ArticlePatient education and counseling2024
Youth perspectives on mobile health adherence interventions: A qualitative study guided by the supportive accountability model.
Article in Patient education and counseling, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Feasibility, Usability, and Acceptability of an Adaptive Mobile Health Medication Adherence Intervention for Youth: Iterative Mixed Methods Human-Centered Design Study.JMIR formative research · 2026Article
- Medication self-management during the developmental transition of responsibility among Chinese adolescent liver transplant recipients: a qualitative descriptive study.European journal of pediatrics · 2026Article
- Application of the Supportive Accountability Model in Digital Health Interventions: Scoping Review.Journal of medical Internet research · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveWe applied a Supportive Accountability Model lens to understand how youth view remote human coaching versus automated reminders targeting medication adherence.
methodsWe used thematic analysis to interpret (N = 22) youths' responses to semi-structured interviews after 12 weeks of mobile health intervention.
resultsParticipants reported that both coaching and automated reminders prompted them to take medication, improving their adherence. Participants found coaching helpful because they developed routines and strategies, were motivated to avoid disappointing their coach, and felt their coach cared for them. Automated support could be motivational for some but demanded less engagement. Participants described phone calls as disruptive to their daily lives, but conducive to developing a personal connection with their coach, whereas texts were easier and more flexible. Youth emphasized that individual preferences often differ.
conclusionHuman coaching was viewed as a more potent, engaging adherence intervention than automated reminders, although individual needs and preferences differed. Phone calls may enhance the experience of supportive accountability for adherence, but also pose greater acceptability and usability barriers than texting. PRACTICE IMPLICATIONS: Intervention developers should provide opportunities for youth to make personal connections with human adherence supporters and attend to youth preferences for communication modality.
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