{"id":"https://openalex.org/W652516211","doi":null,"title":"Technology and Adherence in EHealth: a Systematic Review","display_name":"Technology and Adherence in EHealth: a Systematic Review","publication_year":2010,"publication_date":"2010-07-08","ids":{"openalex":"https://openalex.org/W652516211","mag":"652516211"},"language":"en","primary_location":{"id":"pmh:oai:ris.utwente.nl:openaire_cris_publications/7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7","pdf_url":null,"source":{"id":"https://openalex.org/S4406922991","display_name":"University of Twente Research Information","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kelders, S M, Kok, R, Ossebaard, H C & van Gemert-Pijnen, J E W C 2011, Technology and adherence in eHealth: a Systematic Review. Enschede.","raw_type":"info:eu-repo/semantics/other"},"volume":null,"type":"other","is_traditional":false,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026570875","display_name":"Saskia M. Kelders","orcid":"https://orcid.org/0000-0001-8949-6871","observed_orcids":["https://orcid.org/0000-0001-8949-6871"]},"institutions":[{"id":"https://openalex.org/I94624287","display_name":"University of Twente","ror":"https://ror.org/006hf6230","country_code":"NL","type":"education","lineage":["https://openalex.org/I94624287"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Saskia M. Kelders","raw_affiliation_strings":["University of Twente, Enschede, Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-8949-6871","affiliations":[{"raw_affiliation_string":"University of Twente, Enschede, Netherlands","institution_ids":["https://openalex.org/I94624287"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Robin N. Kok","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I865915315","display_name":"Vrije Universiteit Amsterdam","ror":"https://ror.org/008xxew50","country_code":"NL","type":"education","lineage":["https://openalex.org/I865915315"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Robin N. Kok","raw_affiliation_strings":["Vrije Universiteit Amsterdam, Amsterdam, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vrije Universiteit Amsterdam, Amsterdam, Netherlands","institution_ids":["https://openalex.org/I865915315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010842777","display_name":"Hans C. Ossebaard","orcid":"https://orcid.org/0000-0001-9537-9655","observed_orcids":["https://orcid.org/0000-0001-9537-9655"]},"institutions":[{"id":"https://openalex.org/I887064364","display_name":"University of Amsterdam","ror":"https://ror.org/04dkp9463","country_code":"NL","type":"education","lineage":["https://openalex.org/I887064364"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Hans C. Ossebaard","raw_affiliation_strings":["University of Amsterdam, Amsterdam, Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-9537-9655","affiliations":[{"raw_affiliation_string":"University of Amsterdam, Amsterdam, Netherlands","institution_ids":["https://openalex.org/I887064364"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069877583","display_name":"Julia E.W.C. van Gemert\u2010Pijnen","orcid":"https://orcid.org/0000-0001-6511-7240","observed_orcids":["https://orcid.org/0000-0001-6511-7240"]},"institutions":[{"id":"https://openalex.org/I94624287","display_name":"University of Twente","ror":"https://ror.org/006hf6230","country_code":"NL","type":"education","lineage":["https://openalex.org/I94624287"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Julia E.W.C. van Gemert\u2010Pijnen","raw_affiliation_strings":["University of Twente, Enschede, Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-6511-7240","affiliations":[{"raw_affiliation_string":"University of Twente, Enschede, Netherlands","institution_ids":["https://openalex.org/I94624287"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.5835000276565552,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.5835000276565552,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.33469998836517334,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.013899999670684338,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/digital-health-interventions","display_name":"digital health interventions","score":0.8169999718666077},{"id":"https://openalex.org/keywords/intervention-adherence","display_name":"intervention adherence","score":0.6570000052452087},{"id":"https://openalex.org/keywords/attrition","display_name":"attrition","score":0.8980000019073486},{"id":"https://openalex.org/keywords/dropout","display_name":"dropout","score":0.777999997138977},{"id":"https://openalex.org/keywords/non-use","display_name":"non-use","score":0.8539999723434448},{"id":"https://openalex.org/keywords/technology-engagement","display_name":"technology engagement","score":0.6690000295639038},{"id":"https://openalex.org/keywords/web-based-intervention","display_name":"online intervention","score":0.7860000133514404},{"id":"https://openalex.org/keywords/psychoeducation","display_name":"psychoeducation","score":0.7379999756813049},{"id":"https://openalex.org/keywords/tailoring","display_name":"tailoring","score":0.9049999713897705},{"id":"https://openalex.org/keywords/modular-structure","display_name":"modular structure","score":0.6359999775886536},{"id":"https://openalex.org/keywords/dose-response-relationship","display_name":"dose-response relationship","score":0.6909999847412109},{"id":"https://openalex.org/keywords/patient-engagement","display_name":"patient engagement","score":0.5920000076293945}],"concepts":[{"id":"https://openalex.org/C2780553607","wikidata":"https://www.wikidata.org/wiki/Q684868","display_name":"Attrition","level":2,"score":0.9723258018493652},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.9614895582199097},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7537267804145813},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.7213492393493652},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.6028386354446411},{"id":"https://openalex.org/C2984949393","wikidata":"https://www.wikidata.org/wiki/Q1260241","display_name":"Drop out","level":2,"score":0.48371484875679016},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.41653797030448914},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3965498208999634},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38214099407196045},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3467143177986145},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.26358550786972046},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.24129453301429749},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19757521152496338},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C4249254","wikidata":"https://www.wikidata.org/wiki/Q3044431","display_name":"Demographic economics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"pmh:oai:ris.utwente.nl:openaire_cris_publications/7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7","pdf_url":null,"source":{"id":"https://openalex.org/S4406922991","display_name":"University of Twente Research Information","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kelders, S M, Kok, R, Ossebaard, H C & van Gemert-Pijnen, J E W C 2011, Technology and adherence in eHealth: a Systematic Review. Enschede.","raw_type":"info:eu-repo/semantics/other"},{"id":"pmh:oai:ris.utwente.nl:openaire_cris_publications/82a0a063-673f-44b2-9363-00c81bc06d57","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/82a0a063-673f-44b2-9363-00c81bc06d57","pdf_url":null,"source":{"id":"https://openalex.org/S4406922991","display_name":"University of Twente Research Information","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kelders, S M, Kok, R N & van Gemert-Pijnen, J E W C 2010, Technology and Adherence in Ehealth: a Systematic Review. Maastricht.","raw_type":"info:eu-repo/semantics/other"},{"id":"pmh:ut:oai:ris.utwente.nl:publications/7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/technology-and-adherence-in-ehealth-a-systematic-review(7ce1fc4d-c2ec-447b-a62f-cbb19a73fff7).html","pdf_url":null,"source":{"id":"https://openalex.org/S4406922991","display_name":"University of Twente Research Information","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/other"},{"id":"pmh:ut:oai:ris.utwente.nl:publications/82a0a063-673f-44b2-9363-00c81bc06d57","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/technology-and-adherence-in-ehealth-a-systematic-review(82a0a063-673f-44b2-9363-00c81bc06d57).html","pdf_url":null,"source":{"id":"https://openalex.org/S4406922991","display_name":"University of Twente Research Information","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/other"},{"id":"mag:652516211","doi":null,"is_oa":false,"landing_page_url":"https://research.utwente.nl/en/publications/technology-and-adherence-in-ehealth-a-systematic-review","pdf_url":null,"source":{"id":"https://openalex.org/S4306420501","display_name":"Medicine 2.0 Conference","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"conference"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Medicine 2.0 Conference","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2145803412","https://openalex.org/W2774320409","https://openalex.org/W2031201873","https://openalex.org/W2061125915","https://openalex.org/W2018974442","https://openalex.org/W2780721024","https://openalex.org/W6923561631","https://openalex.org/W4387146226","https://openalex.org/W4392419867","https://openalex.org/W2065042683"],"abstract_inverted_index":{"Background:":[0],"Although":[1],"research":[2,23,53,80,145,313,466],"has":[3,56,128],"proven":[4],"that":[5,31,173,177,296,311,375],"eHealth":[6,157,179,197,447],"interventions":[7,373,397,405,448],"can":[8],"be":[9,302],"effective,":[10],"one":[11],"of":[12,33,75,96,109,117,133,152,156,200,208,219,260,274,316,322,331,365,371,378,382,460,472,478,485],"the":[13,17,60,73,79,94,102,107,115,120,153,159,174,206,215,220,232,257,275,297,312,323,355,412,415,440,443,481,486],"largest":[14],"pitfalls":[15],"is":[16,36,70,91,106,112,143,158,228,391,417,426,467],"high":[18],"attrition":[19,55,69,90,138,224,247,473],"rates":[20,474],"common":[21],"in":[22,26,49,446,463],"and":[24,88,139,187,217,222,236,248,265,280,305,310,318,342,360,385,419,424,428,449,458,475,483],"practice":[25],"this":[27,238,361],"field.":[28],"Research":[29,127],"proves":[30],"usage":[32,321,459],"an":[34,168,209,434,455],"intervention":[35,121,221,298,357,416],"crucial":[37],"to":[38,163,166,185,229,234,246,301,394,436,454],"benefit":[39],"from":[40],"its":[41],"potential":[42],"effectiveness.":[43],"Furthermore,":[44],"dose-effect":[45],"relationships":[46],"are":[47,66,380,387],"reported":[48],"various":[50],"studies.":[51],"Nevertheless,":[52],"on":[54,196,205,214,223,242,308,320,414,421,480],"only":[57],"recently":[58],"gained":[59],"deserved":[61],"attention":[62],"whereby":[63],"important":[64],"concepts":[65],"defined.":[67],"Drop-out":[68],"defined":[71,92,113],"as":[72,93,114],"percentage":[74,95,116],"respondents":[76,97,118,134],"not":[77,83,100],"following":[78,119],"protocol":[81,122],"(e.g.":[82,123],"filling":[84],"out":[85],"post-test":[86],"questionnaires)":[87],"non-use":[89,423],"who":[98],"have":[99,193,203],"used":[101,303,381,445],"intervention.":[103,169],"Closely":[104],"related":[105],"concept":[108],"adherence,":[110,140],"which":[111,135,332,383],"completing":[124],"all":[125],"modules).":[126],"been":[129,194],"undertaken":[130],"into":[131,146,240,439],"characteristics":[132,176],"might":[136,182],"explain":[137],"but":[141,211],"there":[142],"little":[144],"how":[147,243],"technology":[148,161,244,444,462],"engages":[149],"users.":[150,189],"One":[151],"main":[154],"advantages":[155],"opportunity":[160,435],"offers":[162],"persuade":[164],"people":[165],"use":[167],"It":[170],"seems":[171],"plausible":[172],"same":[175,356],"make":[178],"so":[180],"volatile":[181],"provide":[183],"solutions":[184],"engage":[186],"captivate":[188],"\r\nObjective:":[190],"Many":[191],"studies":[192,202],"conducted":[195,255],"interventions.":[198,368,488],"Most":[199],"these":[201,372],"focused":[204,307],"effectiveness":[207],"intervention,":[210],"include":[212],"information":[213,239,319,413,420,479],"features":[216,379,482],"functions":[218,484],"rates.":[225],"Our":[226],"objective":[227],"systematically":[230],"review":[231,432],"literature":[233,252],"accumulate":[235],"synthesize":[237],"conclusions":[241],"contributes":[245,453],"adherence.\r\nMethods:":[249],"A":[250],"comprehensive":[251],"search":[253,326],"was":[254,299,306],"using":[256,398],"databases":[258,268],"Web":[259],"Knowledge,":[261],"EBSCOHOST,":[262],"Picarta,":[263],"Scopus":[264],"ScienceDirect.":[266],"The":[267,325],"were":[269,290,295,335,351,358],"searched":[270],"for":[271],"a":[272,363,376,407,476],"combination":[273],"constructs":[276],"\u2018web-based\u2019,":[277],"\u2018intervention\u2019,":[278],"\u2018attrition\u2019":[279],"\u2018health\u2019.":[281],"For":[282],"each":[283],"construct,":[284],"several":[285],"(6":[286],"\u2013":[287],"19)":[288],"keywords":[289],"used.":[291],"Important":[292],"inclusion":[293],"criteria":[294],"intended":[300],"repeatedly":[304],"patients":[309],"included":[314],"assessment":[315],"effect":[317],"intervention.\r\nResults:":[324],"yielded":[327,362],"4939":[328],"unique":[329,367],"titles,":[330],"347":[333],"articles":[334,350],"deemed":[336],"initially":[337],"relevant.":[338],"After":[339],"title,":[340],"abstract":[341],"full":[343],"text":[344],"screening":[345],"by":[346,469],"two":[347],"researchers,":[348],"84":[349],"included.":[352],"Articles":[353],"studying":[354],"combined":[359],"total":[364],"53":[366],"First":[369],"analyses":[370],"show":[374],"variety":[377],"(psycho)education":[384],"tailoring":[386],"most":[388],"common.":[389],"Adherence":[390],"usually":[392],"low":[393],"moderate,":[395],"with":[396],"chronological":[399],"modules":[400],"scoring":[401],"more":[402],"positively":[403],"than":[404],"without":[406],"modular":[408],"structure.":[409],"Very":[410],"often,":[411],"insufficient":[418],"drop-out,":[422],"adherence":[425],"scarce":[427],"unclear.\r\nConclusions:":[429],"This":[430],"systematic":[431],"provides":[433],"gain":[437],"insight":[438],"relationship":[441],"between":[442],"attrition.":[450],"Thereby":[451],"it":[452],"emerging":[456],"understanding":[457],"persuasive":[461],"eHealth.":[464],"However,":[465],"hampered":[468],"unclear":[470],"reporting":[471],"lack":[477],"researched":[487],"[]":[489]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}