電子医療の介入の設計と開発における健康に関する識字の調整:体系的レビュー
Jan Wessel Hovingh1,2,3, Cynthia Elderson-van Duin1, Derek A Kuipers3
1Department of Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands, 31 (0)50 361 61 61.
JMIR human factors
|September 2, 2025
まとめ
デジタル・ヘルス・インターベンションは 医療に関する知識の向上に 期待を寄せています しかし,設計理由の不一致な報告は,これらのeHealth戦略の複製と適用を妨げています.
科学分野:
- デジタル・ヘルス
- 健康に関する知識
- 行動科学
背景:
- 医療情報を電子医療の介入に合わせることは,ユーザの関与と効果を高めるために極めて重要です.
- パーソナライズされたeHealthの介入の背後にある設計の論理を理解することは,将来の研究開発に不可欠です.
- 電子医療の介入は急速に拡大しており,デザインの原則を明確に理解することが必要である.
研究 の 目的:
- デジタルヘルス介入 (eHealth) に健康に関する識字概念の統合と策定を体系的に検討する.
- これらの要素が,健康改善を目的としたeHealth介入の全体的な設計の根拠をどのように伝えるかを検討する.
- 適応されたeHealthの介入デザインの品質と再現性を評価する.
主な方法:
- ランダム化試験のための主要なデータベース (PubMed,PsycINFO,Web of Science,ACM) の体系的な検索
- 対象となった研究は,個別化されたeHealthの介入と非個別化されたeHealthの介入による成人の健康改善に焦点を当てたものです.
- データ抽出は,試験の特徴,健康に関する知識,調整方法,設計の理性; QuADSを使用して品質を評価した.
主要な成果:
- ほとんどの介入は認知および社会的な健康の識字を組み込んでおり,主に内容のマッチングをカスタマイズしています.
- コンテンツマッチングはしばしば,支持する理論とエンドユーザーデータを統合した.
- 介入の構成要素は説明されていたが,詳細な設計プロセス説明や全体的な説明は少なかった.
結論:
- 医療に関する知識の向上の可能性を示し,試験設計の全体的な質も良好です.
- 設計理由の不一致は,複製性とeHealthの概念のより広範な採用を制限しています.
- 効果試験における設計選択についてより詳細な報告が必要であり,その結果と特定の介入設計要素を結びつける必要がある.
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