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The Role of Personalization, Engagement, and Feedback in Digital Health Interventions for Anxiety

Reick, Leonie (2023) The Role of Personalization, Engagement, and Feedback in Digital Health Interventions for Anxiety.

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Abstract:The prevalence of anxiety symptoms in university students is increasing, however, many do not receive treatment due to barriers in healthcare. While digital mental health interventions (DMHIs) are a prospective treatment option, they often remain ineffective, which may be due to a low user-engagement. Personalizing interventions may increase engagement. Hence, this research aimed to investigate the effect of a personalized DMHI on user’s engagement and anxiety, and if engagement mediates the link between personalization and anxiety. It was also explored if prescripted video feedback of a counselor is related to higher engagement and lower anxiety scores than other feedback types. A randomized controlled trial was conducted. The experimental group received a personalized, and the control group a random 2-week-micro-intervention version. Personalization was not linked to anxiety, nor engagement scores at post-intervention. A higher engagement was linked to lower anxiety scores at post-intervention and follow-up. Prescripted video feedback was not associated with lower anxiety, nor higher engagement scores. Future research is provided with recommendations for imporving the personalization approach. With the finding that a higher engagement may predict lower anxiety scores several weeks after completing the treatment, it is advised to investigate how engagement can be maintained to increase intervention effectiveness.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/95329
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