I Gunther Eysenbach对坚持对e-疗法有效性影响的系统回顾%A Donkin,Liesje %A Christensen,Helen %A Naismith,Sharon L %A Neal,Bruce %A Hickie,Ian B %A Glozier,Nick %+悉尼大学脑与心智研究所，100 Mallet Street, Camperdown, 2050，澳大利亚，61 293510520，Liesje.Donkin@sydney.edu.au %K坚持%K坚持%K在线疗法%K电子疗法%K系统综述%D 2011 %7 05.08.2011 %9原创论文%J J医学互联网Res %G英文%X背景:随着电子疗法的普及，支持其有效性的大量文献也越来越多。然而，这些干预措施往往受到高流失率和不同程度的用户依从性的困扰。理解坚持的作用对于理解项目使用如何影响电子治疗干预的有效性可能是至关重要的。目的:本研究的目的是系统回顾电子治疗文献，以(1)描述用于评估依从性的方法和(2)评估依从性与这些干预的结果之间的关系。方法:对跨疾病状态和行为目标的电子治疗干预进行系统回顾。收集依从性措施、结果和探索依从性措施和结果之间关系的分析的数据。结果:在69项报告了依从性测量的研究中，只有33项(48%)研究了依从性和结果之间的关系。登录次数是最常被报告的坚持度指标，其次是完成的模块数量。依从性和结果测量的异质性限制了分析。 However, logins appeared to be the measure of adherence most consistently related to outcomes in physical health interventions, while module completion was found to be most related to outcomes in psychological health interventions. Conclusions: There is large variation in the reporting of adherence and the association of adherence with outcomes. A lack of agreement about how best to measure adherence is likely to contribute to the variation in findings. Physical and psychological outcomes seem influenced by different types of adherence. A composite measure encompassing time online, activity completion, and active engagements with the intervention may be the best measure of adherence. Further research is required to establish a consensus for measuring adherence and to understand the role of adherence in influencing outcomes. %M 21821503 %R 10.2196/jmir.1772 %U //www.mybigtv.com/2011/3/e52/ %U https://doi.org/10.2196/jmir.1772 %U http://www.ncbi.nlm.nih.gov/pubmed/21821503

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