Engagement and Adherence With ezPARENT, an mHealth Parent-Training Program Promoting Child Well-Being

Mobile health (mHealth) interventions use mobile technology (tablets and smartphones) delivery platforms for interventions to improve health outcomes. Despite growing acceptance, there is little understanding of how consumers engage with and adhere to mHealth interventions. This study analyzes usage...

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Bibliographic Details
Published in:Child maltreatment 2017-11, Vol.22 (4), p.295-304
Main Authors: Breitenstein, Susan M., Brager, Jenna, Ocampo, Edith V., Fogg, Louis
Format: Article
Language:English
Subjects:
Adherence
Adolescent
Adult
Child Health
Child, Preschool
Children
Clinical research
Clinical trials
Consumers
Education, Nonprofessional - methods
Efficacy
Health problems
Health promotion
Health status
Humans
Intervention
Medical technology
Middle Aged
Parent training
Parent-child relations
Parenthood education
Parents
Parents & parenting
Patient Compliance
Smartphone
Smartphones
Technology
Telemedicine
Telemedicine - methods
Telemedicine - utilization
Uptake
Visits
Well being
Young Adult
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Summary:Mobile health (mHealth) interventions use mobile technology (tablets and smartphones) delivery platforms for interventions to improve health outcomes. Despite growing acceptance, there is little understanding of how consumers engage with and adhere to mHealth interventions. This study analyzes usage data from the intervention arm (n = 42) of a randomized clinical trial testing the efficacy of the ezPARENT program and provides recommendations for using engagement and adherence metrics. Engagement was measured by parent usage (duration, frequency, and activity) of ezPARENT and adherence using an adherence index (the sum of individual modules completed, number of visits to ezPARENT, and maximum time between visits). Parents spent M = 37.15 min per module and had M = 13.55 program visits in the 3-month intervention period. Parents visited the program over a period of M = 69.5 days and completed 82% of the modules. These data provide support that parents will use intervention programs delivered digitally; engagement and adherence metrics are useful in evaluating program uptake.
ISSN:1077-5595
1552-6119
DOI:10.1177/1077559517725402