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Feasibility of delivering a digital multiple health behaviour intervention via a home-telemonitoring system: engagement, outcomes, and user experiences
RISE Research Institutes of Sweden, Bioeconomy and Health, Food Research and Innovation. Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden; Department of Food Research & Innovation, RISE Research Institutes of Sweden, Stockholm, Sweden.ORCID iD: 0000-0002-4730-6328
Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, 581 83, Sweden.
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2026 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 19, no 1Article in journal (Refereed) Published
Abstract [en]

Objective: Finding novels ways to deliver digital health behaviour interventions could increase their reach and impact. The aim of this study was to evaluate the feasibility of using a home-telemonitoring system (offered to eligible patients by regional authorities in Sweden for symptom- and health marker monitoring) as a novel dissemination opportunity. The intervention has been previously found effective at changing health behaviours in a general online help-seeking population. In the present study, participants were not randomised: all had access to the intervention (pre-post analyses). Results: Among 416 patients offered the digital intervention, 12.0% (n = 50) signed up, 58.0% (n = 29) of whom completed the 16-week follow-up. After 16-weeks of intervention access, participants reported increased fruit and vegetable intake (median = + 95.4 g/day) and decreased candy consumption (median= -58.4 g/week), but little change in alcohol consumption or physical activity. Changes were non-linear throughout the study, with the largest changes observed at the beginning and after 8-week follow-up. Participants were generally satisfied with the support, though concerns of personal relevance, disproportionate personal responsibility, low content specificity, and frustration with repetitive reminders were noted. With intervention tailoring to the population and delivery system, home-telemonitoring systems could offer a way to increase proactive intervention reach beyond individuals already seeking help

Place, publisher, year, edition, pages
Springer Nature , 2026. Vol. 19, no 1
Keywords [en]
Behaviour change, Digital intervention, Dissemination method, Lifestyle, Public health
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:ri:diva-81967DOI: 10.1186/s13104-026-07915-2PubMedID: 42410619Scopus ID: 2-s2.0-105044010315OAI: oai:DiVA.org:ri-81967DiVA, id: diva2:2087312
Note

Funding text: Open access funding provided by Link\u00F6ping University. This study was funded by the Swedish Research Council for Health, Working Life and Welfare (Grant number 2018 \u2212 01410; PI: Prof. Marie L\u00F6f). The study was also conducted under the auspices of grants from the Swedish Cancer Society (Cancerfonden, 20 0883 Pj, 23 2888 Pj, PI: Dr. Marcus Bendtsen). The funders had no role in the study planning, design, execution, analysis, or presentation of findings.

Funding details: Linköpings Universitet, LiU; Cancerfonden; Forskningsrådet för hälsa, arbetsliv och välfärd, FORTE, (2018 − 01410)

Available from: 2026-07-20 Created: 2026-07-20 Last updated: 2026-07-20Bibliographically approved

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Collier, Elizabeth S

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