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Communications of the Association for Information Systems

Author ORCID Identifier

Noor E Nazneen: https://orcid.org/0009-0005-0072-3246

Sultana Lubna Alam: https://orcid.org/0000-0002-3600-6047

Lemai Nguyen: https://orcid.org/0000-0003-3695-7245

Abstract

Collaborative relationships underpin effective chronic disease management (CDM), with patients as change seekers, providers as change agents, and Digital Health Technologies (DHTs) as change mediators. In CDM, patients and providers may engage collaboratively with DHTs, resulting in the patient–provider–DHT triadic collaborative relationship. Although the majority of DHTs for CDM are designed for shared use, defined as both patients and providers independently and concurrently engaging with the same system or platform, the current understanding of the interactions between these three parties is fragmented, often adopting a dyadic lens, limiting a holistic understanding. In this systematic review, we examine the current Information Systems (IS) and Health Informatics (HI) discourse in this area, applying a novel triadic collaborative relationship framework, grounded in the Working Alliance Model (WAM) from psychology and the Persuasive Systems Design (PSD) model from IS. Using evidence synthesised from reviewed studies, we refine the framework to illustrate how PSD principles enable both task-oriented and socio-emotional dimensions within the triad. The refined model further differentiates between agentic and non-agentic DHTs, showing how their functional typologies shape collaborative dynamics. Finally, we identify existing research gaps and propose directions for future inquiry to advance a more holistic understanding of triadic collaborative relationships in CDM.

DOI

10.17705/1CAIS.05743

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