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. 2021 Dec 20;8(12):e30000. doi: 10.2196/30000

Table 2.

Overview of observational and process data studies (n=8).

Study Number of
participants
Intervention (duration) Engagement strategy in
intervention design
Recommended engagement strategy (author conclusion based on engagement rate)
Clarke et al, 2016 [18] 90 Assessment of users’ self-reported symptoms followed by 24×7 access to a personalized intervention that includes real-time self-monitoring of moods and interactive psychotherapeutic modules (7 weeks) 1. Reminders to facilitate self-monitoring by SMS text messaging or email as scheduled by the user; 2. Graphical feedback about self-monitoring 1. Personalized feedback incorporating program content; 2. Alerts and reminders; 3. Flexibility in agenda and use
Zarski et al, 2016 [20] 395 A total of 7 modules composed of psychoeducation and exercises for every module (4-7 weeks) CGa: Received intervention; IGb1: Personalized written feedback from e-coach on the completed exercises and reminder by e-coach once in 7 days (content-focused guidance); IG2: Personalized feedback and adherence monitoring on demand of participants (adherence-focused guidance) Content-focused guidance
Chou et al, 2017 [21] c Gamified challenges in browser-based community forum; players can invite other players to browser-based community to form allies (4 weeks) 1. Gaming language; 2. Social forum; 3. Bright graphics NRd
Dryman et al, 2017 [22] 3439 A total of 5 modules: learning through psychoeducation, core skill development by cognitive restructuring, 2 exposure modules, and final graduation module (12 weeks) 1. Coaches paired with users to provide feedback and support through weekly calls; 2. Coach-initiated and automated emails to encourage participation and progress Guidance and support through coaching
Bakker et al, 2018 [24] 44 Assessment of user inputs on distress, followed by daily coping activities or games
(30 days)
1. Games designed with real-time coping strategies; 2. Rewards for daily completed games; 3. Push notifications of incomplete games; 4. Bright graphics NR
Morrison et al, 2018 [25] 543 Tools to improve awareness of participants’ thoughts or behaviors and support change in thinking patterns and behaviors (NR) IG1: web based; IG2: mobile app; 1. Simple and reduced content; 2. Easy accessibility; 3. Push notifications for incomplete tool IG2: 1. Simple and reduced content; 2. Easy accessibility; 3. Push notifications for incomplete tool
Song et al, 2018 [26] 3076 Self-help tools and a secure account with access to additional resources and links (NR) NR Personal email invitations to visit the site
Carter et al, 2019 [28] 5 Daily task, user-specific feedback, informational resources, self-assessment page, journal page (NR) 1. Self-monitoring tools for stress; 2. Goal setting with daily task; 3. User-specific feedback on stress level; 4. Reminders and progress summary Task with user-specific feedback and self-monitoring

aCG: control group.

bIG: intervention group.

cNot available.

cNR: not reported.