Published on in Vol 20, No 12 (2018): December

Examining Predictors of Real-World User Engagement with Self-Guided eHealth Interventions: Analysis of Mobile Apps and Websites Using a Novel Dataset

Examining Predictors of Real-World User Engagement with Self-Guided eHealth Interventions: Analysis of Mobile Apps and Websites Using a Novel Dataset

Examining Predictors of Real-World User Engagement with Self-Guided eHealth Interventions: Analysis of Mobile Apps and Websites Using a Novel Dataset

Authors of this article:

Amit Baumel1 Author Orcid Image ;   John M Kane2 Author Orcid Image


  1. Christie G, Shepherd M, Merry S, Hopkins S, Knightly S, Stasiak K. Gamifying CBT to deliver emotional health treatment to young people on smartphones. Internet Interventions 2019;18:100286 View
  2. Baumel A, Torous J, Edan S, Kane J. There is a non-evidence-based app for that: A systematic review and mixed methods analysis of depression- and anxiety-related apps that incorporate unrecognized techniques. Journal of Affective Disorders 2020;273:410 View
  3. Bernecker S, Williams J, Caporale-Berkowitz N, Wasil A, Constantino M. Nonprofessional Peer Support to Improve Mental Health: Randomized Trial of a Scalable Web-Based Peer Counseling Course. Journal of Medical Internet Research 2020;22(9):e17164 View
  4. Siristatidis C, Pouliakis A, Karageorgiou V, Vogiatzi P. Mobile Apps for Helping Patient-Users: Is It Still Far-Fetched?. Sustainability 2019;12(1):106 View
  5. Floryan M, Chow P, Schueller S, Ritterband L. The Model of Gamification Principles for Digital Health Interventions: Evaluation of Validity and Potential Utility. Journal of Medical Internet Research 2020;22(6):e16506 View
  6. Mayer G, Gronewold N, Alvarez S, Bruns B, Hilbel T, Schultz J. Acceptance and Expectations of Medical Experts, Students, and Patients Toward Electronic Mental Health Apps: Cross-Sectional Quantitative and Qualitative Survey Study. JMIR Mental Health 2019;6(11):e14018 View
  7. Apolinário-Hagen J, Hennemann S, Fritsche L, Drüge M, Breil B. Determinant Factors of Public Acceptance of Stress Management Apps: Survey Study. JMIR Mental Health 2019;6(11):e15373 View
  8. Chehade M, Yadav L, Kopansky-Giles D, Merolli M, Palmer E, Jayatilaka A, Slater H. Innovations to improve access to musculoskeletal care. Best Practice & Research Clinical Rheumatology 2020;34(5):101559 View
  9. Tremain H, McEnery C, Fletcher K, Murray G. The Therapeutic Alliance in Digital Mental Health Interventions for Serious Mental Illnesses: Narrative Review. JMIR Mental Health 2020;7(8):e17204 View
  10. Slater H, Stinson J, Jordan J, Chua J, Low B, Lalloo C, Pham Q, Cafazzo J, Briggs A. Evaluation of Digital Technologies Tailored to Support Young People’s Self-Management of Musculoskeletal Pain: Mixed Methods Study. Journal of Medical Internet Research 2020;22(6):e18315 View
  11. Heynsbergh N, O S, Livingston P. Assessment of Data Usage of Cancer e-Interventions (ADUCI) Framework for Health App Use of Cancer Patients and Their Caregivers: Framework Development Study. JMIR Cancer 2020;6(2):e18230 View
  12. Baumel A, Edan S, Kane J. Is there a trial bias impacting user engagement with unguided e-mental health interventions? A systematic comparison of published reports and real-world usage of the same programs. Translational Behavioral Medicine 2019 View
  13. Connolly S, Hogan T, Shimada S, Miller C. Leveraging Implementation Science to Understand Factors Influencing Sustained Use of Mental Health Apps: a Narrative Review. Journal of Technology in Behavioral Science 2021;6(2):184 View
  14. Gomis-Pastor M, Roig E, Mirabet S, T De Pourcq J, Conejo I, Feliu A, Brossa V, Lopez L, Ferrero-Gregori A, Barata A, Mangues M. A Mobile App (mHeart) to Detect Medication Nonadherence in the Heart Transplant Population: Validation Study. JMIR mHealth and uHealth 2020;8(2):e15957 View
  15. Wykes T, Schueller S. Why Reviewing Apps Is Not Enough: Transparency for Trust (T4T) Principles of Responsible Health App Marketplaces. Journal of Medical Internet Research 2019;21(5):e12390 View
  16. Baumel A, Fleming T, Schueller S. Digital Micro Interventions for Behavioral and Mental Health Gains: Core Components and Conceptualization of Digital Micro Intervention Care. Journal of Medical Internet Research 2020;22(10):e20631 View
  17. Bertholet N, Schmutz E, Grazioli V, Faouzi M, McNeely J, Gmel G, Daeppen J, Cunningham J. Smartphone-based secondary prevention intervention for university students with unhealthy alcohol use identified by screening: study protocol of a parallel group randomized controlled trial. Trials 2020;21(1) View
  18. Baumel A, Muench F, Edan S, Kane J. Objective User Engagement With Mental Health Apps: Systematic Search and Panel-Based Usage Analysis. Journal of Medical Internet Research 2019;21(9):e14567 View
  19. Arnold C, Villagonzalo K, Meyer D, Farhall J, Foley F, Kyrios M, Thomas N. Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors. Internet Interventions 2019;18:100266 View
  20. Fleming T, Stasiak K, Moselen E, Hermansson-Webb E, Shepherd M, Lucassen M, Bavin L, Merry S. Revising Computerized Therapy for Wider Appeal Among Adolescents: Youth Perspectives on a Revised Version of SPARX. Frontiers in Psychiatry 2019;10 View
  21. Song X, Hallensleben C, Zhang W, Jiang Z, Shen H, Gobbens R, Kleij R, Chavannes N, Versluis A. The effect of blended self-management interventions on disease burden in chronic obstructive pulmonary disease and asthma patients: A systematic review and meta-analysis (Preprint). Journal of Medical Internet Research 2020 View
  22. Gomis-Pastor M, Mirabet S, Roig E, Lopez L, Brossa V, Galvez-Tugas E, Rodriguez-Murphy E, Feliu A, Ontiveros G, Garcia-Cuyàs F, Salazar A, Mangues M. Interdisciplinary Mobile Health Model to Improve Clinical Care After Heart Transplantation: Implementation Strategy Study. JMIR Cardio 2020;4(1):e19065 View
  23. Bertholet N, Cunningham J. Information technology and addiction science: promises and challenges. Addiction Science & Clinical Practice 2021;16(1) View
  24. Breil B, Dederichs M, Kremer L, Richter D, Angerer P, Apolinário-Hagen J. Bekanntheit und Nutzung von digitalen Gesundheitsangeboten in Deutschland: eine bevölkerungsrepräsentative Querschnittsuntersuchung. Das Gesundheitswesen 2021;83(12):1019 View
  25. Sanatkar S, Baldwin P, Huckvale K, Christensen H, Harvey S. e-Mental Health Program Usage Patterns in Randomized Controlled Trials and in the General Public to Inform External Validity Considerations: Sample Groupings Using Cluster Analyses. Journal of Medical Internet Research 2021;23(3):e18348 View
  26. Shi J, Lo B, Wong H, Hollenberg E, Sanches M, Abi-Jaoudé A, Chaim G, Cleverley K, Henderson J, Johnson A, Levinson A, Pham Q, Robb J, Voineskos A, Wiljer D. Assessing the usability and user engagement of Thought Spot - A digital mental health help-seeking solution for transition-aged youth. Internet Interventions 2021;24:100386 View
  27. Domhardt M, Cuijpers P, Ebert D, Baumeister H. More Light? Opportunities and Pitfalls in Digitalized Psychotherapy Process Research. Frontiers in Psychology 2021;12 View
  28. Tieman J, Lewis V. Benefits of Structured Engagement with Target Audiences of a Health Website: Study Design for a Multi-Case Study. Healthcare 2021;9(5):600 View
  29. Li J, Yu K, Bao X, Liu X, Yao J. Patterns of eHealth Website User Engagement Based on Cross-site Clickstream Data: Correlational Study. Journal of Medical Internet Research 2021;23(8):e29299 View
  30. Chenneville T, Drake H, Gabbidon K, Rodriguez C, Hightow-Weidman L. Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy. Journal of the International Association of Providers of AIDS Care (JIAPAC) 2021;20:232595822110308 View
  31. Domhardt M, Baumeister H. Wirkfaktoren und Veränderungsmechanismen digitaler psychotherapeutischer Interventionen. Psychotherapeut 2021;66(5):414 View
  32. Beatty C, Malik T, Meheli S, Sinha C. Evaluating the Therapeutic Alliance With a Free-Text CBT Conversational Agent (Wysa): A Mixed-Methods Study. Frontiers in Digital Health 2022;4 View
  33. Lo B, Pham Q, Sockalingam S, Wiljer D, Strudwick G. Identifying essential factors that influence user engagement with digital mental health tools in clinical care settings: Protocol for a Delphi study. DIGITAL HEALTH 2022;8:205520762211290 View
  34. Gallagher R, Chow C, Parker H, Neubeck L, Celermajer D, Redfern J, Tofler G, Buckley T, Schumacher T, Hyun K, Boroumand F, Figtree G. The effect of a game-based mobile app ‘MyHeartMate’ to promote lifestyle change in coronary disease patients: a randomized controlled trial. European Heart Journal - Digital Health 2023;4(1):33 View
  35. Hesse B, Kwasnicka D, Ahern D. Emerging digital technologies in cancer treatment, prevention, and control. Translational Behavioral Medicine 2021;11(11):2009 View
  36. Sinha C, Cheng A, Kadaba M. Adherence and Engagement With a Cognitive Behavioral Therapy–Based Conversational Agent (Wysa for Chronic Pain) Among Adults With Chronic Pain: Survival Analysis. JMIR Formative Research 2022;6(5):e37302 View
  37. Kodish T, Schueller S, Lau A. Barriers and strategies to improve digital mental health intervention uptake among college students of color: A modified Delphi study. Journal of Behavioral and Cognitive Therapy 2023;33(1):10 View
  38. Hentati A, Forsell E, Ljótsson B, Kaldo V, Lindefors N, Kraepelien M. The effect of user interface on treatment engagement in a self-guided digital problem-solving intervention: A randomized controlled trial. Internet Interventions 2021;26:100448 View
  39. Kaveladze B, Wasil A, Bunyi J, Ramirez V, Schueller S. User Experience, Engagement, and Popularity in Mental Health Apps: Secondary Analysis of App Analytics and Expert App Reviews. JMIR Human Factors 2022;9(1):e30766 View
  40. Balaskas A, Schueller S, Cox A, Doherty G. Understanding users’ perspectives on mobile apps for anxiety management. Frontiers in Digital Health 2022;4 View
  41. Dulin P, Mertz R, Edwards A, King D. Contrasting a Mobile App With a Conversational Chatbot for Reducing Alcohol Consumption: Randomized Controlled Pilot Trial. JMIR Formative Research 2022;6(5):e33037 View
  42. Bertholet N, Schmutz E, Cunningham J, McNeely J, Gmel G, Daeppen J, Grazioli V. Development of a Secondary Prevention Smartphone App for Students With Unhealthy Alcohol Use: Results From a Qualitative Assessment. JMIR Human Factors 2023;10:e41088 View
  43. Pires I, Denysyuk H, Villasana M, Sá J, Lameski P, Chorbev I, Zdravevski E, Trajkovik V, Morgado J, Garcia N. Mobile 5P-Medicine Approach for Cardiovascular Patients. Sensors 2021;21(21):6986 View
  44. Baumel A. Therapeutic Activities as a Link between Program Usage and Clinical Outcomes in Digital Mental Health Interventions: a Proposed Research Framework. Journal of Technology in Behavioral Science 2022;7(2):234 View
  45. Goldberg S, Baldwin S, Riordan K, Torous J, Dahl C, Davidson R, Hirshberg M. Alliance With an Unguided Smartphone App: Validation of the Digital Working Alliance Inventory. Assessment 2022;29(6):1331 View
  46. García-Estela A, Cantillo J, Angarita-Osorio N, Mur-Milà E, Anmella G, Pérez V, Vieta E, Hidalgo-Mazzei D, Colom F. Real-world Implementation of a Smartphone-Based Psychoeducation Program for Bipolar Disorder: Observational Ecological Study. Journal of Medical Internet Research 2022;24(2):e31565 View
  47. Garcia A, Balasubramanian V, Lee J, Gardner R, Gummidipundi S, Hung G, Ferris T, Cheung L, Granger C, Kowey P, Rumsfeld J, Russo A, Hills M, Talati N, Nag D, Stein J, Tsay D, Desai S, Mahaffey K, Turakhia M, Perez M, Hedlin H, Desai M. Lessons learned in the Apple Heart Study and implications for the data management of future digital clinical trials. Journal of Biopharmaceutical Statistics 2022;32(3):496 View
  48. Garin N, Zarate-Tamames B, Gras-Martin L, Milà R, Crespo-Lessmann A, Curto E, Hernandez M, Mestres C, Plaza V. Clinical Impact of Electronic Monitoring Devices of Inhalers in Adults with Asthma or COPD: A Systematic Review and Meta-Analysis. Pharmaceuticals 2023;16(3):414 View
  49. Olugboyega O, Ilesanmi K, Oseghale G, Aigbavboa C. The link between construction apps’ acceptance and digital attributes of construction professionals: perspectives from digital competence model. Construction Innovation 2022 View
  50. Neher M, Nygårdh A, Broström A, Lundgren J, Johansson P. Perspectives of Policy Makers and Service Users Concerning the Implementation of eHealth in Sweden: Interview Study. Journal of Medical Internet Research 2022;24(1):e28870 View
  51. Ge H, Li L, Zhang D, Ma F. Applications of digital Medicine in oncology: Prospects and challenges. Cancer Innovation 2022;1(4):285 View
  52. Collier A, Hagemann S, Trinidad S, Vigil-Hayes M. Human-to-Computer Interactivity Features Incorporated Into Behavioral Health mHealth Apps: Systematic Search. JMIR Formative Research 2023;7:e44926 View
  53. Perich T, Andriessen K. Predictors of digital technology-based mental health programs in young adults for mental health support. Health Promotion International 2023;38(3) View
  54. Baumel A, Brandes O, Brendryen H, Muench F, Kane J, Saar C. The impact of therapeutic persuasiveness on engagement and outcomes in unguided interventions: A randomized pilot trial of a digital parent training program for child behavior problems. Internet Interventions 2023;34:100680 View
  55. Struik L, Christianson K, Khan S, Sharma R. Strengths and Limitations of Web-Based Cessation Support for Individuals Who Smoke, Dual Use, or Vape: Qualitative Interview Study. JMIR Formative Research 2023;7:e43096 View
  56. Klingenberg M, Elsner A, Pooth J, Hans F, Benning L. The Effect of Therapeutic Adherence on the Effectiveness of a Digital Therapeutic Exercise Program: A Propensity Score Matching Analysis. Healthcare 2023;11(19):2614 View
  57. Terhorst Y, Weilbacher N, Suda C, Simon L, Messner E, Sander L, Baumeister H. Acceptance of smart sensing: a barrier to implementation—results from a randomized controlled trial. Frontiers in Digital Health 2023;5 View
  58. Tieman J, Hudson P, Thomas K, Saward D, Parker D. Who cares for the carers? carerhelp: development and evaluation of an online resource to support the wellbeing of those caring for family members at the end of their life. BMC Palliative Care 2023;22(1) View
  59. Milne-Ives M, Homer S, Andrade J, Meinert E. Potential associations between behavior change techniques and engagement with mobile health apps: a systematic review. Frontiers in Psychology 2023;14 View
  60. Goldberg S, Jiwani Z, Bolt D, Riordan K, Davidson R, Hirshberg M. Evidence for Bidirectional, Cross-Lagged Associations Between Alliance and Psychological Distress in an Unguided Mobile-Health Intervention. Clinical Psychological Science 2023 View
  61. Bertholet N, Schmutz E, Studer J, Adam A, Gmel G, Cunningham J, McNeely J, Daeppen J. Effect of a smartphone intervention as a secondary prevention for use among university students with unhealthy alcohol use: randomised controlled trial. BMJ 2023:e073713 View
  62. Frey A, Baines R, Hunt S, Kent R, Andrews T, Leigh S. Association Between the Characteristics of mHealth Apps and User Input During Development and Testing: Secondary Analysis of App Assessment Data. JMIR mHealth and uHealth 2023;11:e46937 View
  63. Sirohi D, Ng C, Bidargaddi N, Slater H, Parker M, Hull M, O'Hara R. High-Quality eHealth Websites for Information on Endometriosis: Systematic Search. Journal of Medical Internet Research 2024;26:e48243 View
  64. Chen Z, Siegel L, Prutzman Y, Wiseman K. Characterizing perceived usability and its correlation with smoking cessation: An analysis of user assessments of the smoking cessation app quitSTART. Internet Interventions 2024;35:100714 View
  65. Packer T, Austin N, Lehman M, Douglas S, Plow M. Factors influencing how informal caregivers of people with multiple sclerosis access and use a curated intervention website: Analysis from an RCT. DIGITAL HEALTH 2024;10 View
  66. Li W, O’Hara R, Hull L, Slater H, Sirohi D, Parker M, Bidargaddi N. Enabling health information recommendation using crowdsourced refinement in online health information applications: EndoZone informatics study (Preprint). JMIR Human Factors 2023 View
  67. Embaye J, de Wit M, Snoek F. A Self-Guided Web-Based App (MyDiaMate) for Enhancing Mental Health in Adults With Type 1 Diabetes: Insights From a Real-World Study in the Netherlands. JMIR Diabetes 2024;9:e52923 View
  68. Cevasco K, Morrison Brown R, Woldeselassie R, Kaplan S. Patient Engagement with Conversational Agents in Health Applications 2016–2022: A Systematic Review and Meta-Analysis. Journal of Medical Systems 2024;48(1) View

Books/Policy Documents

  1. Ensari I, Elhadad N. Digital Health. View
  2. Areán P, Allred R. Digital Therapeutics for Mental Health and Addiction. View