使用复杂性科学方法来评估即时适应性干预措施的有效性:一个元分析
1School of Communication, Northern Arizona University, Flagstaff, AZ, USA.
Digital health
|July 31, 2023
概括
恰到好处的适应性干预 (JITAI) 在促进健康行为方面显示出中等有效性. 关键设计原则没有显著改变结果,但被动评估提高了保留率. 需要更多的研究.
科学领域:
- 行为科学 行为科学
- 医疗信息学 医疗信息学
- 复杂性科学 复杂性科学
背景情况:
- 及时适应性干预 (JITAI) 为行为改变提供了个性化的支持.
- 关于JITAI的有效性和设计原则的经验证据仍在发展.
研究的目的:
- 通过复杂性科学方法评估JITAI在促进健康行为的有效性.
- 评估设计原则是否影响JITAI对行为改变的影响.
主要方法:
- 从具有客观健康结果和对照或前后测试设计的研究中对21个效果大小进行了元分析.
- 包括在现实环境中进行的随机和非随机试验.
- 使用RoB 2和ROBINS-I.使用偏差的评估风险.
主要成果:
- 在客观行为变化方面,JITAI显示了中等效应大小 (g = 0.77).
- 理论基础,目标行为和评估类型并没有缓解干预效应.
- 被动评估与更高的干预保留率有关.
结论:
- JITAI在行为改变干预中显示出有效性的证据.
- 需要进一步的高质量的随机试验和不遵守的数据来确认有效性.
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