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Digital Health Interventions Providing Behavioral Assessment and Goal Prioritization Support: Scoping Review.

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Summary
This summary is machine-generated.

Digital health interventions (DHIs) often fail to help users prioritize health goals. DHIs that actively prompt users to prioritize behaviors show more promise for effective behavior change.

Keywords:
DHIsaffordabilitybehavior changebehavior patternsbehavioral assessmentbehavioral changedigital coachdigital health interventiongoal prioritizationhealth behaviorhealth care systemhealth self-managementmHealth interventionspersonalized supportscoping reviewself-assessmentsystematic review

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Area of Science:

  • Digital Health
  • Behavioral Science
  • Health Informatics

Background:

  • Affordability of healthcare relies on preventive behaviors and self-management.
  • Digital health interventions (DHIs) can support behavior change.
  • Suboptimal goal prioritization hinders behavior change, necessitating DHIs that scaffold this process.

Purpose of the Study:

  • To explore how DHIs support users in identifying and prioritizing health-related goals.
  • To review the current landscape of DHIs for health behavior change and goal prioritization.

Main Methods:

  • A scoping review following PRISMA-ScR guidelines.
  • Searched multiple databases (Web of Science, Scopus, Ovid, EBSCOHOST) for DHIs assessing health behaviors and supporting goal prioritization.
  • Included 56 papers identifying 19 unique DHIs.

Main Results:

  • 19 DHIs were identified, targeting various populations and behaviors (physical activity, diet, smoking, mental health).
  • All DHIs assessed health risks, but only four prompted users to prioritize goals.
  • Behavioral outcome evaluations were mixed; only one DHI showed consistent positive effects.

Conclusions:

  • Most DHIs offer advice but do not actively prompt users for goal prioritization.
  • DHIs that explicitly promote prioritizing specific health behaviors show greater promise.
  • This review provides a basis for designing more effective DHIs for behavior change.