Table 3 Influence of motivation, ability and triggers on adoption and adherence mapped to the Fogg behaviour model
Fogg behaviour modelRecruitment
Social mediaPractice
AdoptionMotivationPatients’ motivations were low, with a very short, impersonal invitation from an organisation they ‘followed’.Patients’ motivations were high, with a personal invitation from their trusted healthcare professional.
AbilityPatients’ abilities were presumed to be high as users of social media all that was required was to ‘click a link’ In a Tweet or Facebook message.Patients’ abilities were relatively low, as an immediate response was not possible. Potential users had to locate the download information when they next had access to a suitable device.
TriggerThe posts in the Facebook and Twitter (triggers) reached 400,000 followers, 300 clicked to the webpage, 87 downloaded and registered to use the app.The invitation letters and nurse invitations were sent/given directly to 608 patients, of whom 24 downloaded and registered to use the app.
AdherenceMotivationPatients’ motivations were low, with no encouragement from their practice and no further social media communication.Patients’ motivations were relatively high, both because of the interest of their healthcare professional but also the group providing interviews were personally involved in talking with a researcher.
AbilityPatients’ abilities were good as most reported few problems with using the app.Patients’ abilities were good as most reported few problems with using the app.
TriggerTrigger in the form of notifications and reminders were available on the app.Triggers in the form of notifications and reminders were available on the app.