Evidence map›Paper›PMID 21393123›Full record

ArticleJournal of medical Internet research2011

Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions.

David C Mohr, Pim Cuijpers, Kenneth Lehman

5 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical Internet research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 660 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
660citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02281513 nacompletednot on this mapstarted 2014, after this paper: background citation

Activity and Nutrition Trial in Lupus to Energize and Renew

TypeinterventionalSponsorNorthwestern UniversityRan2014 to 2023Enrolled12ConditionsSystemic Lupus Erythematosus, Physical Activity, SleepArmsSmartphone Application, Fitbit Activity Monitor, Coaching Sessions
NCT04948996 naterminatednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Group Versus Individual Self-management of Depression Using a Mobile App to Increase Treatment Adherence Among Users of a University-based Helpline in the Dominican Republic.

TypeinterventionalSponsorNorthern Illinois UniversityRan2021 to 2021Enrolled27ConditionsDepression Mild, Depression ModerateArmsEl Buen Consejo Móvil- Group (EBCM-G), El Buen Consejo Móvil- Individual (EBCM-I)
NCT05633186 nacompletednot on this mapstarted 2022, after this paper: background citation

Sustainable Upscaling of Depression Prevention, Finding the Optimal Balance Between Investment and Benefit (SPRINT)

TypeinterventionalSponsorVU University of AmsterdamRan2022 to 2023Enrolled307ConditionsDepressionArmsMoodbuster Life, Mobile application, Guidance by a coach, Motivational Content
NCT05746767 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

SUPERA: Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Safety-Net Patients in Primary Care

TypeinterventionalSponsorUniversity of California, IrvineRan2024 to 2028Enrolled426ConditionsDepression, AnxietyArmsSupported dCBT, Unsupported dCBT
NCT06105957 narecruitingnot on this mapstarted 2024, after this paper: background citation

Addressing Rural Health Disparities by Optimizing "High Touch" Intervention Components in Digital Obesity Treatment

TypeinterventionalSponsorUniversity of South CarolinaRan2024 to 2027Enrolled616ConditionsOverweight and ObesityArmsCore, Facilitated Weekly Group Sessions, Counselor Crafted Feedback, Individual Coaching Calls, Pre-Scripted Feedback
3 · Its place in the literature

Who cites it

660 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

600 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

David C MohrDepartment of Preventive Medicine, Northwestern University, Chicago, IL, United States. d-mohr@northwestern.edu
Pim Cuijpers
Kenneth Lehman

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Integrated Telemental Health Intervention for Depression in Primary CareR34MH078922 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MOHR, DAVID CURTIS · 2008 to 2010
$612k
NCRR NIH HHS UL1 RR025741NIMH NIH HHS R34 MH078922
6 · The paper itself

Abstract

The effectiveness of and adherence to eHealth interventions is enhanced by human support. However, human support has largely not been manualized and has usually not been guided by clear models. The objective of this paper is to develop a clear theoretical model, based on relevant empirical literature, that can guide research into human support components of eHealth interventions. A review of the literature revealed little relevant information from clinical sciences. Applicable literature was drawn primarily from organizational psychology, motivation theory, and computer-mediated communication (CMC) research. We have developed a model, referred to as "Supportive Accountability." We argue that human support increases adherence through accountability to a coach who is seen as trustworthy, benevolent, and having expertise. Accountability should involve clear, process-oriented expectations that the patient is involved in determining. Reciprocity in the relationship, through which the patient derives clear benefits, should be explicit. The effect of accountability may be moderated by patient motivation. The more intrinsically motivated patients are, the less support they likely require. The process of support is also mediated by the communications medium (eg, telephone, instant messaging, email). Different communications media each have their own potential benefits and disadvantages. We discuss the specific components of accountability, motivation, and CMC medium in detail. The proposed model is a first step toward understanding how human support enhances adherence to eHealth interventions. Each component of the proposed model is a testable hypothesis. As we develop viable human support models, these should be manualized to facilitate dissemination.

Indexed as

InternetModels, PsychologicalPatient ComplianceSocial ResponsibilitySocial SupportBehavior TherapyDelivery of Health CareElectronic MailHealth Services ResearchHumansMotivationPopulation SurveillancePsychological TechniquesTelemedicine

Identifiers

PMID21393123
PMCPMC3221353

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.