Bridging the Adherence Gap in Internet Interventions: A Randomized Controlled Trial Study Protocol Investigating Context-Specific Self-Efficacy

28 Pages Posted: 16 Jun 2023

See all articles by Ewelina Smoktunowicz

Ewelina Smoktunowicz

SWPS University of Social Sciences and Humanities

Jan Maciejewski

SWPS University of Social Sciences and Humanities

Magdalena Lesnierowska

SWPS University of Social Sciences and Humanities

Per Carlbring

Stockholm University - Department of Psychology

Abstract

Low adherence in self-guided internet interventions is linked to poorer outcomes. Although some predictors of adherence have been identified, few are modifiable for widespread application. One personal variable with the potential to increase adherence in internet interventions is context-specific self-efficacy. This protocol outlines a randomized controlled trial design, divided into two phases. In Phase 1 (students, N = 216), participants will complete a self-efficacy-enhancing exercise, which will be compared to a waitlist control group to test its effectiveness in increasing internet intervention adherence self-efficacy. Phase 2 will be the main two-arm trial, where all participants (medical students, N = 720) will undergo an internet intervention called Med-Stress Student. In the experimental group, this program will be preceded by the self-efficacy-enhancing exercise developed in Phase 1. We anticipate that participants in the experimental group will show higher adherence to the intervention and greater improvement in intervention outcomes (i.e., lower stress and higher work engagement) at posttest, as well as at six-month and one-year follow-ups. If effective, enhancing context-specific self-efficacy could be recommended before any internet intervention as a relatively simple way to boost participants' adherence.

Note:
Clinical Trial Registration Details: Registered at ClinicalTrials.gov (study identifier NCT05881161).

Funding Information: This research was supported by the research grant SUB/IPsy/2019/23 awarded to Ewelina Smoktunowicz

Declaration of Interests: The authors declare no conflict of interests.

Ethical Approval Statement: This study was approved by the departmental Ethical Review Board at SWPS University (02/P/05/2023). This protocol follows the SPIRIT 2013 guidelines

Keywords: adherence, self-guided internet intervention, self-efficacy, stress, work engagement

Suggested Citation

Smoktunowicz, Ewelina and Maciejewski, Jan and Lesnierowska, Magdalena and Carlbring, Per, Bridging the Adherence Gap in Internet Interventions: A Randomized Controlled Trial Study Protocol Investigating Context-Specific Self-Efficacy. Available at SSRN: https://ssrn.com/abstract=4473223 or http://dx.doi.org/10.2139/ssrn.4473223

Ewelina Smoktunowicz (Contact Author)

SWPS University of Social Sciences and Humanities ( email )

ul. Chodakowska 19/31
Warsaw, 03-815
Poland

Jan Maciejewski

SWPS University of Social Sciences and Humanities ( email )

ul. Chodakowska 19/31
Warsaw, 03-815
Poland

Magdalena Lesnierowska

SWPS University of Social Sciences and Humanities ( email )

ul. Chodakowska 19/31
Warsaw, 03-815
Poland

Per Carlbring

Stockholm University - Department of Psychology ( email )

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