Investigating message framing to improve adherence to technology-based cognitive interventions.
Open accessAbstract
A cognitive intervention study was conducted with the purpose of exploring methods to improve adherence to a technology-based cognitive intervention and uncover individual differences that predict adherence (N = 120). The study was divided into two phases: Phase 1, in which participants were asked to follow a prescribed schedule of training that involved gamified neuropsychological tests administered via tablet, and Phase 2, in which participants were asked to play as frequently as they wished. Positive- and negative-framed messages about brain health were delivered via the software program, and measures of cognition, technology proficiency, self-efficacy, technology attitudes, and belief in the benefits of cognitive training were collected. Generalized linear mixed-effects models revealed that positive-framed messages encouraged greater adherence over negative-framed messages, but this effect was restricted to Phase 2 of the study in the absence of social pressure. Measures of memory and self-efficacy demonstrated some, but limited, ability to predict individual differences in adherence. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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People with low self-efficacy feel less equipped to face the burden they encounter and are therefore more willing to engage in training they could benefit from compared to people with high levels of self-efficacy.
“Recent evidence (Harrell et al., 2021) supports this view, suggesting that people with low self-efficacy feel less equipped to face the burden they encounter. Therefore, they are more willing to engage in the training they could benefit from compared to people with high levels of self-efficacy.”
From Can We Boost Treatment Adherence to an Online Transdiagnostic Intervention by Adding Self-Enhancement Strategies? Results From a Randomized Controlled Non-inferiority Trial (2021) · cites this paper as Harrell et al., 2021
The Discussion reports that lower self-efficacy was associated with greater adherence during Phase 1. It offers feeling unable to handle day-to-day tasks as a possible explanation, but calls that explanation speculative; it did not establish that people with low self-efficacy generally feel this way or are more willing to train. (LLM, conf=0.85)
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- Authors
- Harrell, E. R., Roque, N. A., Boot, W. R., & Charness, N.
- Venue
- Psychology and Aging
- Published
- 2021-12
- Volume
- 36
- Issue
- 8
- Pages
- 974-982
- ISSN
- 0882-7974 (ISSN-L)
- 1939-1498
- PMC
- PMC8665007
- OpenAlex
- W3197308154
- Cited by
- 24
- References
- 38
- Citations by year
- 2025: 8 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 1 · 2019: 1
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychology and Aging (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (NIA P01 AG017211, T32 AG049676)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- message framing, medication adherence, positive framing, negative framing, self-efficacy, memory, technology proficiency, attitudes toward technology, individual differences, older adults, cognitive training
- MeSH terms
- Aging, Attitude, Cognition, Humans, Technology, Self Efficacy
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