ArticleTranslational behavioral medicine2020
A self-report measure of engagement with digital behavior change interventions (DBCIs): development and psychometric evaluation of the "DBCI Engagement Scale".
Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.
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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.
Behaviour Change in Context to Contain the Spread of COVID-19
A Pilot Feasibility Study to Promote Physical Activity Motivation in Cardiovascular Disease Patients
Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Design Features Associated With Engagement in Mobile Health Physical Activity Interventions Among Youth: Systematic Review of Qualitative and Quantitative Studies.JMIR mHealth and uHealth · 2023Pooled it
- Associations between Digital Health Intervention Engagement and Dietary Intake: A Systematic Review.Nutrients · 2021Pooled it
- Exclusively Digital Health Interventions Targeting Diet, Physical Activity, and Weight Gain in Pregnant Women: Systematic Review and Meta-Analysis.JMIR mHealth and uHealth · 2020Pooled it
- The impact of the Change4Life Food Scanner app on children's diets and parental psychological outcomes: a randomised pilot and feasibility study.BMC public health · 2025Trial
- Trial
- Promoting Hand Hygiene During the COVID-19 Pandemic: Parallel Randomized Trial for the Optimization of the Soapp App.JMIR mHealth and uHealth · 2023Trial
- Graph-Based Modeling of Behavioral Transitions for Digital Health Applications: Trajectory Analysis Framework.Journal of medical Internet research · 2026Article
- Antecedents and consequences of different indicators of engagement with a digital intervention for tobacco cessation.NPJ digital medicine · 2026Article
- Evaluating an Incentive-Based mHealth App for Physical Activity Promotion Using the Obesity-Related Behavioral Intervention Trial Model: Small Cohort Study.JMIR formative research · 2026Article
- Real-World Long-Term Engagement With a Mobile App Intervention to Improve Self-Management of Type 2 Diabetes Mellitus in China (SMARTDiabetes): Mixed Methods Study.JMIR mHealth and uHealth · 2026Article
- Persuasive Design in a Digital Mindfulness Intervention: A Randomized Trial of a Skill-Based Achievement System and Automated Peer Encouragement.Journal of healthcare informatics research · 2026Article
- Commitment to Self-Tracking Among Wearable-Device Users: Validation of the C2ST Scale and Known-Groups Evidence.European journal of investigation in health, psychology and education · 2026Article
- The role of behavioral nudges in sustaining public health engagement through the "Tawakkalna" app: insights from healthcare professionals.Frontiers in public health · 2026Article
- Engagement With and Impact of an mHealth App for Childhood Obesity Prevention and Management: Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Evaluating the SEND eHealth Application to Improve Patients' Secure Message Writing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- "A one-stop shop": Real-world use and app-users' experiences of a psychoeducational smartphone app for adults with ADHD.Internet interventions · 2025Article
- The recent history and near future of digital health in the field of behavioral medicine: an update on progress from 2019 to 2024.Journal of behavioral medicine · 2025Review
- Marketing mental health services: a mixed-methods analysis of racially and ethnically diverse college students' engagement with and perspectives on U.S. university mental health clinics' websites.BMC health services research · 2024Article
- Exploring the Impact of a Sleep App on Sleep Quality in a General Population Sample: Pilot Randomized Controlled Trial.JMIR formative research · 2024Article
- The conceptualisation and measurement of engagement in digital health.Internet interventions · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Engagement with digital behavior change interventions (DBCIs) is a potentially important mediator of effectiveness; however, we lack validated measures of engagement. This study describes (a) the development of a self-report scale that captures the purported behavioral and experiential facets of engagement and (b) the evaluation of its validity in a real-world setting. A deductive approach to item generation was taken. The sample consisted of adults in the UK who drink excessively, downloaded the freely available Drink Less app with the intention to reduce alcohol consumption, and completed the scale immediately after their first login. Five types of validity (i.e., construct, criterion, predictive, incremental, divergent) were examined using exploratory factor analysis, correlational analyses, and through regressing the number of subsequent logins in the next 14 days onto total scale scores. Cronbach's α was calculated to assess internal reliability. A 10-item scale assessing amount and depth of use, interest, enjoyment, and attention was generated. Of 5,460 eligible users, only 203 (3.7%) users completed the scale. Seven items were retained, and the scale was found to be unifactorial and internally reliable (α = 0.77). Divergent and criterion validity were not established. Total scale scores were not significantly associated with the number of subsequent logins (B = 0.02; 95% CI = -0.01 to 0.05; p = .14). Behavioral and experiential indicators of engagement with DBCIs may constitute a single dimension, but low response rates to engagement surveys embedded in DBCIs may make their use impracticable in real-world settings.
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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.