TY - JOUR AU - Sediva, Hana AU - Cartwright, Tina AU - Robertson, Claire AU - Deb, Sanjoy K PY - 2022 DA - 2022/11/9 TI -中年女性数字健康干预的行为改变技术:系统评价JO - JMIR Mhealth Uhealth SP - e37234 VL - 10is - 11kw -更年期KW -中年KW -女性健康KW -生活方式KW -行为改变技术KW - BCT KW -行为干预KW -数字健康KW -移动健康KW -移动健康KW -更年期症状KW -行为改变KW -回顾KW -手机AB -背景:数字健康干预措施对促进健康的行为(例如，健康饮食和有规律的身体活动)是有效的，可以减轻中年的健康风险和更年期症状。然而，关于这些干预措施变化机制的综合循证知识尚不清楚。目的:本系统综述旨在评价旨在促进中年女性(40-65岁)健康行为的数字健康干预中行为改变技术(bct)和改变机制的研究。方法:系统检索PubMed、Web of Science、PsycINFO、Cochrane图书馆Cochrane Central Register of Controlled Trials等电子数据库。共有2名独立审稿人选择纳入研究，提取数据，并完成符合条件研究的BCT制图。使用行为改变轮框架评估符合条件的研究的作用机制和干预功能。使用理论编码方案对这些干预措施中心理学理论使用的报告进行了探索。分娩方式、心理理论和bct以描述性统计的形式呈现。 Results: In total, 13 interventions (including 1315 women) reviewed used 13 (SD 4.30, range 6-21) BCTs per intervention on average. The “Shaping knowledge” and “Repetition and substitution” behavior change categories were used most frequently, with 92% (12/13) of the interventions implementing at least one of the BCTs from these 2 categories. Only 13.98% (169/1209) of the 93 available BCTs were used, with “Instructions on behaviour” most frequently used (12/13, 92%). The behavior change wheel mapping suggests that half of the intervention content aimed to increase “Capability” (49/98, 50% of the intervention strategies), “Motivation” (41/98, 42%), and “Opportunity” (8/98, 8%). “Behavioural Regulation” was the most frequently used mechanism of action (15/98, 15%), followed by increasing “Knowledge” (13/98, 13%) and “Cognitive and Interpersonal skills” (10/98, 10%). A total of 78% (7/9) of the intervention functions were used in the studies to change behavior, primarily through “Enablement” (60/169, 35.5%), whereas no study used “Restriction” or “Modelling” functions. Although 69% (9/13) of the interventions mentioned a psychological theory or model, most (10/13, 77%) stated or suggested rather than demonstrated the use of a theoretical base, and none reported explicit links between all BCTs within the intervention and the targeted theoretical constructs. Technological components were primarily based on web-based (9/13, 69%) modes of delivery, followed by phone or SMS text message (8/13, 62%) and wearables (7/13, 54%). Conclusions: The findings of this review indicate an overall weak use of theory, low levels of treatment fidelity, insignificant outcomes, and insufficient description of several interventions to support the assessment of how specific BCTs were activated. Thus, the identified limitations in the current literature provide an opportunity to improve the design of lifestyle health-enhancing interventions for women in midlife. Trial Registration: PROSPERO CRD42021259246; https://tinyurl.com/4ph74a9u SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/11/e37234 UR - https://doi.org/10.2196/37234 UR - http://www.ncbi.nlm.nih.gov/pubmed/36350694 DO - 10.2196/37234 ID - info:doi/10.2196/37234 ER -