Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project

Aneta Lisowska; Szymon Wilk; Laura Locati; Mimma Rizzo; Lucia Sacchi; Silvana Quaglini; Matteo Terzaghi; Valentina Tibollo; Nehama Lewis; Mor Peleg

doi:10.3233/SHTI250855

Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project

Aneta Lisowska
, Szymon Wilk
, Laura Locati
, Mimma Rizzo
, Lucia Sacchi
, Silvana Quaglini
, Matteo Terzaghi
, Valentina Tibollo
, Nehama Lewis
, Mor Peleg

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

Abstract

Digital Behavior Change Interventions (DBCIs) can support the development of new health behaviors. Evaluating their effectiveness is crucial for improving them and understanding the factors that contribute to their success. Building on the CAncer PAtients Better Life Experience (CAPABLE) project, this study proposes both a conceptual framework mapping the relationships between patient motivation, engagement, and outcomes, and a set of testable hypotheses to evaluate these relationships. The framework and hypotheses are specifically designed for small-scale studies, which we demonstrate through an implementation aimed at supporting cancer patients in maintaining their physical functioning during treatment. We find that acting on patients’ initial motivation through clinician prescriptions increases sustained engagement with DBCIs, and that engaging with a DBCI once a week is sufficient to maintain well-being.

Original language	English
Title of host publication	MEDINFO 2025 - Healthcare Smart x Medicine Deep
Subtitle of host publication	Proceedings of the 20th World Congress on Medical and Health Informatics
Editors	Mowafa S. Househ, Mowafa S. Househ, Zain Ul Abideen Tariq, Mahmood Al-Zubaidi, Uzair Shah, Elaine Huesing
Publisher	IOS Press BV
Pages	327-331
Number of pages	5
ISBN (Electronic)	9781643686080
DOIs	https://doi.org/10.3233/SHTI250855
State	Published - 7 Aug 2025
Event	20th World Congress on Medical and Health Informatics, MEDINFO 2025 - Taipei, Taiwan, Province of China Duration: 9 Aug 2025 → 13 Aug 2025

Publication series

Name	Studies in Health Technology and Informatics
Volume	329
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	20th World Congress on Medical and Health Informatics, MEDINFO 2025
Country/Territory	Taiwan, Province of China
City	Taipei
Period	9/08/25 → 13/08/25

Bibliographical note

Publisher Copyright:
© 2025 The Authors.

Keywords

cancer
digital behavior change interventions
effective engagement
evaluation
well-being

ASJC Scopus subject areas

Biomedical Engineering
Health Informatics
Health Information Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3233/SHTI250855

Cite this

Lisowska, A., Wilk, S., Locati, L., Rizzo, M., Sacchi, L., Quaglini, S., Terzaghi, M., Tibollo, V., Lewis, N., & Peleg, M. (2025). Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project. In M. S. Househ, M. S. Househ, Z. U. A. Tariq, M. Al-Zubaidi, U. Shah, & E. Huesing (Eds.), MEDINFO 2025 - Healthcare Smart x Medicine Deep: Proceedings of the 20th World Congress on Medical and Health Informatics (pp. 327-331). (Studies in Health Technology and Informatics; Vol. 329). IOS Press BV. https://doi.org/10.3233/SHTI250855

Lisowska, Aneta ; Wilk, Szymon ; Locati, Laura et al. / Assessing Effective Engagement with Digital Behavior Change Intervention : The Case Study of the CAPABLE Project. MEDINFO 2025 - Healthcare Smart x Medicine Deep: Proceedings of the 20th World Congress on Medical and Health Informatics. editor / Mowafa S. Househ ; Mowafa S. Househ ; Zain Ul Abideen Tariq ; Mahmood Al-Zubaidi ; Uzair Shah ; Elaine Huesing. IOS Press BV, 2025. pp. 327-331 (Studies in Health Technology and Informatics).

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abstract = "Digital Behavior Change Interventions (DBCIs) can support the development of new health behaviors. Evaluating their effectiveness is crucial for improving them and understanding the factors that contribute to their success. Building on the CAncer PAtients Better Life Experience (CAPABLE) project, this study proposes both a conceptual framework mapping the relationships between patient motivation, engagement, and outcomes, and a set of testable hypotheses to evaluate these relationships. The framework and hypotheses are specifically designed for small-scale studies, which we demonstrate through an implementation aimed at supporting cancer patients in maintaining their physical functioning during treatment. We find that acting on patients{\textquoteright} initial motivation through clinician prescriptions increases sustained engagement with DBCIs, and that engaging with a DBCI once a week is sufficient to maintain well-being.",

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Lisowska, A, Wilk, S, Locati, L, Rizzo, M, Sacchi, L, Quaglini, S, Terzaghi, M, Tibollo, V, Lewis, N & Peleg, M 2025, Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project. in MS Househ, MS Househ, ZUA Tariq, M Al-Zubaidi, U Shah & E Huesing (eds), MEDINFO 2025 - Healthcare Smart x Medicine Deep: Proceedings of the 20th World Congress on Medical and Health Informatics. Studies in Health Technology and Informatics, vol. 329, IOS Press BV, pp. 327-331, 20th World Congress on Medical and Health Informatics, MEDINFO 2025, Taipei, Taiwan, Province of China, 9/08/25. https://doi.org/10.3233/SHTI250855

Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project. / Lisowska, Aneta; Wilk, Szymon; Locati, Laura et al.
MEDINFO 2025 - Healthcare Smart x Medicine Deep: Proceedings of the 20th World Congress on Medical and Health Informatics. ed. / Mowafa S. Househ; Mowafa S. Househ; Zain Ul Abideen Tariq; Mahmood Al-Zubaidi; Uzair Shah; Elaine Huesing. IOS Press BV, 2025. p. 327-331 (Studies in Health Technology and Informatics; Vol. 329).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

TY - GEN

T1 - Assessing Effective Engagement with Digital Behavior Change Intervention

T2 - 20th World Congress on Medical and Health Informatics, MEDINFO 2025

AU - Lisowska, Aneta

AU - Wilk, Szymon

AU - Locati, Laura

AU - Rizzo, Mimma

AU - Sacchi, Lucia

AU - Quaglini, Silvana

AU - Terzaghi, Matteo

AU - Tibollo, Valentina

AU - Lewis, Nehama

AU - Peleg, Mor

PY - 2025/8/7

Y1 - 2025/8/7

N2 - Digital Behavior Change Interventions (DBCIs) can support the development of new health behaviors. Evaluating their effectiveness is crucial for improving them and understanding the factors that contribute to their success. Building on the CAncer PAtients Better Life Experience (CAPABLE) project, this study proposes both a conceptual framework mapping the relationships between patient motivation, engagement, and outcomes, and a set of testable hypotheses to evaluate these relationships. The framework and hypotheses are specifically designed for small-scale studies, which we demonstrate through an implementation aimed at supporting cancer patients in maintaining their physical functioning during treatment. We find that acting on patients’ initial motivation through clinician prescriptions increases sustained engagement with DBCIs, and that engaging with a DBCI once a week is sufficient to maintain well-being.

AB - Digital Behavior Change Interventions (DBCIs) can support the development of new health behaviors. Evaluating their effectiveness is crucial for improving them and understanding the factors that contribute to their success. Building on the CAncer PAtients Better Life Experience (CAPABLE) project, this study proposes both a conceptual framework mapping the relationships between patient motivation, engagement, and outcomes, and a set of testable hypotheses to evaluate these relationships. The framework and hypotheses are specifically designed for small-scale studies, which we demonstrate through an implementation aimed at supporting cancer patients in maintaining their physical functioning during treatment. We find that acting on patients’ initial motivation through clinician prescriptions increases sustained engagement with DBCIs, and that engaging with a DBCI once a week is sufficient to maintain well-being.

KW - cancer

KW - digital behavior change interventions

KW - effective engagement

KW - evaluation

KW - well-being

UR - https://www.scopus.com/pages/publications/105013337104

U2 - 10.3233/SHTI250855

DO - 10.3233/SHTI250855

M3 - Conference contribution

C2 - 40775873

AN - SCOPUS:105013337104

T3 - Studies in Health Technology and Informatics

SP - 327

EP - 331

BT - MEDINFO 2025 - Healthcare Smart x Medicine Deep

A2 - Househ, Mowafa S.

A2 - Tariq, Zain Ul Abideen

A2 - Al-Zubaidi, Mahmood

A2 - Shah, Uzair

A2 - Huesing, Elaine

PB - IOS Press BV

Y2 - 9 August 2025 through 13 August 2025

ER -

Lisowska A, Wilk S, Locati L, Rizzo M, Sacchi L, Quaglini S et al. Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project. In Househ MS, Househ MS, Tariq ZUA, Al-Zubaidi M, Shah U, Huesing E, editors, MEDINFO 2025 - Healthcare Smart x Medicine Deep: Proceedings of the 20th World Congress on Medical and Health Informatics. IOS Press BV. 2025. p. 327-331. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI250855

Assessing Effective Engagement with Digital Behavior Change Intervention: The Case Study of the CAPABLE Project

Abstract

Publication series

Conference

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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