ArticleFrontiers in psychology2025
Between regulatory functions and emotional burden: balancing engagement in digital health interventions for self-care in chronic illness.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Advancing foundational models in digital health technology adoption: A systematic literature review of multidisciplinary factors.PLOS digital health · 2026Article
- Translating Patient-Professional Divergence into Care-Improvement Priorities in Pelvic Floor Rehabilitation: A Delphi-Dialogue Study.Healthcare (Basel, Switzerland) · 2026Article
- The relationship between trait mindfulness and psychotic-like experiences in a brief AI-generated music listening context: the roles of presence, perceived interactivity, and emotional arousal.Frontiers in psychiatry · 2026Article
- A process model of psychological acceptance in technology-based service innovation: a symbolic interactionism perspective.Frontiers in psychology · 2026Article
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Authors and funding
7 authors.
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Abstract
Introduction: Digital Health Interventions (DHIs) are increasingly used to support self-care in chronic illness. The clinical utility of these technologies for health is well established, but there is limited understanding of psychological and emotional processes that sustain long-term engagement with these technologies. This qualitative study investigates how individuals with hypertension experience and attribute meaning to their engagement with digital self-monitoring tools. Methods: McCarron's engagement model-specifically the "retain" phase-and Braun and Clarke's reflexive thematic analysis were used to analyze 35 semi-structured interviews with adults who used ICT-enabled blood pressure monitors and smart scales. Results: In the retain phase, engagement in DHIs is characterized by 3 main themes: (1) Reassurance and Sense of Control Over Health Status through Digital Tools; (2) Engaged but Ambivalent and Anxious: The Emotional Cost of Monitoring; (3) Connected Through Data as Numbers Redefine the Therapeutic Dialog. Discussion: From the results we identified five psychological functions of engagement with digital monitoring tools, each showing both functional and non-functional or ambivalent expression. Engagement with DHIs cannot be reduced to simple observable behavior, but must be understood as a dynamic, iterative and situated process, supported by the regulatory functions in the context of self-care. Clinicians, psychologists, and designers are therefore called upon to recognize and value the psychological functions implicit in DHIs in order to promote truly sustainable, meaningful, and person-centered care practices and engagement.
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