Evidence map›Paper›PMID 27354373›Full record

ArticleJournal of medical Internet research2016

How a Fully Automated eHealth Program Simulates Three Therapeutic Processes: A Case Study.

Marianne T S Holter, Ayna Johansen, Håvar Brendryen

3 registry-linked trialsAbstract read
In one paragraph

Article in Journal of medical Internet research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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.

NCT03191825 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Testing the Efficacy of a Lapse Management System in an Online Smoking Cessation

TypeinterventionalSponsorUniversity of OsloRan2017 to 2022Enrolled1,500ConditionsNicotine Dependence, CigarettesArmsEndre: a digital smoking cessation counsellor, Lapse management system triggered from web-page, Lapse management system triggered by SMS-textmessage
NCT03194919 naunknown statusnot on this mapstarted 2017, after this paper: background citation

The Effect of Negotiating a Quit Date on Attempting to Quit Smoking

TypeinterventionalSponsorUniversity of OsloRan2017 to 2022Enrolled1,500ConditionsNicotine Dependence, CigarettesArmsEndre: a digital smoking cessation counsellor
NCT03276767 naunknown statusnot on this mapstarted 2017, after this paper: background citation

An RCT Comparing Reminders Sendt by SMS or by E-mail in an Online Smoking Cessation Intervention

TypeinterventionalSponsorUniversity of OsloRan2017 to 2022Enrolled700ConditionsNicotine Dependence Tobacco ProductArmsEndre
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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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.

Marianne T S HolterThe Norwegian Centre for Addiction Research, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. m.t.s.holter@medisin.uio.no.ORCID 0000-0002-6589-8937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundeHealth programs may be better understood by breaking down the components of one particular program and discussing its potential for interactivity and tailoring in regard to concepts from face-to-face counseling. In the search for the efficacious elements within eHealth programs, it is important to understand how a program using lapse management may simultaneously support working alliance, internalization of motivation, and behavior maintenance. These processes have been applied to fully automated eHealth programs individually. However, given their significance in face-to-face counseling, it may be important to simulate the processes simultaneously in interactive, tailored programs.

objectiveWe propose a theoretical model for how fully automated behavior change eHealth programs may be more effective by simulating a therapist's support of a working alliance, internalization of motivation, and managing lapses.

methodsWe show how the model is derived from theory and its application to Endre, a fully automated smoking cessation program that engages the user in several "counseling sessions" about quitting. A descriptive case study based on tools from the intervention mapping protocol shows how each therapeutic process is simulated.

resultsThe program supports the user's working alliance through alliance factors, the nonembodied relational agent Endre and computerized motivational interviewing. Computerized motivational interviewing also supports internalized motivation to quit, whereas a lapse management component responds to lapses. The description operationalizes working alliance, internalization of motivation, and managing lapses, in terms of eHealth support of smoking cessation.

conclusionsA program may simulate working alliance, internalization of motivation, and lapse management through interactivity and individual tailoring, potentially making fully automated eHealth behavior change programs more effective.

Indexed as

CounselingMotivational InterviewingProcess Assessment, Health CareProfessional-Patient RelationsSmoking CessationTelemedicineCooperative BehaviorHumansModels, TheoreticalMotivationPsychotherapybehavior therapycell phoneseHealthInternetintervention mappingmotivational interviewingsmoking cessationtelemedicinetext messagingworking alliance

Identifiers

PMID27354373
PMCPMC4942686

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.