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Increasing Retention in a Trial by Supporting Basic Psychological Needs for Autonomy, Competence and Relatedness: Developing a Theory‐Informed App‐Based Complex Intervention.

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Title: Increasing Retention in a Trial by Supporting Basic Psychological Needs for Autonomy, Competence and Relatedness: Developing a Theory‐Informed App‐Based Complex Intervention.
Authors: Petersen, Anne Poder (AUTHOR), Schmid, Johannes Martin (AUTHOR), Hviid‐Vyff, Bjarke (AUTHOR), Hoffmann, Hans Jürgen (AUTHOR), Finderup, Jeanette (AUTHOR)
Source: Scandinavian Journal of Caring Sciences. Mar2026, Vol. 40 Issue 1, p1-19. 19p.
Subjects: World Wide Web, Patient education, Autonomy (Psychology), Research funding, Human research subjects, Questionnaires, Health, Randomized controlled trials, Behavior, Information resources, Psychology, Allergic rhinitis, Seasonal variations of diseases, Conceptual structures, Adult education workshops, Social support, Needs assessment, Application software, Theory, Health care reminder systems, Software architecture, Stakeholder analysis, Patient participation, Forecasting
Abstract: Aims and Objectives: Most interventions to improve retention in randomised trials have low or uncertain evidence of effect and are not informed by behaviour change science even though behaviour change is their aim. Self‐Determination Theory is an evidence‐based theory within behaviour change science which argues that supporting basic psychological needs for autonomy, competence and relatedness leads to high‐quality motivation, active engagement and well‐being. The purpose of this study was to develop a need‐supportive digital intervention supporting these three psychological needs to increase retention in a randomised allergy trial. Methodological Design: We applied the Medical Research Council's framework for complex interventions and merged the development phase with steps suggested by O'Cathain and colleagues. Development was an iterative process involving patient partners. It included: (1) Evidence review, (2) Identification of theory, (3) Interviews, (4) Workshops, (5) Prototyping, and (6) Programme theory. Results: We developed a web app intended to support participants' basic psychological needs informed by findings from stages one to six in this development process. It included the following features: (a) the option to only complete all questions on days with symptoms, (b) the possibility to answer up to 48 h later, (c) positive feedback when responding to a questionnaire, (d) pollen counts and forecasts, (e) personal and total response rate, (f) visualisation of data entered, (g) advice about grass pollen allergy, (h) updates on the status of the allergy trial, (i) an ability to change the time of the reminder, (j) download icon and (k) contact information. Conclusions: This study provided findings on how to support basic psychological needs among participants with grass pollen allergy in a randomised trial through need‐supportive technology. The web app was ready for a randomised feasibility test within the allergy trial during the grass pollen season of 2022. Trial Registration: Allergy trial: EudraCT 2020–006020‐28 [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Increasing Retention in a Trial by Supporting Basic Psychological Needs for Autonomy, Competence and Relatedness: Developing a Theory‐Informed App‐Based Complex Intervention.
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  Data: <searchLink fieldCode="AR" term="%22Petersen%2C+Anne+Poder%22">Petersen, Anne Poder</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schmid%2C+Johannes+Martin%22">Schmid, Johannes Martin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hviid‐Vyff%2C+Bjarke%22">Hviid‐Vyff, Bjarke</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hoffmann%2C+Hans+Jürgen%22">Hoffmann, Hans Jürgen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Finderup%2C+Jeanette%22">Finderup, Jeanette</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Mar2026, Vol. 40 Issue 1, p1-19. 19p.
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  Data: <searchLink fieldCode="DE" term="%22World+Wide+Web%22">World Wide Web</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Autonomy+%28Psychology%29%22">Autonomy (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Human+research+subjects%22">Human research subjects</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Health%22">Health</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior%22">Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Information+resources%22">Information resources</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Allergic+rhinitis%22">Allergic rhinitis</searchLink><br /><searchLink fieldCode="DE" term="%22Seasonal+variations+of+diseases%22">Seasonal variations of diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Application+software%22">Application software</searchLink><br /><searchLink fieldCode="DE" term="%22Theory%22">Theory</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+reminder+systems%22">Health care reminder systems</searchLink><br /><searchLink fieldCode="DE" term="%22Software+architecture%22">Software architecture</searchLink><br /><searchLink fieldCode="DE" term="%22Stakeholder+analysis%22">Stakeholder analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Forecasting%22">Forecasting</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Aims and Objectives: Most interventions to improve retention in randomised trials have low or uncertain evidence of effect and are not informed by behaviour change science even though behaviour change is their aim. Self‐Determination Theory is an evidence‐based theory within behaviour change science which argues that supporting basic psychological needs for autonomy, competence and relatedness leads to high‐quality motivation, active engagement and well‐being. The purpose of this study was to develop a need‐supportive digital intervention supporting these three psychological needs to increase retention in a randomised allergy trial. Methodological Design: We applied the Medical Research Council's framework for complex interventions and merged the development phase with steps suggested by O'Cathain and colleagues. Development was an iterative process involving patient partners. It included: (1) Evidence review, (2) Identification of theory, (3) Interviews, (4) Workshops, (5) Prototyping, and (6) Programme theory. Results: We developed a web app intended to support participants' basic psychological needs informed by findings from stages one to six in this development process. It included the following features: (a) the option to only complete all questions on days with symptoms, (b) the possibility to answer up to 48 h later, (c) positive feedback when responding to a questionnaire, (d) pollen counts and forecasts, (e) personal and total response rate, (f) visualisation of data entered, (g) advice about grass pollen allergy, (h) updates on the status of the allergy trial, (i) an ability to change the time of the reminder, (j) download icon and (k) contact information. Conclusions: This study provided findings on how to support basic psychological needs among participants with grass pollen allergy in a randomised trial through need‐supportive technology. The web app was ready for a randomised feasibility test within the allergy trial during the grass pollen season of 2022. Trial Registration: Allergy trial: EudraCT 2020–006020‐28 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192556437
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/scs.70208
    Languages:
      – Code: eng
        Text: English
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        PageCount: 19
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    Subjects:
      – SubjectFull: World Wide Web
        Type: general
      – SubjectFull: Patient education
        Type: general
      – SubjectFull: Autonomy (Psychology)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Human research subjects
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Health
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Behavior
        Type: general
      – SubjectFull: Information resources
        Type: general
      – SubjectFull: Psychology
        Type: general
      – SubjectFull: Allergic rhinitis
        Type: general
      – SubjectFull: Seasonal variations of diseases
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Adult education workshops
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Needs assessment
        Type: general
      – SubjectFull: Application software
        Type: general
      – SubjectFull: Theory
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      – SubjectFull: Health care reminder systems
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      – SubjectFull: Software architecture
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      – SubjectFull: Stakeholder analysis
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      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Forecasting
        Type: general
    Titles:
      – TitleFull: Increasing Retention in a Trial by Supporting Basic Psychological Needs for Autonomy, Competence and Relatedness: Developing a Theory‐Informed App‐Based Complex Intervention.
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              Text: Mar2026
              Type: published
              Y: 2026
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