Jesuthasan Jehanita, Low Megan, Ong Tiffanie
Naluri Hidup Sdn Bhd, Kuala Lumpur, Malaysia.
Front Digit Health. 2022 Apr 27;4:846375. doi: 10.3389/fdgth.2022.846375. eCollection 2022.
Digital healthcare has grown in popularity in recent years as a scalable solution to address increasing rates of mental illness among employees, but its clinical potential is limited by low engagement and adherence, particularly in open access interventions. Personalized guidance, involving structuring an intervention and tailoring it to the user to increase accountability and social support, is one way to increase engagement with digital health programs. This exploratory retrospective study therefore sought to examine the impact of guidance in the form of personalized prompts from a lay-person (i.e., non-health professional) on user's ( = 88) engagement with a 16-week Behavioral Intervention Technology targeting employee mental health and delivered through a mobile application. Chi-squared tests and Mann-Whitney tests were used to examine differences in retention and engagement between individuals who received personalized prompts throughout their 4-month program and individuals for whom personalized prompts were introduced in the seventh week of their program. There were no significant differences between the groups in the number of weeks they remained active in the app (personalized messages group = 3.5, = 3; control group = 2.5, = 4.5; = 0.472). In the first 3 weeks of the intervention program, the proportion of individuals who explored the educational modules feature and the messaging with health coaches feature was also not significantly associated with group ( = 1.000). The number of modules completed and number of messages sent to health coaches in the first 3 weeks did not differ significantly between the two groups ( ≥ 0.311). These results suggest that guidance from a non-health professional is limited in its ability to increase engagement with an open access Behavioral Intervention Technology for employees. Moreover, the findings suggest that the formation of a relationship between the individual and the agent providing the guidance may be necessary in order for personalized guidance to increase engagement.
近年来，数字医疗作为一种可扩展的解决方案，在应对员工心理疾病发病率上升问题方面越来越受欢迎，但其临床潜力受到参与度和依从性低的限制，尤其是在开放获取干预措施中。个性化指导，包括构建干预措施并根据用户情况进行调整以提高责任感和社会支持，是增加对数字健康计划参与度的一种方法。因此，这项探索性回顾性研究旨在检验来自非专业人士（即非健康专业人员）的个性化提示形式的指导对88名用户参与一项为期16周、针对员工心理健康并通过移动应用程序提供的行为干预技术的影响。卡方检验和曼-惠特尼检验用于检验在整个4个月项目中收到个性化提示的个体与在项目第七周引入个性化提示的个体之间在留存率和参与度上的差异。两组在应用程序中保持活跃的周数没有显著差异（个性化消息组平均为3.5周，标准差为3；对照组平均为2.5周，标准差为4.5；p = 0.472）。在干预项目的前3周，探索教育模块功能和与健康教练交流功能的个体比例也与组别没有显著关联（p = 1.000）。两组在前3周完成的模块数量和发送给健康教练的消息数量没有显著差异（p≥0.311）。这些结果表明，非健康专业人员的指导在提高员工对开放获取行为干预技术的参与度方面能力有限。此外，研究结果表明，为了使个性化指导提高参与度，个体与提供指导的主体之间建立关系可能是必要的。
