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Identifying Working Mechanisms contributing to the Effectiveness, Adherence, and Engagement with eMental Health : an umbrella review

Coopmans, A.G. (2021) Identifying Working Mechanisms contributing to the Effectiveness, Adherence, and Engagement with eMental Health : an umbrella review.

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Abstract:The use of eMental health interventions can be of added value for the prevention and treatment of mental health problems. However, the benefits of these interventions in real-world settings are not realized yet. This may be explained by the low effectiveness in real-world settings, non-adherence or non-engagement with eMental health interventions. Improving eMental health interventions by incorporating working mechanisms in the design can help to decrease these types of problems. However, the evidence of these working mechanisms is shredded over reviews. Therefore, an umbrella review of systematic reviews and meta-analyses was conducted aimed to identify working mechanisms in eMental health interventions and examine their relation with the effectiveness, adherence and engagement. The study identified working mechanisms which have the potential to contribute to the effectiveness, adherence and engagement with eMental health interventions. These working mechanisms included Persuasive System Design (PSD) features, Behaviour Change Techniques (BCTs), and other working mechanisms not belonging to these frameworks. The findings showed that the PSD features related more to adherence and engagement compared to BCTs, which related more to effectiveness. However, these findings are a first step towards an overview and therefore more attention should be paid on identifying, updating and examining working mechanisms.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:77 psychology
Programme:Health Sciences MSc (66851)
Link to this item:https://purl.utwente.nl/essays/86420
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