Evidence map›Paper›PMID 28829328›Full record

ArticleInteractive journal of medical research2017

Promoting Engagement With a Digital Health Intervention (HeLP-Diabetes) Using Email and Text Message Prompts: Mixed-Methods Study.

Ghadah Alkhaldi, Kerstin Modrow, Fiona Hamilton, Kingshuk Pal, Jamie Ross, Elizabeth Murray

Abstract read
In one paragraph

Article in Interactive journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

6 authors.

Ghadah Alkhaldi *Community Health Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0001-9041-4546
Kerstin ModroweHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-7083-4623
Fiona HamiltoneHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-3126-5074
Kingshuk PaleHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-6630-6684
Jamie RosseHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-8720-5911
Elizabeth MurrayeHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-8932-3695

Funding

Department of Health RP-PG-0609-10135
6 · The paper itself

Abstract

backgroundEngagement with digital health interventions (DHIs) may be regarded as a prerequisite for the intervention to achieve positive health or behavior change outcomes. One method employed to promote engagement is the use of prompts such as emails and text messages. However, little is known about the characteristics of prompts that promote engagement. This study explored the association between the content and delivery mode of prompts and the users' engagement with HeLP-Diabetes (Healthy Living for People with type 2 Diabetes), a DHI that aimed to promote self-management in adults with type 2 diabetes.

objectiveThe objective of this study was to identify the characteristics of prompts, specifically the content and delivery mode, which were associated with increased engagement.

methodsThis was a mixed-methods study. Email and text message prompts were sent to the registered users of HeLP-Diabetes. Use of the intervention was recorded and examined to identify which email and text message prompts were associated with subsequent visits to the DHI. Characteristics of prompts that were identified as particularly effective or ineffective were explored through think-aloud interviews with the participants.

resultsOf a total of 39 email prompts, 49% (19/39) prompts showed a significant association with subsequent visits to the DHI. However, none of the text message prompts were associated with subsequent visits to the DHI. Furthermore, think-aloud interviews were carried out with 6 experienced participants with type 2 diabetes. The findings suggest that these participants preferred email prompts that were clear, relatively short, and empowering; used nondirective advice; included health professional references; were visually appealing; and contained news and updates.

conclusionsThe findings of this study contribute to the existing evidence supporting the role of email prompts in promoting and maintaining engagement with DHIs. This study described the content of prompts that may be engaging. However, the results should be interpreted with caution, as prompts may be context-specific interventions and the results may not be generalizable across other DHIs or other types of interventions targeting self-management of type 2 diabetes.

Indexed as

eHealthemailmHealthtext messages

Identifiers

PMID28829328
PMCPMC5566257

What OpenQuestion holds

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Registered trials

None linked

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.