Digital health interventions: How might we measure “meaningful engagement”?

How might we measure “meaningful engagement”? Is a lack of usage of a #digitalhealth intervention a sign of disengaging or a lesson learned? This week's Digi-Hub blog post by @kathleen_ryan33 @UCC on designing for "meaningful engagement" https://t.co/TdNvDuMmUr pic.twitter.com/Zmx0MNlgAt

— UCL Behaviour Change (@UCLBehaveChange) April 20, 2018

I admit I am struggling to stop blogging, even as the pull of Drupal and a new site will (must) win-out. The above tweet prompts these thoughts ...

A key point from Kathleen Ryan's blog post reads:

"The design process* needs to be reflective..."

I wholeheartedly agree - it is the way that we reflect to achieve a socio-technical synergy that counts. Even with the socio-technical bases covered there are other factors too:

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Person-related issues (e.g. their beliefs, cognitions and values). What 'x' means to me. "... attention, interest and how the person feels and thinks about the intervention (where more attention / affect / enjoyment = more engagement)." Patient (Person?) Activation measures? Yes - 'person-centredness' is 'up-here' according to the axes of the model, BUT we must take into account the social and political milieu of the individual concerned. *design purposes subjective

diseases Technology-related issues "No matter how well-crafted and evidence-based the intervention, active ingredients proven to effect health behaviour change simply cannot work if the technological components that house them are not accessed by participants. As such, lack of adequate engagement with DHIs poses a barrier to evaluating the effectiveness of these interventions." *design process ‘Law of Attrition’ Usage metrics: statistics, logs, frequency, totals e-health and m-health objective

prevention & treatment of - 'lifestyle diseases' social incentives socialisation 'health seeking behaviour' Health literacy  "human contacts can allow for “supportive accountability” via remotely delivered prompts, social support and encouragement." *design practices

National use of 'Patient activation'? (Forms of profiling) Incentives - health policy Nudge - behaviour change? Health insurance/credits HEALTH meaning within? SYSTEMS  paternalistic--'degrees of freedom'?--autonomy ADVERTISING 'The Market' *design policy

Perhaps, future measures need to simultaneously combine analysis AND synthesis - the subjective AND objective... a job for AI ..?

Thanks to Kathleen Ryan
https://twitter.com/kathleen_ryan33

Ack. This week learned of 'Patient activation' attending a Best Practice Meeting.

 *The 4Ps within Hodges' model. 

What is meant by 'universal' design?

Yes, there is an ironic element to this post and recent others in respect of 'meaningful engagement' and 'the meaning of evidence'? Do people recognise 'evidence'?