Table 2.
Intervention components | Brief description | Theoretical background |
---|---|---|
Engagement intervention components | ||
Interpersonal style of the Elena+ CA | Interpersonal and empathetic communication in line with coaching literature to increase relational between coach and coachee | Working Alliance, Horvath and Greenberg (130); Establishing and Maintaining Long-Term Human- Computer Relationships, Bickmore et al. (32). |
Tailoring of the Elena+ coaching | Where possible, personalization is offered to tailor the intervention. Examples include the assessment quiz making tailored recommendations, self-selection of coaching topics, being available 24/7 for users between coaching session appointments. In line with coaching literature, individual choice and autonomy are preserved throughout, which also includes only making suggestions in a non-forceful manner. | Self-determination Theory, Ryan and Deci (49); Positive psychology coaching, Passmore and Oades (29) |
Gamification of the Elena+ app | Gamification in the form of winning hearts and badges for demonstration of progress and motivational reinforcement | Serious Games and Gamification for Mental Health, Fleming et al. (52); Gamification for Health Promotion: Edwards et al. (131). |
Framing of usage experience expectations | In line with services marketing, information systems research, and human-computer interaction research, we take inspiration in shaping first encounters through use of onboarding individuals regarding usage expectations and privacy matters. | Role Theory in the Service Encounter (132); The Onboarding Effect (133) Cardoso 2017; Communication Privacy Management Theory, Metzger (134) |
Social media promotion of the Elena+ app | Advertisements and posts are used to promote, recruit and shape perceptions of the Elena+ app to adults 18+. At the time of writing, Facebook is actively used, we also have reserved Twitter, LinkedIn and Instagram accounts. | Using Social Media For Health Research, Arigo et al. (63); Harnessing Social Media for Health Promotion and Behavior Change, Korda and Itani (64) |
Lifestyle intervention components | ||
Psychoeducation | Coaching sessions centered around health literacy information delivered by domain experts and put into an easy to understand format for those of varied health literacy levels. | Health Promotion, Nutbeam and Kickbusch (65), Health Literacy, World Health Organization (135). |
Behavior change activities | Activities from certain coaching traditions as relevant to the domain (e.g. Cognitive Behavioral Therapy, Motivational Interviewing etc.) are used to put health information in context in the coachees life. | The Psychology of Coaching and Mentoring, Passmore et al. (37) |
Planning activities | At the end of a coaching session, individuals are encouraged to set a behavioral intention. This synthesizes information participants may have learnt and by setting an intention, crystalizes it to a concrete next step, helping in the behavioral change process. Additionally, planning activities may be used during sessions with regard to straightforward plans to help implement behavioral intentions. | Health Action Process Approach, Schwarzer (85), Gollwitzer (136). |