@Article{信息:doi 10.2196 / / jmir。4790，作者="Alkhaldi, Ghadah和Hamilton, Fiona L和Lau, Rosa和Webster, Rosie和Michie, Susan和Murray, Elizabeth"，标题="提示促进参与数字干预的有效性:系统评价"，期刊="J医学互联网研究"，年="2016"，月="Jan"，日="08"，卷="18"，数="1"，页数="e6"，关键词="系统评价;依从性;参与;提示;背景:数字干预已经有效地改善了许多健康结果和健康行为;此外，它们越来越多地用于不同的卫生保健领域，包括长期疾病的自我管理、心理健康和健康促进。数字干预的全部潜力由于缺乏用户参与而受到阻碍。迫切需要制定有效的策略，促进用户参与数字干预。一种潜在的方法是使用基于技术的提醒或提示。 Objective: To evaluate the effectiveness of technology-based strategies for promoting engagement with digital interventions. Methods: Cochrane Collaboration guidelines on systematic review methodology were followed. The search strategy was executed across 7 electronic databases: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Web of Science, the Education Resources Information Center (ERIC), PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Databases were searched from inception to September 13, 2013, with no language or publication type restrictions, using three concepts: randomized controlled trials, digital interventions, and engagement. Gray literature and reference lists of included studies were also searched. Titles and abstracts were independently screened by 2 authors, then the full texts of potentially eligible papers were obtained and double-screened. Data from eligible papers were extracted by one author and checked for accuracy by another author. Bias was assessed using the Cochrane risk of bias assessment tool. Narrative synthesis was performed on all included studies and, where appropriate, data were pooled using meta-analysis. All findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: A total of 14 studies were included in the review with 8774 participants. Of the 14 studies, 9 had sufficient data to be included in the meta-analyses. The meta-analyses suggested that technology-based strategies can potentially promote engagement compared to no strategy for dichotomous outcomes (relative risk [RR] 1.27, 95{\%} CI 1.01-1.60, I2=71{\%}), but due to considerable heterogeneity and the small sample sizes in most studies, this result should be treated with caution. No studies reported adverse or economic outcomes. Only one study with a small sample size compared different characteristics; the study found that strategies promoting new digital intervention content and those sent to users shortly after they started using the digital intervention were more likely to engage users. Conclusions: Overall, studies reported borderline positive effects of technology-based strategies on engagement compared to no strategy. However, the results have to be interpreted with caution. More research is needed to replicate findings and understand which characteristics of the strategies are effective in promoting engagement and how cost-effective they are. ", issn="1438-8871", doi="10.2196/jmir.4790", url="//www.mybigtv.com/2016/1/e6/", url="https://doi.org/10.2196/jmir.4790", url="http://www.ncbi.nlm.nih.gov/pubmed/26747176" }