Kingdom
reduce
their
alcohol
consumption.
The
includes
daily
notification
asking
users
"Please
complete
your
drinks
and
mood
diary,"
yet
we
did
not
understand
causal
effect
of
on
engagement
nor
how
improve
this
component
Less.
We
developed
new
bank
30
messages
increase
users'
reflective
motivation
engage
with
This
study
aimed
determine
standard
notifications
affect
engagement.
Digital Health,
Journal Year:
2024,
Volume and Issue:
10
Published: Jan. 1, 2024
Mobile
Health
(mHealth)
interventions
have
the
potential
to
improve
early
identification,
prevention,
and
treatment
of
mental
health
problems.
Grow
It!
is
a
multiplayer
smartphone
app
designed
for
youth
aged
12-25,
allowing
them
monitor
their
emotions
engage
in
daily
challenges
based
on
Cognitive
Behavioral
Therapy
(CBT)
principles.
Recently,
personalized
mood
profile
was
added
app.
We
investigated
whether
real-time
feedback
enhances
engagement,
user
experience,
effects
affective
cognitive
well-being.
Sample
A
(
