University of Twente Student Theses


Adapting the TWEETS: Measuring Professional Engagement With Online Mental Health Platforms

Speckmann, Sophie (2021) Adapting the TWEETS: Measuring Professional Engagement With Online Mental Health Platforms.

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Abstract:Background For patients to optimally benefit from therapist guided online therapy they need to engage with it. Engagement is defined as a process in which the individual is involved in a combination of cognition, behavior and affect towards an object or program. There has recently been some development regarding the measurement of engagement in patients. However, based on the available literature it is expected that engagement of therapists also plays a role in treatment outcomes. Thus, it is of interest to be able to measure professionals’ engagement. Until now, there is no tool available for this purpose. Objective This study aims to validate a scale for measuring the engagement of professionals, the PEEHTS. It is a revised version of the TWEETS, a scale for patient engagement. Methods 91 therapists who use the Dutch E-health platform Therapieland were administered the PEEHTS. To investigate its reliability, Cronbach’s alpha and the split-half reliability were calculated. To get an overview of the construct validity, an exploratory and confirmatory factor analysis were performed. Lastly, the predictive validity was assessed by an ordinal logistic regression analysis. Results The results showed that the PEEHTS has a high reliability (.89) and split-half reliability (.87). Further, in the factor analysis, eight of the nine items loaded strongly on the factor ‘engagement of professionals’. The PEEHTS has predictive validity, being correlated to the number of clients professionals invite to use Therapieland. Discussion This exploratory study showed that the PEEHTS is a promising scale with a high reliability that can be used to predict the percentage of clients invited to an online mental health platform. However, one item loaded lower on the factor and therefore has to be adjusted for future usage of the scale. Having such a scale can be useful to investigate whether client outcomes correlate with the engagement of professionals.
Item Type:Essay (Master)
Therapieland, Amsterdam
Faculty:BMS: Behavioural, Management and Social Sciences
Programme:Psychology MSc (66604)
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