University of Twente Student Theses

Login

E-health interventie ‘Leven met pijn’ Een logfile analyse naar adherentie en effect in een online interventie

Elshof, Nick (2013) E-health interventie ‘Leven met pijn’ Een logfile analyse naar adherentie en effect in een online interventie.

[img]
Preview
PDF
4MB
Abstract:Background: Every year the number of e-health interventions increases. Still the effect of ehealth interventions isn’t fulfilling the expectations. Non-adherence, participant who quit the usage of an intervention before completing it, has a negative impact on the effect of e-health interventions. By studying the usage of an intervention insights in adherence can be gained and differences in usage between adherers and non-adherers can be investigated. Furthermore research to predict adherence is recommended. This makes an early intervention possible to prevent non-adherence from happening. Goal: For the intervention ‘Living with pain’ this study will investigate (1) the adherence and the usage, (2) the differences in usage between adherent and non-adherent users and (3) the possibility to predict adherence with usage. After that (4) the relationship between adherence and effect (dose-response) and (5) the possibility to predict effect with usage and adherence will be investigated. Method: For this research 69 participants were selected from the main research. They all participated in the experimental condition; the intervention ‘Living with pain’. The usage: number of modules completed, number of inlogs and time in days, was stored in a log file. These quantitative information was analyzed with SPSS. Results: 50 participants reached module 9 of the intervention ‘Living with pain’. This resulted in an adherence percentage of 72,5%. The adherers logged in more often than the nonadherers (t=-2,126; p=0,037). All models with the usage of module 1-3 predicted adherence (marginal) significant. The number of logins in module 1 increases the odds on adherence (OR=1,411; 95% BI=1,075 – 1,852). The effect of the intervention ‘Living with pain’ is bigger for the adherers (F(1,68)=3,867; p=0,053). Finally adherence is the only predictor for the effect of the intervention ‘Living with pain’ with a marginal significance. Conclusion: The percentage adherers is high for the intervention ‘Living with pain’. The number of login per module is higher for the adherers but only the number of logins in module 1 is capable of predicting adherence. Although the model has a medium Nagelkerke R². In this study adherers benefit more from the intervention ‘Living with pain’ but none of the variables could predict effect significant.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/64174
Export this item as:BibTeX
EndNote
HTML Citation
Reference Manager

 

Repository Staff Only: item control page