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What Design Features Are Used in Effective e-Health Interventions? A Review Using Techniques from Critical Interpretive Synthesis

Morrison, LG; Yardley, L; Powell, J; Michie, S; (2012) What Design Features Are Used in Effective e-Health Interventions? A Review Using Techniques from Critical Interpretive Synthesis. Telemedicine and e-Health , 18 (2) pp. 137-144. 10.1089/tmj.2011.0062. Green open access

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Abstract

The effectiveness of e-health interventions varies greatly. Despite this, there has been relatively little formal consideration of how differences in the design of an intervention (i.e., how the content is delivered) may explain why some interventions are more effective than others. This review primarily examines the use of the Internet to provide educational and self-management interventions to promote health. The article develops hypotheses about how the design of these interventions may be associated with outcomes. In total, 52 published reports from both a diversity sample and a representative sample were reviewed using techniques from Critical Interpretive Synthesis. Four core interactive design features were identified that may mediate the effects of intervention design on outcomes: Social context and support, contacts with intervention, tailoring, and self-management. A conceptual framework to summarize the design of e-health interventions delivered using the Internet is proposed. The framework provides a guide for systematic research to identify the effects of specific design features on intervention outcomes and to identify the mechanisms underlying any effects. To optimize the design of e-health interventions more work is needed to understand how and why these design features may affect intervention outcomes and to investigate the optimal implementation and dosage of each design feature.

Type: Article
Title: What Design Features Are Used in Effective e-Health Interventions? A Review Using Techniques from Critical Interpretive Synthesis
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1089/tmj.2011.0062
Publisher version: http://dx.doi.org/10.1089/tmj.2011.0062
Language: English
Additional information: Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/10.1089/tmj.2011.0062.
Keywords: Concept Formation, Health Promotion, Health Services Research, Humans, Internet, Interpersonal Relations, Outcome Assessment (Health Care), Research Design, Self Care, Social Environment, Telemedicine, Treatment Outcome
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1342841
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