Theoretical Perspectives of Adherence to Web-Based Interventions: a Scoping Review
Abstract
Purpose The purpose of this paper is to review the literature as this relates to theoretical perspectives of adherence to web-based interventions, drawing upon empirical evidence from the fields of psychology, business, information technology and health care.Methods A scoping review of the literature utilising principles outlined by Arksey and O'Malley was undertaken.Results Several relevant theoretical perspectives have emerged, eight of which are charted and discussed in this review. These are the Internet Intervention Model, Persuasive Systems Design, the 'PERMA' framework, the Support Accountability Model, the Model of User Engagement, the Technology Acceptance Model, the Unified Theory of Acceptance and Use of IT and the Conceptual Model of User Engagement.Conclusions The findings of the review indicate that an interdisciplinary approach, incorporating a range of technological, environmental and individual factors, may be needed in order to comprehensively explain user adherence to web-based interventions.
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Dropout is a common issue in internet-based treatments.
“dropout was substantial and is a common issue in internet-based treatments (Ryan et al., 2018).”
From Guided internet-based cognitive-behavioral therapy for patients with chronic pain: A meta-analytic review (2022) · cites this paper as Ryan et al., 2018
Adherence is a multidimensional concept, influenced by a range of technological, environmental, and individual factors altogether that cannot be evaluated by technology usage alone.
“the results of a recent literature review of theoretical perspectives on adherence showed that adherence is a multidimensional concept, influenced by a range of technological, environmental, and individual factors altogether that cannot be evaluated by technology usage alone [8,84].”
From Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence (2017) · cites this paper as [84]
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- Authors
- Ryan, C., Bergin, M., & Wells, J. S.
- Affiliations
- Waterford Institute of Technology (IE)
- Corresponding author
- Ryan, Cathal
- Venue
- International Journal of Behavioral Medicine
- Published
- 2017-07-20
- Volume
- 25
- Issue
- 1
- Pages
- 17-29
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W2739395822
- Cited by
- 86
- References
- 86
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 11 · 2021: 18 · 2020: 15 · 2019: 5 · 2018: 7 · 2017: 3
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Keywords
- online intervention, adherence, theoretical approaches, persuasive system design, PERMA model, technology acceptance model, Unified Theory of Acceptance and Use of Technology, user engagement, e-health
- MeSH terms
- Computer-Assisted Instruction, Humans, Patient Compliance, Patient Education as Topic, Health Behavior, Guideline Adherence, Internet, Information Dissemination
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