e.g. mhealth
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Understanding Adherence to Digital Health Technologies: Systematic Review of Predictive Factors
These domains are initial adoption (starting use), consistency and duration (sustained engagement aligned with intended use), dropout (premature discontinuation), and intensity (depth or frequency of use) [13,16,17]. Accordingly, this conceptualization will guide how adherence is defined, analyzed, and interpreted in this review.
Two related but distinct concepts are engagement and acceptance. Engagement refers to how individuals use and interact with the DHT, irrespective of the intended use.
J Med Internet Res 2025;27:e77362
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This information can in turn be used to develop a JITAI that delivers the right type of support at the right time to promote engagement in self-monitoring behaviors [43,44].
This study is a first step toward building a JITAI to improve the engagement of young adults with HIV through increasing wear time of the BACtrack Skyn, a wrist-worn alcohol biosensor [45].
JMIR Res Protoc 2025;14:e69966
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Patient Preferences for Using Remote Care Technology in Heart Failure: Discrete Choice Experiment
Therefore, when designing new remote care interventions, it is essential to consider user engagement as the driving force for the uptake and continued use of a remote care device for disease management.
JMIR Cardio 2025;9:e68022
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Digital mental health interventions (DMHIs) provide a cost-effective way to increase access to care worldwide [6], but face challenges with user engagement and adherence [7-9].
JMIR Hum Factors 2025;12:e76377
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From Efficacy to Scale: Addressing Digital Health’s Original Sin
Efficacy isn’t enough: Efficacy remains essential, but prioritizing completion over engagement has stalled adoption and prevented scale.
Engagement must be central: Normalizing attrition reporting and adopting software-informed dissemination models are essential to move from efficacy to scale.
In the late 1990s, when I got my start in digital health, top of mind for researchers and investors was disruption. Internet penetration in North America was still limited.
J Med Internet Res 2025;27:e85878
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A key limiting factor for impact is low engagement and adherence [15,16]. To achieve positive outcomes, there is a need to understand how digital tools for pediatric weight management can best support users’ engagement with interventions and their target health behaviors to achieve positive outcomes. This study will aim to assess the impact of such an intervention on health behavior change and explore how engagement can be best supported.
JMIR Res Protoc 2025;14:e71551
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However, as part of the pilot and ongoing rollout of HB4 HNEKids, routine quality assurance data has been collected to monitor and improve program reach, engagement, and overall health outcomes.
Dose is an important aspect of any m Health intervention, particularly long-term programs such as HB4 HNEKids. The dose of a program can have a direct effect on participant engagement, and therefore the effectiveness of an intervention [8].
JMIR Form Res 2025;9:e70158
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The underrepresentation of emotional resonance in educational content represents a missed opportunity for medical professionals to enhance trust and engagement on platforms like Tik Tok. By analyzing SSRI-related Tik Toks through the dual lens of video and content tone, our study builds upon previous research by linking stylistic elements to viewer engagement and perception.
JMIR Ment Health 2025;12:e77383
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How Engagement Changes Over Time in a Digital Eating Disorder App: Observational Study
Notably, most of these definitions only captured summary-level or endpoint measurements of engagement, so little is known about how engagement changes over time and if changes in engagement contribute to treatment gains.
JMIR Mhealth Uhealth 2025;13:e68824
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Engagement offers a broader conceptualization, encompassing both behavioral adherence and subjective experiences such as motivation, satisfaction, and perceived relevance [8,12]. Considering engagement in online interventions is therefore crucial to maximize the effectiveness of online interventions [5,12,13].
Several studies have explored factors influencing user engagement with online interventions.
JMIR Cancer 2025;11:e64983
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