@Article{信息:doi 10.2196 / / jmir。9666，作者=“Lycett, Helen J和Raebel, Eva M和Wildman, Emilie K和Guitart, Jordi和Kenny, Thomas和Sherlock, Jon-Paul和Cooper, Vanessa”，标题=“基于理论的数字干预改善哮喘自我管理结果:系统综述”，期刊=“J Med Internet Res”，年=“2018”，月=“12”，日=“12”，卷=“20”，数=“12”，页=“e293”，关键词=“哮喘;依从性;自我管理;生活质量;数字的干预措施;背景:哮喘是一种慢性疾病，需要有效的自我管理来控制它，防止死亡。越来越多地使用基于理论的数字干预手段促进哮喘自我管理。然而，关于心理学理论如何以及在多大程度上应用于数字干预的开发，以及如何使用理论影响结果，目前的知识有限。目的:本研究旨在研究理论在数字干预发展中的使用和应用，以增强哮喘自我管理，并评估基于理论的干预在改善依从性、自我管理和临床结果方面的有效性。 Methods: Electronic databases (CENTRAL, MEDLINE, EMBASE, and PsycINFO) were searched systematically using predetermined terms. Additional studies were identified by scanning references within relevant studies. Two researchers screened titles and abstracts against predefined inclusion criteria; a third resolved discrepancies. Full-text review was undertaken for relevant studies. Those meeting inclusion criteria were assessed for risk of bias using the Cochrane Collaboration tool. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Study outcomes were classified as medication adherence, self-management, asthma control, clinical markers of health, quality of life, other quality of life outcomes, and health care utilization. Effectiveness was calculated as an average outcome score based on the study's reported significance. The Theory Coding Scheme (TCS) was used to establish the extent to which each intervention had applied theory and which theoretical constructs or behavioral determinants were addressed. Associations between TCS scores and asthma outcomes were described within a narrative synthesis. Results: Fourteen studies evaluating 14 different digital interventions were included in this review. The most commonly cited theories were Social Cognitive Theory, Health Belief Model, and Self-Efficacy Theory. A greater use of theory in the development of interventions was correlated with effective outcomes (r=.657; P=.01): only the 3 studies that met >60{\%} of the different uses of theory assessed by the TCS were effective on all behavioral and clinical outcomes measured. None of the 11 studies that met ≤60{\%} of the TCS criteria were fully effective; however, 3 interventions were partially effective (ie, the intervention had a significant impact on some, but not all, of the outcomes measured). Most studies lacked detail on the theoretical constructs and how they were applied to the development and application of the intervention. Conclusions: These findings suggest that greater use of theory in the development and application of digital self-management interventions for asthma may increase their effectiveness. The application of theory alone may not be enough to yield a successful intervention, and other factors (eg, the context in which the intervention is used) should be considered. A systematic approach to the use of theory to guide the design, selection, and application of intervention techniques is needed. ", issn="1438-8871", doi="10.2196/jmir.9666", url="//www.mybigtv.com/2018/12/e293/", url="https://doi.org/10.2196/jmir.9666", url="http://www.ncbi.nlm.nih.gov/pubmed/30541741" }