Developing a measure of engagement with telehealth systems: The mHealth Technology Engagement Index

Dewar, Alexis R.; Bull, Tyler P; Malvey, Donna; Szalma, James L.

doi:10.1177/1357633x16640958

Cited by 25 publications

(16 citation statements)

References 25 publications

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“…Yet, prior pre-to-post pilot analyses has shown technology-enhanced approaches can bolster outcomes even relative to standard BPT ( Jones et al, 2014 ). It will also be important to examine variability in the extent to which TE-HNC parents were motivated to engage with the technology-enhancements in order to determine if greater or more consistent use is linked to improved outcomes ( Anton et al, 2016 ; Dewar, Bull, Malvey, & Szalma, 2017 ). Importantly, these latter two directions, symptom reduction and technology use, can most richly be examined using time-intensive data analyses, which is increasingly a hallmark of the technology-enhanced treatment literature (see Baraldi, Wurpts, MacKinnon, & Lockhart, 2014 , for a review).…”

Section: Discussionmentioning

confidence: 99%

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

et al. 2021

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Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.

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Section: Discussionmentioning

confidence: 99%

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

et al. 2021

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“…• An important factor for sustained family engagement in telepractice services includes partnering with families to set goals and to have tangible methods for tracking outcomes. complete treatment goals (Dewar et al, 2017). Further, it is important to consider the presumptions and expectations consumers and providers have about using new technology in service provision and receipt (Schwamm, 2014).…”

Section: What This Paper Adds?mentioning

confidence: 99%

“…However, these factors can be mitigated with telepractice personalisation and the rapport built by the provider (Agboola et al., 2014; Ganser et al., 2015). However, providers must have the requisite engagement skills to reduce these barriers (Agboola et al., 2014) and consumers must be motivated to form and complete treatment goals (Dewar et al., 2017). Further, it is important to consider the presumptions and expectations consumers and providers have about using new technology in service provision and receipt (Schwamm, 2014).…”

Section: Introductionmentioning

confidence: 99%

Strategies for implementation of virtual home visitation in the United States

Traube¹,

Taylor²,

Cederbaum³

et al. 2021

Health Social Care Comm

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Utilising telepractice videoconferencing technology to offer home visitation services has the potential to provide access and parenting support through a high-tech and high-touch service delivery option. Families can receive evidence-based, family support intervention from their home via videoconferencing technology, removing the need for the provider to be physically in the home. While the expansion of telehealth and telepractice services for families is essential for meeting the needs of both parents and their children, well-documented engagement barriers to digital health/ computer-mediated interventions exist across treatment modalities and technology platforms. Semi-structured interviews with 15 providers were conducted and analysed to identify engagement strategies utilised to sustain families in a home visitation model offered through live videoconferencing technology on a telehealth platform. Analysis revealed four themes that were deemed essential for successfully attracting and maintaining families in a telepractice-based home visitation programme: (a) engagement strategies to encourage families to participate; (b) clinical skills used within sessions; (c) articulation of benefits to the family; and (d) exploration of rationale forending services. This study was able to identify strategies for engagement and sustained involvement of families in telehealth-based home visitation. Findings include evidence that providers should be able to move between telehealth and on-ground service provision with relative ease.

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“…The lack of consensus in the conceptualization of user engagement makes the design of appropriate universal or even widely applicable assessment instruments difficult. Instead, most research efforts propose solutions for assessing user engagement for very specific purposes, modalities, and contexts pertaining to eHealth [11,20,21]. Focusing on mobile health (mHealth), a prominent subfield of eHealth, a recent scoping review analyzed 41 studies and developed a library of 7 analytic indicators to evaluate effective engagement with consumer mHealth apps for chronic conditions, namely the (1) number of measures recorded, (2) frequency of interactions logged, (3) number of features accessed, (4) number of log-ins or sessions logged, (5) number of modules or lessons started or completed, (6) time spent engaging with the app, and ( 7) number or content of pages accessed [22]; this work is of particular relevance to care for cancer, which currently tends to be considered a chronic disease [23].…”

Section: Patient Engagement and Participatory Designmentioning

confidence: 99%

Status and Recommendations of Technological and Data-Driven Innovations in Cancer Care: Focus Group Study (Preprint)

Kondylakis¹,

Axenie²,

Bastola³

et al. 2020

Preprint

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BACKGROUND The status of the data-driven management of cancer care as well as the challenges, opportunities, and recommendations aimed at accelerating the rate of progress in this field are topics of great interest. Two international workshops, one conducted in June 2019 in Cordoba, Spain, and one in October 2019 in Athens, Greece, were organized by four Horizon 2020 (H2020) European Union (EU)–funded projects: BOUNCE, CATCH ITN, DESIREE, and MyPal. The issues covered included patient engagement, knowledge and data-driven decision support systems, patient journey, rehabilitation, personalized diagnosis, trust, assessment of guidelines, and interoperability of information and communication technology (ICT) platforms. A series of recommendations was provided as the complex landscape of data-driven technical innovation in cancer care was portrayed. OBJECTIVE This study aims to provide information on the current state of the art of technology and data-driven innovations for the management of cancer care through the work of four EU H2020–funded projects. METHODS Two international workshops on ICT in the management of cancer care were held, and several topics were identified through discussion among the participants. A focus group was formulated after the second workshop, in which the status of technological and data-driven cancer management as well as the challenges, opportunities, and recommendations in this area were collected and analyzed. RESULTS Technical and data-driven innovations provide promising tools for the management of cancer care. However, several challenges must be successfully addressed, such as patient engagement, interoperability of ICT-based systems, knowledge management, and trust. This paper analyzes these challenges, which can be opportunities for further research and practical implementation and can provide practical recommendations for future work. CONCLUSIONS Technology and data-driven innovations are becoming an integral part of cancer care management. In this process, specific challenges need to be addressed, such as increasing trust and engaging the whole stakeholder ecosystem, to fully benefit from these innovations.

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Developing a measure of engagement with telehealth systems: The mHealth Technology Engagement Index

Cited by 25 publications

References 25 publications

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Strategies for implementation of virtual home visitation in the United States

Status and Recommendations of Technological and Data-Driven Innovations in Cancer Care: Focus Group Study (Preprint)

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