%0期刊文章@ 1438- 8871% I JMIR Publicat卡塔尔世界杯8强波胆分析ions Inc. %V 18% N 1% P e6% T提示的有效性，以促进参与数字干预:A alhaldi,Ghadah, A Hamilton,Fiona, L, A Lau,Rosa, A Webster,Rosie, A Michie,Susan, A Murray,Elizabeth + eHealth单元，伦敦大学学院初级保健和人口健康研究部，皇家自由医院三楼，伦敦，NW3 2PF，英国，44 020 7794050 ext 31399，Ghadah.alkhaldi.12@ucl.ac.uk %K系统回顾%K坚持%K参与%K提示%K数字干预%D 2016 %7 08.01.2016 %9原始论文%J J医学互联网Res %G英语%X背景:数字干预在改善许多健康结果和健康行为方面有效;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。目的:评估以技术为基础的策略促进参与数字干预的有效性。方法:遵循Cochrane协作系统评价方法学指南。在7个电子数据库中执行搜索策略:Cochrane对照试验中央登记(Central)、MEDLINE、Embase、Web of Science、教育资源信息中心(ERIC)、PsycINFO和护理及相关健康文献累积索引(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. %M 26747176 %R 10.2196/jmir.4790 %U //www.mybigtv.com/2016/1/e6/ %U https://doi.org/10.2196/jmir.4790 %U http://www.ncbi.nlm.nih.gov/pubmed/26747176