期刊文章I JMIR出版物为预防和管理慢性疾病的动机性访谈技术提供的改卡塔尔世界杯8强波胆分析编:范围评论%A Pedamallu,Havisha %A Ehrhardt,Matthew J %A Maki,Julia %A Carcone,April Idalski %A Hudson,Melissa M %A Waters,Erika A %+圣路易斯华盛顿大学医学院公共卫生科学部，外科学系，校区8100，圣路易斯，63110,1 314 747 5705，waterse@wustl.edu %K动机访谈%K技术%K远程健康%K健康行为%K慢性疾病%K社会经济因素%K健康促进%K疾病管理%K一级预防%K二级预防%K少数民族健康%D 2022 %7 9.8.2022 %9综述%J J医学互联网Res %G英语%X背景:动机访谈(MI)可以增加促进健康的行为，减少损害健康的行为。然而，MI通常是资源密集型的，排除了对财务或时间资源有限的人的使用。基于移动健康的MI干预版本或技术交付的MI适配(TAMIs)可能会增加覆盖范围。目的:了解现有TAMIs的特点。我们特别感兴趣的是纳入边缘社会人口群体的人，TAMI是否解决了社会背景因素，以及行为和健康结果如何报告。方法:我们采用PRISMA(系统回顾和荟萃分析首选报告项目)指南进行我们的范围回顾。我们搜索了1996年1月1日至2022年4月6日的PubMed、CINAHL和psyinfo，以确定将MI纳入移动或电子健康平台的干预措施的研究。为了纳入研究，该研究被要求(1)描述MI干预的方法/结果，(2)突出通过移动或电子健康平台自动提供的干预，(3)报告行为或健康结果。 The exclusion criteria were (1) publication in a language other than English and (2) description of only in-person intervention delivery (ie, no TAMI). We charted results using Excel (Microsoft Corp). Results: Thirty-four studies reported the use of TAMIs. Sample sizes ranged from 10 to 2069 participants aged 13 to 70 years. Most studies (n=27) directed interventions toward individuals engaging in behaviors that increased chronic disease risk. Most studies (n=22) oversampled individuals from marginalized sociodemographic groups, but few (n=3) were designed specifically with marginalized groups in mind. TAMIs used text messaging (n=8), web-based intervention (n=22), app + text messaging (n=1), and web-based intervention + text messaging (n=3) as delivery platforms. Of the 34 studies, 30 (88%) were randomized controlled trials reporting behavioral and health-related outcomes, 23 of which reported statistically significant improvements in targeted behaviors with TAMI use. TAMIs improved targeted health behaviors in the remaining 4 studies. Moreover, 11 (32%) studies assessed TAMI feasibility, acceptability, or satisfaction, and all rated TAMIs highly in this regard. Among 20 studies with a disproportionately high number of people from marginalized racial or ethnic groups compared with the general US population, 16 (80%) reported increased engagement in health behaviors or better health outcomes. However, no TAMIs included elements that addressed sociocontextual influences on behavior or health outcomes. Conclusions: Our findings suggest that TAMIs may improve some health promotion and disease management behaviors. However, few TAMIs were designed specifically for people from marginalized sociodemographic groups, and none included elements to help address sociocontextual challenges. Research is needed to determine how TAMIs affect individual health outcomes and how to incorporate elements that address sociocontextual factors, and to identify the best practices for implementing TAMIs into clinical practice. %M 35943775 %R 10.2196/35283 %U //www.mybigtv.com/2022/8/e35283 %U https://doi.org/10.2196/35283 %U http://www.ncbi.nlm.nih.gov/pubmed/35943775