Intervention Functionality

The ability of digital health to work as expected to help users meet their health goals and needs. It refers to intervention goals, theoretical background, social support, intervention structure and performed quality.

For example, DHIs with multiple behavioral change techniques appeared to be more effective and reported higher patient satisfaction.

What are positive, negative, and double-edged factors?

These categories were classified into positive, negative, and double-edged factors based on their positive, negative, and diverse impacts on digital PEx. 

  • Positive Factors describe the advantageous or beneficial attributes

  • Negative Factors describe the disadvantages or detrimental attributes.

  • Double-Edged Factors describe attributes that have both beneficial and harmful sides.

Intervention Goals

POSITIVE

  • Individualized or timely feedback

  • Remotely consultation with HCPs

    Provide sufficient health information

NEGATIVE

  • Be forced to share data with HCPs, which is undesired by patient

  • Under long-term video-based monitoring

DOUBLE-EDGED

  • Remote data monitoring

  • Self-management support

  • Health information provision and patient education

  • Shared decision-making

___________


Social support

POSITIVE

  • Interact with a real human being

  • Regular and continuous patient-to-physician interaction

  • Connect with peers

  • Exchange health information and advice with family and friends

NEGATIVE

  • Replace interpersonal connections with HCPs

  • Lack of physical human contact with HCPs

  • Unable to contact HCPs directly or obtain timely feedback

DOUBLE-EDGED

  • Remote connection

___________


Performed Quality

POSITIVE

  • Reliability and credibility (eg, owner’s credibility, maintenance, third party verification, research support, involvement of clinical experts in the design process, and empirical evidence for successful implementation)

  • Regulation compliance

  • Flexibility

NEGATIVE

  • Less accuracy of clinical assessments

  • Lack of availability and accessibility

  • Lack of safety and privacy (eg, incorrect intervention dosage and the absence of privacy notifications)

  • Without well-defined or safely standardized clinical indicators

___________


Intervention Structure

POSITIVE

  • A structured format or regular weekly contact with HCPs

  • Longer duration

  • Flexible interventions

NEGATIVE

  • Structured interventions not tailored to patients’ individual symptoms and preferences

  • Structured interventions that constantly remind patients of their symptoms

DOUBLE-EDGED

  • The intensity, frequency or duration of interventions

  • Prefixed interventions

___________


Theoretical Background

POSITIVE

  • Presence of multiple underlying theories (BCTsd, EBIse, and persuasive technology)