@Article{信息:doi 10.2196 / / jmir。8108，作者="Kloek, Corelien and Bossen, Dani{\"e}l and de Bakker, Dinny H and Veenhof, Cindy and Dekker, Joost"，标题="混合干预改变慢性躯体疾病患者的行为:系统综述"，期刊="J医学互联网研究"，年="2017"，月="12"，日="21"，卷="19"，数="12"，页数="e418"，关键词="远程医疗;慢性疾病;背景:混合行为改变干预将治疗指导与在线护理相结合。这种提供医疗保健的新方式应该能刺激慢性躯体疾病患者在他们的疾病管理中发挥积极作用。然而，关于混合行为改变干预的有效性以及它们应该如何组成的知识是分散的。目的:这项全面的系统综述旨在为慢性躯体障碍患者提供混合行为改变干预的特点和有效性的概述。方法:我们检索了PubMed、Embase、CINAHL和Cochrane中央对照试验登记处2000年至2017年4月发表的随机对照试验。使用Cochrane协作工具评估偏倚风险。提取研究特征、干预特征和结果数据。 Studies were sorted based on their comparison group. A best-evidence synthesis was conducted to summarize the effectiveness. Results: A total of 25 out of the 29 included studies were of high quality. Most studies (n=21; 72{\%}) compared a blended intervention with no intervention. The majority of interventions focused on changing pain behavior (n=17; 59{\%}), and the other interventions focused on lifestyle change (n=12; 41{\%}). In addition, 26 studies (90{\%}) focused on one type of behavior, whereas 3 studies (10{\%}) focused on multiple behaviors. A total of 23 studies (79{\%}) mentioned a theory as basis for the intervention. The therapeutic guidance in most studies (n=18; 62{\%}) was non face-to-face by using email, phone, or videoconferencing, and in the other studies (partly), it was face-to-face (n=11; 38{\%}). In 26 studies (90{\%}), the online care was provided via a website, and in 3 studies (10{\%}) via an app. In 22 studies (76{\%}), the therapeutic guidance and online care were integrated instead of two separate aspects. A total of 26 outcome measures were included in the evidence synthesis comparing blended interventions with no intervention: for the coping strategy catastrophizing, we found strong evidence for a significant effect. In addition, 1 outcome measure was included in the evidence synthesis comparing blended interventions with face-to-face interventions, but no evidence for a significant effect was found. A total of 6 outcome measures were included in the evidence synthesis comparing blended interventions with online interventions, but no evidence for a significant effect was found. Conclusions: Blended behavior change interventions for patients with chronic somatic disorders show variety in the type of therapeutic guidance, the type of online care, and how these two delivery modes are integrated. The evidence of the effectiveness of blended interventions is inconsistent and nonsignificant for most outcome measures. Future research should focus on which type of blended intervention works for whom. ", issn="1438-8871", doi="10.2196/jmir.8108", url="//www.mybigtv.com/2017/12/e418/", url="https://doi.org/10.2196/jmir.8108", url="http://www.ncbi.nlm.nih.gov/pubmed/29269338" }