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The peril of self-reported adherence in digital interventions: A brief example
Jayde A M Flett1,2, Benjamin D Fletcher1, Benjamin C Riordan1
1Department of Psychology, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand.
Internet Interventions
|January 1, 2020
Summary
Self-reported adherence to digital mindfulness programs is often inflated compared to objective data. This discrepancy can lead to inaccurate conclusions about intervention effectiveness, highlighting the need for objective adherence measures.
Area of Science:
- Digital health interventions
- Psychological interventions
- Mindfulness meditation
Background:
- Adherence is crucial for intervention success.
- Discrepancies exist between self-reported and objective adherence measures.
- Digital interventions require reliable adherence assessment.
Purpose of the Study:
- To analyze discrepancies between self-reported and objective adherence in a digital mindfulness meditation trial.
- To investigate the impact of adherence measurement on intervention effectiveness conclusions.
- To assess the reliability of self-reported adherence in digital health studies.
Main Methods:
- Randomized controlled trial involving 174 university students.
- Comparison of app-based/email-based mindfulness programs versus an app-based attention control.
- Collection of self-reported adherence and mental health data.
- Acquisition of objective adherence data from digital program providers.
Main Results:
- Evidence of inflated self-reported adherence in the app-based intervention group.
- Inflation was not attributed to social desirability bias.
- Different conclusions regarding intervention effectiveness were drawn based on adherence data type.
Conclusions:
- Self-reported adherence can be unreliable for digital interventions.
- Objective adherence data are essential for accurate assessment of digital intervention effectiveness.
- Relying solely on self-reported adherence may be perilous in digital health research.
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