Sustaining Health Behaviors Through Empowerment: A Deductive Theoretical Model of Behavior Change Based on Information and Communication Technology (ICT)

  • Ala AlluhaidanEmail author
  • Samir ChatterjeeEmail author
  • David DrewEmail author
  • Agnis StibeEmail author
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10809)


Theoretical and practical advances have been made within healthcare informatics. Yet, mainstream research has primarily focused on signs and consequences without consideration to causal factors. Likewise, there is an increase demand for better self-management interventions. This demand resulted from the growing elderly populations with chronic conditions that fail to adhere to self-care routine. Still, most of the Healthcare Informatics interventions have achieved short-term success; while the goal is to engage population towards long-term behavior change. This research aims to shed light on the topic of Information and Communication Technology (ICT) empowerment by building and testing a theoretical-model for building intentions to sustain a healthy behavior. With a trial of 174 responses, we found positive results and a promising approach for Empowerment based on this model.


Empowerment Information and Communication Technology (ICT) Health behavior change Persuasive wellbeing 


  1. 1.
    Gains in managing chronic disease – remote patient monitoring. Telushealth, April 2014. Accessed 17 Jan 2016
  2. 2.
    Center for Disease Control and Prevention: Heart failure fact sheet (2012).
  3. 3.
    Alluhaidan, A., Lee, E., Alnosayan, N., Chatterjee, S., Houston-Feenstra, L., Dysinger, W., Kagoda, M.: Designing patient-centered mHealth technology intervention to reduce hospital readmission for heart-failure patients. In: 2015 48th Hawaii International Conference on System Sciences (HICSS), pp. 2886–2895. IEEE (2015).
  4. 4.
    Gómez-Miñambres, J.: Motivation through goal setting. J. Econ. Psychol. 33(6), 1223–1239 (2012)CrossRefGoogle Scholar
  5. 5.
    Martire, L.M., Franks, M.M.: The role of social networks in adult health: introduction to the special issue. Health Psychol. 33, 501–504 (2014)CrossRefGoogle Scholar
  6. 6.
    Holloway, A., Watson, H.E.: Role of self-efficacy and behaviour change. Int. J. Nurs. Pract. 8(2), 106–115 (2002)CrossRefGoogle Scholar
  7. 7.
    Lofstrom, J.: Chronic disease and social networks., 3 December 2012 Accessed 25 Nov 2015
  8. 8.
    Patrick, K., Raab, F., Adams, M.A., Dillon, L., Zabinski, M., Rock, C.L., Griswold, W.G., Norman, G.J.: A text message–based intervention for weight loss: randomized controlled trial. J. Med. Internet Res. 11(1) (2009). Scholar
  9. 9.
    Valaitis, R.K.: Computers and the internet: tools for youth empowerment. J. Med. Internet Res. 7(5), e51 (2005)CrossRefGoogle Scholar
  10. 10.
    Wentzer, H.S., Bygholm, A.: Narratives of empowerment and compliance: studies of communi-cation in online patient support groups. Int. J. Med. Inform. 82(12), e386–e394 (2013)CrossRefGoogle Scholar
  11. 11.
    Salovey, P., Rothman, A.J.: Social Psychology of Health: Key Readings. Psychology press, Abingdon (2003)Google Scholar
  12. 12.
    Kelders, S.M., Kok, R.N., Ossebaard, H.C., Van Gemert-Pijnen, J.E.: Persuasive system design does matter: a systematic review of adherence to web-based interventions. J. Med. Internet Res. 14(6), e152 (2012)CrossRefGoogle Scholar
  13. 13.
    Chatterjee, S., Csikszentmihalyi, M., Nakamura, J., Drew, D., Patrick, K.: From persuasion to empowerment: a layered model, metrics and measurement. In: Proceedings of Persuasive 2010, Copenhagen, Denmark, 7–9 June 2010 (2010)Google Scholar
  14. 14.
    Dempsey, I., Foreman, P.: Toward a clarification of empowerment as an outcome of disability service provision. Int. J. Disabil. Dev. Educ. 44, 287–303 (1997)CrossRefGoogle Scholar
  15. 15.
    Koren, P.E., DeChillo, N., Friesen, B.J.: Measuring empowerment in families whose children have emotional disabilities: a brief questionnaire. Rehabil. Psychol. 37, 305–321 (1992). Scholar
  16. 16.
    Rappaport, J.: Terms of empowerment/exemplars of prevention: toward a theory of community psychology. Am. J. Commun. Psychol. 15(2), 121–148 (1987). Scholar
  17. 17.
    Zimmerman, M.A.: Psychological empowerment: issues and illustrations. Am. J. Commun. Psychol. 23, 581–599 (1995)CrossRefGoogle Scholar
  18. 18.
    Jerofke, T.A.: Patient perceptions of patient-empowering nurse behaviors, patient activation, and functional health status after surgery (2013).
  19. 19.
    Zeglat, D., Aljaber, M., Alrawabdeh, W.: Understating the impact of employee empowerment on customer-oriented behavior. J. Bus. Stud. Q. 6(1), 55–67 (2014)Google Scholar
  20. 20.
    Foster-Fishman, P.G., Salem, D.A., Chibnall, S., Legler, R., Yapchai, C.: Empirical support for the critical assumptions of empowerment theory. Am. J. Commun. Psychol. 26(4), 507–536 (1998). Scholar
  21. 21.
    Oladipo, S.E.: Psychological empowerment and development. Edo J. Couns. 2(1), 118–126 (2009)Google Scholar
  22. 22.
    Decker, J.H., Lourenco, F.S., Doll, B.B., Hartley, C.A.: Experiential reward learning out-weighs instruction prior to adulthood. Cogn. Affect. Behav. Neurosci. 15(2), 310–320 (2015)CrossRefGoogle Scholar
  23. 23.
    Walton, G.M.: New research on behavior change. Department of Psychology Stanford University (n.d.) Accessed 14 Dec 2015
  24. 24.
    Introduction to context: identity and belonging. (n.d.). Accessed 27 Mar 2016
  25. 25.
    Stibe, A.: Towards a framework for socially influencing systems: meta-analysis of four PLS-SEM based studies. In: MacTavish, T., Basapur, S. (eds.) PERSUASIVE 2015. LNCS, vol. 9072, pp. 172–183. Springer, Cham (2015). Scholar
  26. 26.
    Franklin, V.L., Greene, A., Waller, A., Greene, S.A., Pagliari, C.: Patients’s engagement with “sweet talk”: a text messaging support system for young people with diabetes. J. Med. Internet Res. 10, e20 (2008)CrossRefGoogle Scholar
  27. 27.
    Makinen, M.: Digital empowerment as a process for enhancing citizens’ participation. E-Learning 3(3), 381–395 (2006). Scholar
  28. 28.
    Information and communication technologies. UNESCO. Accessed 15 Dec 2015.
  29. 29.
    Smith, J., Gardner, B., Michie, S.: Self efficacy guidance material for health trainer service. UCL, London (2010).
  30. 30.
    Kasmel, A., Andersen, P.T.: Measurement of community empowerment in three community programs in Rapla (Estonia). Int. J. Env. Res. Public Health 8(3), 799–817 (2011)CrossRefGoogle Scholar
  31. 31.
    The CDC guide to strategies to increase physical activity in the community. In: CDC (2011) Accessed 7 May 2016
  32. 32.
    Kurc, A.R., Leatherdale, S.T.: The effect of social support and school-and community-based sports on youth physical activity. Can. J. Public Health/Revue Canadienne de Sante’e Publique, 60–64 (2009)Google Scholar
  33. 33.
    Ajzen, I.: The theory of planned behavior. Organ. Behav. Human Decis. Process. 50, 179–211 (1991)CrossRefGoogle Scholar
  34. 34.
    Behavioral Intention. In: CHIRr (2017). Accessed 3 Mar 2017
  35. 35.
    Dixon-Fyle, S., Gandhi, S., Pellathy, T., Spatharou, A.: Changing patient behavior: the next frontier in healthcare value. McKinsey & Company, September 2012. Accessed 8 Nov 2015
  36. 36.
    Shank, D.B., Cotten, S.R.: Does technology empower urban youth? The relationship of technology use to self-efficacy. Comput. Educ. 70, 184–193 (2014)CrossRefGoogle Scholar
  37. 37.
    Cummings, N.G.:. Fostering sustainable behavior through design: a study of the social, psychological, and physical influences of the built environment. University of Massachusetts Amherst (2012).
  38. 38.
    Boomsma, A.: Robustness of LISREL against small sample sizes in factor analysis models. In: Joreskog, K.G., Wold, H., (eds.) Systems Under Indirection Observation: Causality, Structure, Prediction (Part I), Amsterdam, Netherlands, North Holland, pp. 149–173 (1982)Google Scholar
  39. 39.
    Boomsma, A.: Nonconvergence, improper solutions, and starting values in LISREL maximum likelihood estimation. Psychometrika 50, 229–242 (1985)CrossRefGoogle Scholar
  40. 40.
    Tengland, P.-A.: Behavior change or empowerment: on the ethics of health-promotion strategies. Public Health Ethics 5(2), 140–153 (2012). Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Princess Nourah bint Abdulrahman UniversityRiyadhSaudi Arabia
  2. 2.Claremont Graduate UniversityClaremontUSA
  3. 3.Paris ESLSCA Business SchoolParisFrance
  4. 4.MIT Media LabCambridgeUSA

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