University of Twente Student Theses


Verwachting en motivatie in verband met adherentie bij de online interventie voluit leven : een exploratief onderzoek

Kulbatzki, H. (2015) Verwachting en motivatie in verband met adherentie bij de online interventie voluit leven : een exploratief onderzoek.

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Abstract:Introduction: Research on adherence to online interventions is an upcoming field. Little is known about why people keep or don’t keep using online interventions, while it is well known that adherence increases effectiveness. Expectation and motivation are relevant factors in adherence in face-to-face therapies, so it is reasonable to think that they are in online interventions, too. Method: In this study 239 people, most of them Dutch female, signed up for the online intervention Living to the Full, based on Acceptance and Commitment Therapy (ACT) and Mindfulness. To measure expectations, participants were asked what they find to be important to keep using the online intervention. To measure motivation logfiles were used. Logfiles showed whether participants started with the intervention immediately or used some functions first. Participants were adherent when they started all 9 lessons of the intervention. Logistic regression and Chi-square were used to analyse the influence of expectation and motivation on adherence. Results: Results of motivation showed that participants who started immediately with the intervention are more likely to be adherent. When participants talked about expectations most of them said to be adherent when they will achieve personal change. 12% of the variance in adherence could be explained by expectations. Participants who found it relevant to improve a positive aspect of themselves are more likely to be adherent. In contrast participants who had nonspecific expectations or found it relevant to remove a negative aspect of themselves are less likely to be adherent. Discussion: The online intervention Living to the Full teaches people to accept negative things of their life through Mindfulness instead of removing them. Thus the kind of expectations, namely the personal goals participants want to achieve, have to match the content of the intervention to attain more adherence. More research is needed to find out how and why motivation and expectation influencing adherence.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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