Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol

Ollier, Joseph; Neff, Simon; Dworschak, Christine; Sejdiji, Arber; Santhanam, Prabhakaran; Keller, Roman; Xiao, Grace; Asisof, Alina; Rüegger, Dominik; Bérubé, Caterina; Hilfiker Tomas, Lena; Neff, Joël; Yao, Jiali; Alattas, Aishah; Varela-Mato, Veronica; Pitkethly, Amanda; Vara, Mª Dolores; Herrero, Rocío; Baños, Rosa Mª; Parada, Carolina; Agatheswaran, Rajashree Sundaram; Villalobos, Victor; Keller, Olivia Clare; Chan, Wai Sze; Mishra, Varun; Jacobson, Nicholas; Stanger, Catherine; He, Xinming; von Wyl, Viktor; Weidt, Steffi; Haug, Severin; Schaub, Michael; Kleim, Birgit; Barth, Jürgen; Witt, Claudia; Scholz, Urte; Fleisch, Elgar; Wangenheim, Florian von; Car, Lorainne Tudor; Müller-Riemenschneider, Falk; Hauser-Ulrich, Sandra; Asomoza, Alejandra Núñez; Salamanca-Sanabria, Alicia; Mair, Jacqueline Louise; Kowatsch, Tobias

doi:10.3389/fpubh.2021.625640

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23406

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol
Authors:	Ollier, Joseph Neff, Simon Dworschak, Christine Sejdiji, Arber Santhanam, Prabhakaran Keller, Roman Xiao, Grace Asisof, Alina Rüegger, Dominik Bérubé, Caterina Hilfiker Tomas, Lena Neff, Joël Yao, Jiali Alattas, Aishah Varela-Mato, Veronica Pitkethly, Amanda Vara, Mª Dolores Herrero, Rocío Baños, Rosa Mª Parada, Carolina Agatheswaran, Rajashree Sundaram Villalobos, Victor Keller, Olivia Clare Chan, Wai Sze Mishra, Varun Jacobson, Nicholas Stanger, Catherine He, Xinming von Wyl, Viktor Weidt, Steffi Haug, Severin Schaub, Michael Kleim, Birgit Barth, Jürgen Witt, Claudia Scholz, Urte Fleisch, Elgar Wangenheim, Florian von Car, Lorainne Tudor Müller-Riemenschneider, Falk Hauser-Ulrich, Sandra Asomoza, Alejandra Núñez Salamanca-Sanabria, Alicia Mair, Jacqueline Louise Kowatsch, Tobias
et. al:	No
DOI:	10.3389/fpubh.2021.625640 10.21256/zhaw-23406
Published in:	Frontiers in Public Health
Volume(Issue):	9
Issue:	625640
Issue Date:	2021
Publisher / Ed. Institution:	Frontiers Research Foundation
ISSN:	2296-2565
Language:	English
Subjects:	Chatbot; Public health; Coaching; Conversational agent; Pandemic lifestyle care
Subject (DDC):	614: Public health and prevention of disease
Abstract:	Background: The current COVID-19 coronavirus pandemic is an emergency on a global scale, with huge swathes of the population required to remain indoors for prolonged periods to tackle the virus. In this new context, individuals' health-promoting routines are under greater strain, contributing to poorer mental and physical health. Additionally, individuals are required to keep up to date with latest health guidelines about the virus, which may be confusing in an age of social-media disinformation and shifting guidelines. To tackle these factors, we developed Elena+, a smartphone-based and conversational agent (CA) delivered pandemic lifestyle care intervention. Methods: Elena+ utilizes varied intervention components to deliver a psychoeducation-focused coaching program on the topics of: COVID-19 information, physical activity, mental health (anxiety, loneliness, mental resources), sleep and diet and nutrition. Over 43 subtopics, a CA guides individuals through content and tracks progress over time, such as changes in health outcome assessments per topic, alongside user-set behavioral intentions and user-reported actual behaviors. Ratings of the usage experience, social demographics and the user profile are also captured. Elena+ is available for public download on iOS and Android devices in English, European Spanish and Latin American Spanish with future languages and launch countries planned, and no limits on planned recruitment. Panel data methods will be used to track user progress over time in subsequent analyses. The Elena+ intervention is open-source under the Apache 2 license (MobileCoach software) and the Creative Commons 4.0 license CC BY-NC-SA (intervention logic and content), allowing future collaborations; such as cultural adaptions, integration of new sensor-related features or the development of new topics. Discussion: Digital health applications offer a low-cost and scalable route to meet challenges to public health. As Elena+ was developed by an international and interdisciplinary team in a short time frame to meet the COVID-19 pandemic, empirical data are required to discern how effective such solutions can be in meeting real world, emergent health crises. Additionally, clustering Elena+ users based on characteristics and usage behaviors could help public health practitioners understand how population-level digital health interventions can reach at-risk and sub-populations.
URI:	https://digitalcollection.zhaw.ch/handle/11475/23406
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Appears in collections:	Publikationen Angewandte Psychologie

Files in This Item:

File	Description	Size	Format
2021_Ollier-etal_Elena+Care-for-COVID-19.pdf		498.46 kB	Adobe PDF	View/Open

Show full item record

Ollier, J., Neff, S., Dworschak, C., Sejdiji, A., Santhanam, P., Keller, R., Xiao, G., Asisof, A., Rüegger, D., Bérubé, C., Hilfiker Tomas, L., Neff, J., Yao, J., Alattas, A., Varela-Mato, V., Pitkethly, A., Vara, M. D., Herrero, R., Baños, R. M., et al. (2021). Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol. Frontiers in Public Health, 9(625640). https://doi.org/10.3389/fpubh.2021.625640

Ollier, J. et al. (2021) ‘Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol’, Frontiers in Public Health, 9(625640). Available at: https://doi.org/10.3389/fpubh.2021.625640.

J. Ollier et al., “Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol,” Frontiers in Public Health, vol. 9, no. 625640, 2021, doi: 10.3389/fpubh.2021.625640.

OLLIER, Joseph, Simon NEFF, Christine DWORSCHAK, Arber SEJDIJI, Prabhakaran SANTHANAM, Roman KELLER, Grace XIAO, Alina ASISOF, Dominik RÜEGGER, Caterina BÉRUBÉ, Lena HILFIKER TOMAS, Joël NEFF, Jiali YAO, Aishah ALATTAS, Veronica VARELA-MATO, Amanda PITKETHLY, Mª Dolores VARA, Rocío HERRERO, Rosa Mª BAÑOS, Carolina PARADA, Rajashree Sundaram AGATHESWARAN, Victor VILLALOBOS, Olivia Clare KELLER, Wai Sze CHAN, Varun MISHRA, Nicholas JACOBSON, Catherine STANGER, Xinming HE, Viktor VON WYL, Steffi WEIDT, Severin HAUG, Michael SCHAUB, Birgit KLEIM, Jürgen BARTH, Claudia WITT, Urte SCHOLZ, Elgar FLEISCH, Florian von WANGENHEIM, Lorainne Tudor CAR, Falk MÜLLER-RIEMENSCHNEIDER, Sandra HAUSER-ULRICH, Alejandra Núñez ASOMOZA, Alicia SALAMANCA-SANABRIA, Jacqueline Louise MAIR und Tobias KOWATSCH, 2021. Elena+ care for COVID-19, a pandemic lifestyle care intervention : intervention design and study protocol. Frontiers in Public Health. 2021. Bd. 9, Nr. 625640. DOI 10.3389/fpubh.2021.625640

Ollier, Joseph, Simon Neff, Christine Dworschak, Arber Sejdiji, Prabhakaran Santhanam, Roman Keller, Grace Xiao, et al. 2021. “Elena+ Care for COVID-19, a Pandemic Lifestyle Care Intervention : Intervention Design and Study Protocol.” Frontiers in Public Health 9 (625640). https://doi.org/10.3389/fpubh.2021.625640.

Ollier, Joseph, et al. “Elena+ Care for COVID-19, a Pandemic Lifestyle Care Intervention : Intervention Design and Study Protocol.” Frontiers in Public Health, vol. 9, no. 625640, 2021, https://doi.org/10.3389/fpubh.2021.625640.