Theoretical advances in mobile health communication research: An empowerment approach to self-management

Nicola Brew-Sam, Arul Chib

Research output: Chapter/Conference proceedingChapterAcademic

4 Citations (Scopus)


This chapter introduces an empowerment approach for understanding mHealth usage behaviors in the context of chronic disease self-management, with a focus on diabetes. Empowerment, a multidimensional approach including both psychological and social support dimensions, has been proven a fundamental motivational antecedent of self-management. This approach addresses shortcomings of traditional technology adoption and usage models that deliver explanations for mHealth. In doing so, this chapter addresses the general lack in theory in the mainly applied mHealth research field, which has examined empowerment as an outcome of mHealth use. In contrast, we propose empowerment as an antecedent of mHealth use to deepen our understanding of overall technology-supported self-management processes. A model on relationships between empowerment, mHealth use, and self-management is outlined, examining smart device apps for diabetes self-management as an exemplary case.
Original languageEnglish
Title of host publicationTechnology and health
Subtitle of host publicationPromoting attitude and behavior change
PublisherElsevier Inc.
Number of pages27
ISBN (Electronic)9780128169582
ISBN (Print)9780128169599
Publication statusPublished - 1 Jan 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Elsevier Inc. All rights reserved.


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