Meaningful engagement: A crossfunctional framework for digital therapeutics.
Meaningful engagement: A crossfunctional framework for digital therapeutics.
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DOI：
10.3389/fdgth.2022.890081
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发表时间：
2022
影响因子：
--
通讯作者：
Lake, Jessica I.
中科院分区：
文献类型：
--
作者：
Strauss, Gabriel;Flannery, Jessica E.;Vierra, Elise;Koepsell, Xin;Berglund, Emily;Miller, Ian;Lake, Jessica I.
数字心理健康干预措施或数字疗法有可能改变心理健康领域。它们提供了增加可及性、减少耻辱感以及融入患者日常生活的机会。然而，随着这一新兴领域的不断扩大，人们越来越关注用户对这些技术的参与程度和类型。与许多优化用户体验以最大化用户在产品上花费的时间的传统技术产品不同，如果用户没有体验到临床结果的改善，那么数字治疗中的这种参与是不够的。事实上，数字疗法的主要挑战是用户参与度。我们认为，只有当用户充分参与数字疗法时，并且只有当用户有意义地与产品互动时，数字疗法才有效。因此，我们提出了一个四步框架来评估数字治疗中的有意义的参与：(1) 定义价值衡量标准 (2) 为数字治疗实施有意义的参与 (3) 实施解决方案以增加有意义的参与 (4) 迭代评估解决方案对有意义的参与和临床结果的影响。我们针对与每个步骤相关的常见挑战提供建议。我们特别强调采用跨职能方法来评估有意义的参与，并在整个过程中使用以青少年为中心的示例，以进一步强调人们应该根据目标用户考虑的发展考虑因素。
Digital mental health interventions, or digital therapeutics, have the potential to transform the field of mental health. They provide the opportunity for increased accessibility, reduced stigma, and daily integration with patient's lives. However, as the burgeoning field continues to expand, there is a growing concern regarding the level and type of engagement users have with these technologies. Unlike many traditional technology products that have optimized their user experience to maximize the amount of time users spend within the product, such engagement within a digital therapeutic is not sufficient if users are not experiencing an improvement in clinical outcomes. In fact, a primary challenge within digital therapeutics is user engagement. Digital therapeutics are only effective if users sufficiently engage with them and, we argue, only if users meaningfully engage with the product. Therefore, we propose a 4-step framework to assess meaningful engagement within digital therapeutics: (1) Define the measure of value (2) Operationalize meaningful engagement for your digital therapeutic (3) Implement solutions to increase meaningful engagement (4) Iteratively evaluate the solution's impact on meaningful engagement and clinical outcomes. We provide recommendations to the common challenges associated with each step. We specifically emphasize a cross-functional approach to assessing meaningful engagement and use an adolescent-focused example throughout to further highlight developmental considerations one should consider depending on their target users.
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