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The Relationships Between Persuasive System Design and Engagement In The Context Of Digital Mental Health Interventions

Nijhuis, D.E.J. (2025) The Relationships Between Persuasive System Design and Engagement In The Context Of Digital Mental Health Interventions.

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Abstract:Engagement and persuasive system design (PSD) are important factors for the effectiveness of Digital mental health interventions (DMHIs). This study aims to examine the relations between PSD features and engagement. This study utilised a mixed methods approach. Participants (N = 6) completed a DMHI while wearing an eye-tracker. Engagement scores were measured using the Twente Engagement with Ehealth Technologies Scale (TWEETS). Think-aloud sessions and semi-structured interviews were taken after the participants finished the DMHI. The TWEETS scores were analysed using a Mann Whitney U test and a Freedman test. The rest of the data was thematically analysed. No significant differences were found when analysing the influence of PSD features on engagement, from the Mann Whitney U test (P = .66, P = .36) and the Friedman test (P = .06, P = .15). The thematic and eye-tracking analyses show participants perceived the PSD features rehearsal and tailoring as most influential to engagement, and that relaxation exercises, text structure and the written content of the DMHI also had an influence on engagement. Although the quantitative findings report no significant influence of PSD features on engagement, the qualitative findings suggest that some PSD features might have an influence under certain circumstances.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:https://purl.utwente.nl/essays/105421
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