Digital Health Interventions to Improve Engagement in Preventive Care

Aprillia Nurhayati; Zakiyah Yasinea

doi:10.69725/ahproce.v1i1.256

Authors

Aprillia Nurhayati Department of Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia
Zakiyah Yasinea Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia

DOI:

https://doi.org/10.69725/ahproce.v1i1.256

Keywords:

Digital health, Preventive care, Empathy, Personalization, Privacy

Abstract

Objective: This paper explores how these new digital health designs characteristics contribute to preventive care engagement, synthesizing behavioural, ethical, and emotional factors in one framework.
Methods: A cross-sectional design with validated constructs, and estimated with regression and moderation models by mean of EViews software.
Results: Results suggest that empathetic digital connections have the strongest impact on motivating preventive care usage, followed by ritualized nudges integrated in daily life, transparent consent processes, and calibrated friction signals. Crucially, all relationships are moderated by the Privacy personalization threshold, which indicates that personalization increases engagement up to the point beyond which the concerns over privacy over take the perceived value. Above this threshold, the gain from empathy, nudges, consent comfort, and care-related friction are increasingly eroded. This finding underscores the double-edged nature of personalization: while critical for engagement, it risks eroding trust if viewed as too intrusive.
Novelty: It leverages four new constructs Ritualised Micro-Nudge Fit, Friction-as-Care Signal, Consent comfort dynamics, and Agent Anticipatory Empathy and conceptualises privacy personalisation thresholds as moderation boundaries. The model innovatively combines nudge theory, privacy calculus, and affective computing in order to understand digital health engagement.
Implications for Research: The results contribute theoretically through the partial evidence that shows interaction of behavioural economics, emotional design and ethical governance in prevention. From a practical perspective, the study offers direction on developing empathetic, contextually embedded, privacy-sensitive as well as ethically-sound digital health interventions consisting of a blueprint for sustaining global long-term preventive health participation.

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Author Biographies

Aprillia Nurhayati, Department of Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia

Aprillia Nurhayati is a researcher from the Department of Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia. Her work focuses on public health, with a particular interest in promoting health and understanding human behavior.
Zakiyah Yasinea, Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia

Zakiyah Yasinea is a researcher affiliated with the Department of Health Promotion and Behavioural Sciences, Faculty of Public Health, Universitas Airlangga, Indonesia. Her research interests are in the field of public health

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