Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis
- PMID: 27966189
- PMCID: PMC5526809
- DOI: 10.1007/s13142-016-0453-1
Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis
Abstract
"Engagement" with digital behaviour change interventions (DBCIs) is considered important for their effectiveness. Evaluating engagement is therefore a priority; however, a shared understanding of how to usefully conceptualise engagement is lacking. This review aimed to synthesise literature on engagement to identify key conceptualisations and to develop an integrative conceptual framework involving potential direct and indirect influences on engagement and relationships between engagement and intervention effectiveness. Four electronic databases (Ovid MEDLINE, PsycINFO, ISI Web of Knowledge, ScienceDirect) were searched in November 2015. We identified 117 articles that met the inclusion criteria: studies employing experimental or non-experimental designs with adult participants explicitly or implicitly referring to engagement with DBCIs, digital games or technology. Data were synthesised using principles from critical interpretive synthesis. Engagement with DBCIs is conceptualised in terms of both experiential and behavioural aspects. A conceptual framework is proposed in which engagement with a DBCI is influenced by the DBCI itself (content and delivery), the context (the setting in which the DBCI is used and the population using it) and the behaviour that the DBCI is targeting. The context and "mechanisms of action" may moderate the influence of the DBCI on engagement. Engagement, in turn, moderates the influence of the DBCI on those mechanisms of action. In the research literature, engagement with DBCIs has been conceptualised in terms of both experience and behaviour and sits within a complex system involving the DBCI, the context of use, the mechanisms of action of the DBCI and the target behaviour.
Keywords: Behaviour change interventions; Conceptual framework; Digital; Engagement; Systematic review; eHealth; mHealth.
Conflict of interest statement
Ethical responsibilities of authors
All authors have approved the final manuscript and agree with its submission to Translational Behavioural Medicine
Conflict of interest
OP, SM and AB declare that they have no conflict of interest. RW undertakes research and consultancy and receives fees for speaking from companies that develop and manufacture smoking cessation medications.
Figures
Similar articles
-
Understanding Health Behavior Technology Engagement: Pathway to Measuring Digital Behavior Change Interventions.JMIR Form Res. 2019 Oct 10;3(4):e14052. doi: 10.2196/14052. JMIR Form Res. 2019. PMID: 31603427 Free PMC article.
-
Assessing the Psychometric Properties of the Digital Behavior Change Intervention Engagement Scale in Users of an App for Reducing Alcohol Consumption: Evaluation Study.J Med Internet Res. 2019 Nov 20;21(11):e16197. doi: 10.2196/16197. J Med Internet Res. 2019. PMID: 31746771 Free PMC article.
-
Digital behaviour change interventions to promote physical activity in overweight and obese adolescents: a systematic review protocol.Syst Rev. 2022 Sep 5;11(1):188. doi: 10.1186/s13643-022-02060-w. Syst Rev. 2022. PMID: 36064617 Free PMC article.
-
Digital Behavior Change Interventions to Reduce Sedentary Behavior and Promote Physical Activity in Adults with Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Int J Behav Med. 2023 Jun 30. doi: 10.1007/s12529-023-10188-9. Online ahead of print. Int J Behav Med. 2023. PMID: 37391571 Review.
-
Digital Behavior Change Intervention Designs for Habit Formation: Systematic Review.J Med Internet Res. 2024 May 24;26:e54375. doi: 10.2196/54375. J Med Internet Res. 2024. PMID: 38787601 Free PMC article. Review.
Cited by
-
The Trajectories of Online Mental Health Information Seeking: Modeling Search Behavior Before and After Completion of Self-report Screens.Comput Human Behav. 2024 Aug;157:108267. doi: 10.1016/j.chb.2024.108267. Epub 2024 Apr 18. Comput Human Behav. 2024. PMID: 38774307
-
Digital Mental Health for Schizophrenia and Other Severe Mental Illnesses: An International Consensus on Current Challenges and Potential Solutions.JMIR Ment Health. 2024 May 8;11:e57155. doi: 10.2196/57155. JMIR Ment Health. 2024. PMID: 38717799 Free PMC article.
-
A Factorial Randomized Controlled Trial to Optimize User Engagement With a Chatbot-Led Parenting Intervention: Protocol for the ParentText Optimisation Trial.JMIR Res Protoc. 2024 May 3;13:e52145. doi: 10.2196/52145. JMIR Res Protoc. 2024. PMID: 38700935 Free PMC article. Clinical Trial.
-
Cultural applicability and desirability of 'Broodles': The first serious game intervention for siblings of children with disabilities.PEC Innov. 2024 Mar 26;4:100277. doi: 10.1016/j.pecinn.2024.100277. eCollection 2024 Dec. PEC Innov. 2024. PMID: 38590338 Free PMC article.
-
The conceptualisation and measurement of engagement in digital health.Internet Interv. 2024 Mar 11;36:100735. doi: 10.1016/j.invent.2024.100735. eCollection 2024 Jun. Internet Interv. 2024. PMID: 38558760 Free PMC article.
References
-
- Rock Health. (2015). Digital health consumer adoption: 2015. Retrieved November 4, 2015, from http://rockhealth.com/reports/digital-health-consumer-adoption-2015/.
-
- Fox S, Duggan M. Mobile health 2012. Pew Internet & American Life Project. 2012 Retrieved from http://www.pewinternet.org/2012/11/08/mobile-health-2012/.
-
- West R, Michie S. A Guide to Development and Evaluation of Digital Interventions in Healthcare. London: Silverback Publishing; 2016.
-
- Civljak M, Stead LF, Sheikh A, Car J. Internet-based interventions for smoking cessation. Cochrane Database Syst Rev. 2013;7:CD007078. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous