Application of the Supportive Accountability Model in Digital Health Interventions: Scoping Review.

ABSTRACT:

Background

Digital health interventions (DHIs) harness technological innovation to address challenges in the accessibility and scalability of health care. However, the effectiveness of DHIs is challenged by low user engagement and adherence, as users tend to drop out over time. The supportive accountability model (SAM) is a theoretical framework designed to enhance adherence to DHIs by incorporating structured human support.

Objective

Guided by SAM, this scoping review answers the following research questions: (1) What is the extent of research on human support factors and their influence on engagement with and adherence to DHIs? and (2) What is the extent of research applying SAM (ie, accountability, bond, and legitimacy) to improve engagement with and adherence to DHIs?

SUBMITTER: Kwok G 

PROVIDER: S-EPMC12514419 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature