A promising tool for bettering people’s health is eHealth (or “mHealth”) programs: fully automated, web-based health interventions. However, we know surprisingly little about eHealth’s working mechanisms. One possible working mechanism is that program users benefit from a collaborative “relationship”—a “working alliance”—with the program. Although evidence support the existence of a person-to-program alliance it is unclear if and how it influences change. Therefore, we conducted a grounded theory study of how relating to an eHealth program for quitting smoking influenced the participants’ change processes. The ensuing model focuses on how participants got change-space—feeling free from social forcing and able to work constructively on changing—and how the relational processes “making come-alive” and “keeping un-alive” were instrumental in this process. By presenting evidence that relating may influence change in automated therapy, this study supports the person-to-program alliance as a working mechanism in eHealth.
Working Alliance, Therapeutic Alliance, E-Alliance, eHealth, mHealth, Telehealth, Grounded Theory, Qualitative Research
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Recommended APA Citation
Holter, M. T., Ness, O., Johansen, A., & Brendryen, H. (2019). Getting Change-Space: A Grounded Theory Study of Automated eHealth Therapy. The Qualitative Report, 24(7), 1636-1657. https://doi.org/10.46743/2160-3715/2019.3988
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