Determinants of the Uptake and Frequency of Use of a Web Portal Digital Health Intervention in Patients With Type 2 Diabetes and/or Coronary Heart Disease: Secondary Analysis of a Randomized Controlled Trial
This study is innovative in jointly examining determinants of the uptake and frequency of use of the same DHI within a single context and sample. By demonstrating that factors driving uptake do not necessarily increase the frequency of use, it advances existing research. The study contributes to a more differentiated understanding of DHI use and shows that distinct strategies are required to promote adoption versus sustained engagement. Applying this approach to other DHIs and settings may support more targeted and equitable digital health implementation in real-world contexts, thereby optimizing digital health deployment strategies overall.
Authors
- Bianca Biallas (ORCID: https://orcid.org/0000-0002-3026-5857)
- Lucas Küppers
- Friederike Frank (ORCID: https://orcid.org/0009-0007-3404-3112)
- Larisa Pilic (ORCID: https://orcid.org/0000-0001-6410-1642)
- Maximilian Scholl (ORCID: https://orcid.org/0009-0009-1180-2416)
- Chloé Chermette (ORCID: https://orcid.org/0000-0002-5999-0868)
- Lisa Giesen
- Claas Lendt (ORCID: https://orcid.org/0000-0003-4299-4739)
- Angeli Gawlik (ORCID: https://orcid.org/0000-0001-5493-6785)
- Uwe Konerding (ORCID: https://orcid.org/0000-0002-6993-5977)
- Katja Brenk-Franz (ORCID: https://orcid.org/0000-0002-7664-8087)
- Lara Schneider
- Frank Vitinius
- Martina Heßbrügge
- Sebastian Appelbaum (ORCID: https://orcid.org/0000-0002-4674-2486)
- Stefan Wilm
- Marcus Redaèlli
Institutions
- University of Bonn (DE)
- German Sport University Cologne (DE)
- Witten/Herdecke University (DE)
- University of Cologne (DE)
- Robert Bosch Hospital (DE)
- Düsseldorf University Hospital (DE)
- Jena University Hospital (DE)
- University Hospital Cologne (DE)
- Heinrich Heine University Düsseldorf (DE)
- University of Regensburg (DE)
- University of Duisburg-Essen (DE)
- RWTH Aachen University (DE)
- University of Bamberg (DE)
Publication Details
- Journal
- Journal of Medical Internet Research
- Published
- 2026-02-14
- DOI
- https://doi.org/10.2196/80895
- Primary Topic
- Mobile Health and mHealth Applications
- Type
- article
- Field-Weighted Citation Impact
- 0.00