基于理论的数字干预措施改善哮喘自我管理结果卡塔尔世界杯8强波胆分析系统评价%A Lycett,Helen J %A Raebel,Eva M %A Wildman,Emilie K %A Guitart,Jordi %A Kenny,Thomas %A Sherlock, john - paul %A Cooper,Vanessa %+ spoful of Sugar Ltd, UCL Business PLC，伦敦托特纳姆法院路97号，w1t4tp，英国，44(0)20 3515 5550,helen@sos-adherence.co.uk %K哮喘%K坚持%K自我管理%K生活质量%K数字干预%K心理理论%D 2018 %7 12.12.2018 %9 Review %J J Med Internet Res %G English %X哮喘是一种慢性疾病，需要有效的自我管理来控制和预防死亡。促进哮喘自我管理的基于理论的数字干预措施的使用正在增加。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发展，或者使用理论如何影响结果的知识有限。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。方法:采用预定词系统检索电子数据库(CENTRAL, MEDLINE, EMBASE, PsycINFO)。通过扫描相关研究中的参考文献来确定其他研究。两名研究人员根据预设的纳入标准筛选标题和摘要;第三个解决了差异。 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. %M 30541741 %R 10.2196/jmir.9666 %U //www.mybigtv.com/2018/12/e293/ %U https://doi.org/10.2196/jmir.9666 %U http://www.ncbi.nlm.nih.gov/pubmed/30541741