Examples of barriers | EAST constructs [24] | Potential strategies | Mechanisms |
---|---|---|---|
Effort required to attend treatment outweighs motivation | Make it attractive (e.g., attention grabbing messaging, incentives) | Financial incentives [55] | Counters delayed discounting (i.e., self-regulation) |
Hopelessness, social disconnection | Make it social | Enhances perceived social support (i.e., interpersonal processes) | |
Forgetting; rescheduling an appointment that no longer works can be challenging to navigate | Make it easy to change behavior and timely (e.g., plan for action) | Test interactive texting with study staff vs. automated texting to confirm/change appointment if needed [56] | Reduces structural barriers |