University of Twente Student Theses


The role of implementation intentions to increase adherence in eMental health programs

Boerkamp, M.J.P. (2020) The role of implementation intentions to increase adherence in eMental health programs.

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Abstract:Aim: This study explored whether implementation intentions could have a positive effect on adherence when it was added to existing eHealth programs as this is a problem in eHealth. Methods: In five existing mental health programs a step was added that included a implementation intentions assignment, hereby forming a general commitment with oneself when to use the program and one to overcome stressful situations when one has the tendency not to use the program. The completed steps and assignments of 1172 users were recorded for 3 weeks and compared to a control group of 640 users, that participated exactly one year earlier. During this year no changes were made to the eMental health programs. Results: A MANOVA indicated that implementation intentions did not induce greater adherence. However, users who constructed implementation intentions completed more steps (p = .008 in one program) and filled-in more assignments (p < .001 for three programs). Conclusion: No evidence was found for the effectiveness of implementation intentions on adherence. There are likely other factors that contribute to the higher adherence rates of users who completed the implementation assignment. Future research should include motivation, self-efficacy and symptom severity to further solve the concept of adherence.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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