{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:55:39Z","timestamp":1783695339656,"version":"3.55.0"},"reference-count":81,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Institute on Aging of the National Institutes of Health"},{"name":"De Tornyay Center for Healthy Aging at University of Washington"},{"name":"Garvey Institute for Brain Health Solutions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Digital health interventions (DHIs) can facilitate positive health outcomes. User engagement (UE) plays an important role in DHI efficacy. Yet, DHIs vary in functionality, design and intended outcomes, underscoring the importance of incremental, user-centred design to understand engagement in specific settings. This study explores the relationship between user engagement and DHI implementation in three design iterations, or rounds, of a unique, multi-week asynchronous intervention that leverages online discussion and problem-solving therapy (PST). The intervention seeks to engage older adults to improve problem solving skills relating to the intervention focus, health aging (two rounds) and Lewy Body Dementias (LBD) caregiving (one round). The PST component drew upon personas, a common user-centered design method, in a novel way. Exit interviews were conducted at the end of each round to understand participants' experiences. Using thematic analysis, we identified factors that contributed to social engagement (\u2018engaging with others\u2019) and learning engagement (\u2018engaging with content\u2019) with the DHI. The findings demonstrate how iterative changes in the design and delivery of a DHI can contribute to user engagement, increasing the likelihood of knowledge acquisition and developing problem-solving skills as part of health self-management.<\/jats:p>","DOI":"10.1093\/iwc\/iwae030","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T12:02:08Z","timestamp":1721649728000},"page":"355-369","source":"Crossref","is-referenced-by-count":7,"title":["User Engagement in an Online Digital Health Intervention to Promote Problem Solving"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-2505","authenticated-orcid":false,"given":"Heather L","family":"O\u2019Brien","sequence":"first","affiliation":[{"name":"University of British Columbia School of Information, , 1961 East Mall, Vancouver, BC , V6T 1Z1","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3070-8336","authenticated-orcid":false,"given":"Annie T","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine Department of Biomedical Informatics and Medical Education, , 850 Republican St., Box 358047, Seattle, WA 98195 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-2655","authenticated-orcid":false,"given":"Jasmine","family":"Kaneshiro","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing, Health Sciences Building Department of Biobehavioral Nursing and Health Informatics, , Box 357260, 1959 NE Pacific Street, Seattle, WA 98195 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6724-9252","authenticated-orcid":false,"given":"Oleg","family":"Zaslavsky","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing, Health Sciences Building Department of Biobehavioral Nursing and Health Informatics, , Box 357260, 1959 NE Pacific Street, Seattle, WA 98195 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,7,22]]},"reference":[{"key":"2024100408351880800_ref1","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1016\/j.avb.2014.04.013","article-title":"School-based cognitive-behavioral interventions in the treatment of aggression in the United States: a meta-analysis","volume":"19","author":"Barnes","year":"2014","journal-title":"Aggress. 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