@Article{信息:doi 10.2196 / / jmir。4115，作者=“Horsch, Corine和Lancee, Jaap和Beun, Robbert Jan和Neerincx, Mark A和Brinkman, william - paul”，标题=“坚持技术介导的失眠治疗:元分析、访谈和焦点小组”，期刊=“J Med Internet Res”，年=“2015”，月=“Sep”，日=“04”，卷=“17”，数=“9”，页数=“e214”，关键词=“睡眠启动和维持障碍;病人的依从性;荟萃分析;面试;焦点小组;移动应用;背景:已经提出了几种技术来支持减少失眠投诉。对这些技术进行以用户为中心的评估，可以深入了解与治疗依从性相关的潜在因素。目的:深入了解技术介导的失眠治疗的依从性，作为通过应用依从性增强策略来提高依从性的坚实基础。 Methods: Adherence to technology-mediated sleep products was studied in three ways. First, a meta-analysis was performed to investigate adherence rates in technology-mediated insomnia therapy. Several databases were queried for technology-mediated insomnia treatments. After inclusion and exclusion steps, data from 18 studies were retrieved and aggregated to find an average adherence rate. Next, 15 semistructured interviews about sleep-support technologies were conducted to investigate perceived adherence. Lastly, several scenarios were written about the usage of a virtual sleep coach that could support adherence rates. The scenarios were discussed in six different focus groups consisting of potential users (n=15), sleep experts (n=7), and coaches (n=9). Results: From the meta-analysis, average treatment adherence appeared to be approximately 52{\%} (95{\%} CI 43{\%}-61{\%}) for technology-mediated insomnia treatments. This means that, on average, half of the treatment exercises were not executed, suggesting there is a substantial need for adherence and room for improvement in this area. However, the users in the interviews believed they adhered quite well to their sleep products. Users mentioned relying on personal commitment (ie, willpower) for therapy adherence. Participants of the focus groups reconfirmed their belief in the effectiveness of personal commitment, which they regarded as more effective than adherence-enhancing strategies. Conclusions: Although adherence rates for insomnia interventions indicate extensive room for improvement, users might not consider adherence to be a problem; they believe willpower to be an effective adherence strategy. A virtual coach should be able to cope with this ``adherence bias'' and persuade users to accept adherence-enhancing strategies, such as reminders, compliments, and community building. ", issn="1438-8871", doi="10.2196/jmir.4115", url="//www.mybigtv.com/2015/9/e214/", url="https://doi.org/10.2196/jmir.4115", url="http://www.ncbi.nlm.nih.gov/pubmed/26341671" }