Beyond Availability: Closing Adoption Gaps in Digital Health Prevention — A TSRDM Approach

Abstract

Adoption failures in digital health prevention indicate that availability and technological maturity are insufficient conditions for preventive value creation (Borghouts et al., 2021; Hawkes et al., 2023; Saleem et al., 2021). Prior research suggests that these failures are not primarily driven by user motivation deficits, but by structural problems in translating preventive intent into service design and experienced value (Borges Do Nascimento et al., 2023; Iyanna et al., 2022). This paper applies the Translational Service Research and Design Methodology (TSRDM) (Warg et al., 2025) to examine adoption failures in digital health prevention as service translation problems rather than acceptance or intervention deficits. Drawing on Service-Dominant Logic, Service Science, and Service-Dominated Architecture (SDA) (Vargo and Lusch, 2004; Warg et al., 2016), the study translates observed adoption frictions into service-centered design logic, translational services, and modular service architectures for health insurance ecosystems. The findings demonstrate that preventive value becomes effective only when it is translated into everyday service interactions, that sustained engagement requires continuity-oriented service structures, and that adoption ultimately depends on governance decisions at the level of service architecture rather than on isolated programs or features. The paper contributes transferable service and architectural design knowledge by showing how preventive intent must be translated into service-centered architectures to enable perceivable value, sustained engagement, and adoption in digital health prevention.

Keywords: Digital Health Prevention, TSRDM, User Engagement, Preventive Services

DOI: 10.54941/ahfe1007709