TY -的盟Kloek Corelien盟——Bossen丹尼尔AU -德,他Dinny H盟——Veenhof辛迪AU -德克,Joost PY - 2017 DA - 2017/12/21 TI -混合干预在慢性躯体疾病患者改变行为:系统回顾乔- J地中海互联网Res SP - e418六世- 19 - 12 KW -远程医疗KW -慢性疾病KW -行为AB -背景:混合行为改变干预相结合治疗与在线保健指导。这种提供医疗保健的新方式被认为是刺激慢性躯体疾病患者在他们的疾病管理中发挥积极作用。然而，关于混合行为改变干预措施的有效性和它们应该如何组成的知识是分散的。目的:本综合系统综述旨在为慢性躯体疾病患者提供混合行为改变干预的特点和有效性综述。方法:我们搜索PubMed、Embase、CINAHL和Cochrane中央对照试验登记册中2000年至2017年4月发表的随机对照试验。使用Cochrane协作工具评估偏倚风险。提取研究特征、干预特征和结果数据。研究是根据他们的对照组进行排序的。最佳证据综合进行总结的有效性。结果:纳入的29篇研究中有25篇是高质量的。 Most studies (n=21; 72%) compared a blended intervention with no intervention. The majority of interventions focused on changing pain behavior (n=17; 59%), and the other interventions focused on lifestyle change (n=12; 41%). In addition, 26 studies (90%) focused on one type of behavior, whereas 3 studies (10%) focused on multiple behaviors. A total of 23 studies (79%) mentioned a theory as basis for the intervention. The therapeutic guidance in most studies (n=18; 62%) was non face-to-face by using email, phone, or videoconferencing, and in the other studies (partly), it was face-to-face (n=11; 38%). In 26 studies (90%), the online care was provided via a website, and in 3 studies (10%) via an app. In 22 studies (76%), the therapeutic guidance and online care were integrated instead of two separate aspects. A total of 26 outcome measures were included in the evidence synthesis comparing blended interventions with no intervention: for the coping strategy catastrophizing, we found strong evidence for a significant effect. In addition, 1 outcome measure was included in the evidence synthesis comparing blended interventions with face-to-face interventions, but no evidence for a significant effect was found. A total of 6 outcome measures were included in the evidence synthesis comparing blended interventions with online interventions, but no evidence for a significant effect was found. Conclusions: Blended behavior change interventions for patients with chronic somatic disorders show variety in the type of therapeutic guidance, the type of online care, and how these two delivery modes are integrated. The evidence of the effectiveness of blended interventions is inconsistent and nonsignificant for most outcome measures. Future research should focus on which type of blended intervention works for whom. SN - 1438-8871 UR - //www.mybigtv.com/2017/12/e418/ UR - https://doi.org/10.2196/jmir.8108 UR - http://www.ncbi.nlm.nih.gov/pubmed/29269338 DO - 10.2196/jmir.8108 ID - info:doi/10.2196/jmir.8108 ER -