改变行为的个性化干预措施:对适时适应性干预措施的范围审查。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-11-14 DOI:10.1111/bjhp.12766
Ting-Chen Chloe Hsu, Pauline Whelan, Julie Gandrup, Christopher J Armitage, Lis Cordingley, John McBeth
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引用次数: 0

摘要

目的:研究行为改变方面的及时适应性干预(JITAIs)的开发、实施和评估,并评估干预报告的质量:方法:对采用移动医疗(mHealth)技术改善成人健康相关行为的即时适应性干预进行范围界定。我们使用与JITAIs、移动医疗、行为改变和干预方法相关的术语对MEDLINE、Embase和PsycINFO进行了检索。叙事分析评估了理论基础、实时数据采集和处理方法、结果评估以及 JITAI 的疗效总结。干预报告的质量采用干预描述和复制模板(TIDieR)清单进行评估:共纳入了 62 项 JITAI,涉及体育锻炼、久坐行为、饮食行为、药物使用、性行为、液体摄入、坚持治疗、社交技能、赌博行为和自我管理技能。大部分(71%)旨在评估可行性、可接受性和/或可用性。在 46 项研究中发现了开发 JITAI 的支持性证据,其中 67% 将其用于开发定制的干预内容。半数以上(55%)的研究仅依靠自我报告数据进行定制,13 项研究仅使用被动监测数据。虽然普遍报告了数据处理方法,但 44% 的研究没有具体说明其技术。89% 的 JITAI 设计在 TIDieR 核对表中获得满分,并提供了有关 JITAI 组成部分的足够详细信息。总体而言,在不同的行为和环境下,综合技援方案被证明是可行的、可接受的和用户友好的。随机试验表明,量身定制的干预措施是有效的,尽管结果因行为而异:结论:JITAIs 为开发个性化干预措施提供了一种前景广阔的方法,其潜在效果正在不断增强。建议的清单强调了报告透明度在建立健全的干预设计中的重要性。
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Personalized interventions for behaviour change: A scoping review of just-in-time adaptive interventions.

Purpose: Examine the development, implementation and evaluation of just-in-time adaptive interventions (JITAIs) in behaviour change and evaluate the quality of intervention reporting.

Methods: A scoping review of JITAIs incorporating mobile health (mHealth) technologies to improve health-related behaviours in adults. We searched MEDLINE, Embase and PsycINFO using terms related to JITAIs, mHealth, behaviour change and intervention methodology. Narrative analysis assessed theoretical foundations, real-time data capturing and processing methods, outcome evaluation and summarized JITAI efficacy. Quality of intervention reporting was assessed using the template for intervention description and replication (TIDieR) checklist.

Results: Sixty-two JITAIs across physical activity, sedentary behaviour, dietary behaviour, substance use, sexual behaviour, fluid intake, treatment adherence, social skills, gambling behaviour and self-management skills were included. The majority (71%) aimed to evaluate feasibility, acceptability and/or usability. Supporting evidence for JITAI development was identified in 46 studies, with 67% applying this to develop tailored intervention content. Over half (55%) relied solely on self-reported data for tailoring, and 13 studies used only passive monitoring data. While data processing methods were commonly reported, 44% did not specify their techniques. 89% of JITAI designs achieved full marks on the TIDieR checklist and provided sufficient details on JITAI components. Overall, JITAIs proved to be feasible, acceptable and user-friendly across behaviours and settings. Randomized trials showed tailored interventions were efficacious, though outcomes varied by behaviour.

Conclusions: JITAIs offer a promising approach to developing personalized interventions, with their potential effects continuously growing. The recommended checklist emphasizes the importance of reporting transparency in establishing robust intervention designs.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
期刊最新文献
Issue Information Determinants of child body weight categorization in parents and health care professionals: An experimental study. Personalized interventions for behaviour change: A scoping review of just-in-time adaptive interventions. Online support groups for family caregivers: A qualitative exploration of social support and engagement. Self-compassion and psychological distress in chronic illness: A meta-analysis.
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