The Role of Social Networks When Using Digital Health Interventions for Multimorbidity

Abstract

The use of a digital health intervention can be a valuable addition to the self-management journey of a person living with multiple chronic conditions (multimorbidity). However, digital technology is but one aspect of self-management. Different social actors, including formal and informal carers also contribute to various self-management efforts. This study investigated the role of social networks in the use of the digital health intervention ProACT, which was designed to support the self-management abilities of older people with multimorbidity (PwMs). Self-reports of social connection, using the Lubben Social Network Scale, and semi-structured interviews after up to one year of ProACT use were analyzed. Family, friends, healthcare professionals, and triage nurses were all found to be relevant actors in the social networks of PwMs. Several psychosocial mechanisms were identified through which different social relationships influenced PwMs' adoption and use of ProACT, including social support, social influence, social engagement, and person-to-person contact. Future digital health interventions should consider these mechanisms for effective implementation of such technology among PwMs.