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Social Media-Based Interventions for Health Behavior Change in Low- and Middle-Income Countries: Systematic Review.

Jessie Seiler1, Tanya E Libby1, Emahlea Jackson1

  • 1Department of Epidemiology, University of Washington, Seattle, WA, United States.

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Summary

This review highlights the limited research on effective digital health behavior change interventions in low- and middle-income countries. Few studies quantified social media engagement or used behavior change theories.

Keywords:
behavior changelow- and middle-income countriesmobile phonesocial media

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Area of Science:

  • Digital Health Interventions
  • Public Health
  • Health Behavior Change

Background:

  • Limited evidence exists on digital health behavior change interventions for low- and middle-income countries (LMICs).
  • Existing research primarily focuses on high-income countries.

Purpose of the Study:

  • To systematically review and describe the literature on social media-based behavior change interventions in LMICs.
  • To identify effective strategies and gaps in current research.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched multiple databases including PubMed, Embase, and PsycInfo.
  • Included studies published from 2000 onwards that utilized social media platforms.

Main Results:

  • 33 studies were included in the final analysis from 1832 initial records.
  • 22 studies reported effective social media interventions, but only 13 quantified engagement.
  • Few studies employed behavior change theory (8) or conceptual models (5).

Conclusions:

  • Significant gaps exist in intervention settings, types, follow-up duration, and evaluation methods.
  • There is a need for greater use of theoretical frameworks and discussion of privacy implications in social media health interventions.
  • Further research is needed to optimize digital health behavior change strategies in LMICs.