TY -的盟Lycett海伦J盟,雷贝尔Eva M AU - Wildman,艾米莉K盟——Guitart乔迪AU -肯尼,托马斯盟——夏洛克,发生非盟-库珀,凡妮莎PY - 2018 DA - 2018/12/12 TI -基于理论的数字干预改善哮喘自我管理结果:系统回顾乔- J地中海互联网Res SP - e293六世- 20 - 12 KW -哮喘KW -坚持KW -自我管理KW -生活质量KW -数字干预KW - AB心理学理论背景:哮喘是一种慢性疾病，需要有效的自我管理来控制它和防止死亡。越来越多地使用基于理论的数字干预手段促进哮喘自我管理。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开发，以及如何使用理论影响结果，目前的知识有限。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:系统检索电子数据库(CENTRAL、MEDLINE、EMBASE和PsycINFO)，使用预先确定的术语。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定义的纳入标准筛选标题和摘要;三分之一解决了矛盾。对有关研究进行了全文审查。 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. SN - 1438-8871 UR - //www.mybigtv.com/2018/12/e293/ UR - https://doi.org/10.2196/jmir.9666 UR - http://www.ncbi.nlm.nih.gov/pubmed/30541741 DO - 10.2196/jmir.9666 ID - info:doi/10.2196/jmir.9666 ER -