使用互联网促进健康行为改变的研究进展[j]理论基础、行为改变技术的使用和实施方式对效能的影响的系统回顾和meta分析%A Webb,Thomas L %A Joseph,Judith %A Yardley,Lucy %A Michie,Susan %+谢菲尔德大学心理学系，谢菲尔德，s102tn，英国，+44 114 222 6516，t.webb@sheffield.ac.uk互联网干预干预行为改变元分析综述[J] J医学互联网研究背景:互联网越来越多地被用作提供旨在促进健康行为改变的干预措施的媒介。然而，迄今为止对这些干预措施的回顾尚未系统地确定干预措施的特征并将其与有效性联系起来。目的:本综述试图利用最近发表的编码框架来评估理论和行为改变技术的使用，以调查基于互联网的干预措施的哪些特征最能促进健康行为改变。此外，我们希望开发一种新的编码方案，用于评估基于互联网的干预措施的交付模式，并将不同的模式与效果大小联系起来。方法:我们对2000 - 2008年ISI Web of Knowledge收录的数据库(包括BIOSIS Previews和Medline)进行了计算机检索。如果(1)干预的主要组成部分是通过互联网提供的，(2)参与者被随机分配到不同的条件下，(3)干预后采取了与健康相关的行为衡量标准，研究就被包括在内。结果:我们发现85项研究符合纳入标准，提供了43236名参与者的总样本量。平均而言，干预措施对与健康相关的行为有统计学上小但显著的影响(d+ = 0.16, 95% CI 0.09 ~ 0.23)。 More extensive use of theory was associated with increases in effect size (P = .049), and, in particular, interventions based on the theory of planned behavior tended to have substantial effects on behavior (d+ = 0.36, 95% CI 0.15 to 0.56). Interventions that incorporated more behavior change techniques also tended to have larger effects compared to interventions that incorporated fewer techniques (P < .001). Finally, the effectiveness of Internet-based interventions was enhanced by the use of additional methods of communicating with participants, especially the use of short message service (SMS), or text, messages. Conclusions: The review provides a framework for the development of a science of Internet-based interventions, and our findings provide a rationale for investing in more intensive theory-based interventions that incorporate multiple behavior change techniques and modes of delivery. %M 20164043 %R 10.2196/jmir.1376 %U //www.mybigtv.com/2010/1/e4/ %U https://doi.org/10.2196/jmir.1376 %U http://www.ncbi.nlm.nih.gov/pubmed/20164043

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