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Het effect van feedback op gebruikspatronen en adherentie bij een web-based zelfhulpinterventie voor mensen met chronische pijn

Stolwijk, M.L. (2013) Het effect van feedback op gebruikspatronen en adherentie bij een web-based zelfhulpinterventie voor mensen met chronische pijn.

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Abstract:Background Web-based self-help interventions based on Acceptance and Commitment Therapy (ACT) seem to be promising for patients with chronic pain. However, often the problem of low adherence is reported. There are indications that giving feedback could increase adherence. More insight in whether giving feedback or not increases adherence can be gained by means of logfile data that include usage patterns. Objective The objective of this study was to examine the effect of feedback on usage patterns and adherence to a web-based self-help intervention for people with chronic pain conditions. Method From 155 Dutch chronic pain patients that participated in the ACT based online intervention ‘Living with Pain’ logfile data were analyzed. General usage patterns were examined, as well as differences in usage patterns and adherence from participants that did or did not receive feedback. Results Overall adherence within the feedback group was quite high (65.9 percent). Other significant outcomes were found: The feedback group took longer to complete a module and logged in more often to the intervention than the group that did not receive feedback. Moreover, late non-adherers had more logins during module 4 than adherers. Adherers logged in more often during module 1, needed more time to complete module 1, and the amount of logins during module 1 was found to be predictive for adherence. Conclusions Giving feedback to the participants leads to differences in usage patterns with participants that did not receive feedback. Moreover, the web-based intervention ‘Living with Pain’ seems to be adequate for people with chronic pain conditions. The results further suggest that researchers should especially focus on logins during module 1 during the implementation of the intervention. This could help to positively influence adherence.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/64160
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