SynthesisTranslational behavioral medicine2017
Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis.
Synthesis in Translational behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05003518 (ParentText User Engagement and Effectiveness Study), which is not on this map. Cited by 740 papers, 18 of them syntheses that pooled 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.
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.
ParentText User Engagement and Effectiveness Study
Who cites it
740 citing papers in PubMed, 18 syntheses or guidelines pooled it.
- Ecological Momentary Interventions in the Management of Eating Disorders and Obesity: A Systematic Review.The International journal of eating disorders · 2026Pooled it
- Virtual reality-based therapeutic intervention to prevent delirium in the intensive care unit: a systematic review of participant experiences, acceptability, and implementation implications.BMC health services research · 2026Pooled it
- Efficacy of fully automated digital cognitive behavioral therapy for insomnia in adults: a systematic review and meta-analysis.Sleep & breathing = Schlaf & Atmung · 2026Pooled it
- Effects of Stand-Alone Digital Lifestyle Interventions on Weight-Related Outcomes in Adults With Overweight or Obesity: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Inequalities in Exclusively Mobile Interventions Targeting Weight-Related Behaviors: Systematic Review of Observational Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Identifying Social Media-Based Interactions That Help Adults to Adhere to Weight Loss Goals: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Effects of narrative-based interventions on self-efficacy and self-management in chronic disease: A systematic review and meta-analysis.Applied psychology. Health and well-being · 2026Pooled it
- Structural biases in digital health intervention and health equity research: a bibliometric knowledge graph analysis (2015-2025).Frontiers in digital health · 2026Pooled it
- Exploring psychosocial barriers in digital walking interventions for the chronically ill: a scoping review.Frontiers in psychology · 2026Pooled it
- Interactive Conversational Agents to Improve Dietary Behaviors for Health Promotion: Mixed Systematic Review.Journal of medical Internet research · 2025Pooled it
- Beyond Clicks: A Systematic Review of How Engagement is Defined, Predicted, and Linked to Child Outcomes in Self-directed eHealth Preventive Parenting Programs.Prevention science : the official journal of the Society for Prevention Research · 2025Pooled it
- Prevalence of Dropout and Influencing Factors in Digital Psychosocial Intervention Trials for Adult Illicit Substance Users: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Engagement With Conversational Agent-Enabled Interventions in Cardiometabolic Disease Self-Management: Systematic Review.JMIR mHealth and uHealth · 2025Pooled it
- A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight.International journal of obesity (2005) · 2025Pooled it
- Digital Behavior Change Interventions to Promote Physical Activity and Reduce Sedentary Behavior Among Survivors of Breast Cancer: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Engagement in Digital Self-management Interventions for Chronic Pain: A Systematic Review.The Clinical journal of pain · 2025Pooled it
- Pooled it
- Methodological quality in randomised clinical trials of mental health apps: systematic review and longitudinal analysis.BMJ mental health · 2025Pooled it
- Clinical Outcomes of a Digital Companion in Periodontal Care: A Randomised Controlled Trial.Journal of clinical periodontology · 2026Trial
- Long-Term Engagement With a Physical Activity App Among Gynecologic Cancer Survivors in the LETSGO Trial: 12-Month Prospective, Multicenter, Quasi-Experimental Study.JMIR mHealth and uHealth · 2026Trial
680 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
"Engagement" with digital behaviour change interventions (DBCIs) is considered important for their effectiveness. Evaluating engagement is therefore a priority; however, a shared understanding of how to usefully conceptualise engagement is lacking. This review aimed to synthesise literature on engagement to identify key conceptualisations and to develop an integrative conceptual framework involving potential direct and indirect influences on engagement and relationships between engagement and intervention effectiveness. Four electronic databases (Ovid MEDLINE, PsycINFO, ISI Web of Knowledge, ScienceDirect) were searched in November 2015. We identified 117 articles that met the inclusion criteria: studies employing experimental or non-experimental designs with adult participants explicitly or implicitly referring to engagement with DBCIs, digital games or technology. Data were synthesised using principles from critical interpretive synthesis. Engagement with DBCIs is conceptualised in terms of both experiential and behavioural aspects. A conceptual framework is proposed in which engagement with a DBCI is influenced by the DBCI itself (content and delivery), the context (the setting in which the DBCI is used and the population using it) and the behaviour that the DBCI is targeting. The context and "mechanisms of action" may moderate the influence of the DBCI on engagement. Engagement, in turn, moderates the influence of the DBCI on those mechanisms of action. In the research literature, engagement with DBCIs has been conceptualised in terms of both experience and behaviour and sits within a complex system involving the DBCI, the context of use, the mechanisms of action of the DBCI and the target behaviour.
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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.