基于高血压成年人mHealth应用程序的自我管理干预中使用的行为改变技术:随机对照试验的系统审查和元分析
You Zhou1,2, Si-Jia Li1, Ren-Qian Huang3
1School of Nursing, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Journal of medical Internet research
|October 22, 2024
概括
移动健康 (mHealth) 应用程序干预有效降低高血压患者的血压. 自我监测和反等关键行为改变技术 (BCT) 显著提高了血压的降低,强调了精心设计的移动健康战略的价值.
科学领域:
- 数字健康数字健康
- 心血管健康 心血管健康
- 行为科学 行为科学
背景情况:
- 高血压是一个重要的全球健康问题.
- 移动健康 (mHealth) 干预为高血压管理提供了一个有希望的方法.
- 需要进一步证实mHealth应用程序的有效性和行为改变技术 (BCT) 推动结果.
研究的目的:
- 评估mHealth应用程序自我管理干预措施对血压 (BP) 控制的影响.
- 识别和分析在这些移动健康干预中使用的BCT.
主要方法:
- 在6个数据库中进行了系统的文献搜索 (2009年1月至2023年10月).
- 通过使用Cochrane风险偏见工具来评估研究质量.
- 使用BCT的分类学 (版本1) 编码BCT,并对数据进行元分析.
主要成果:
- 在分析中包括了16项研究,报告了平均8.7个BCT.
- 常见的BCT包括自我监测,反,指导和药物支持.
- 干预措施显著降低了缩血压 -5.78 mm Hg 和腹缩血压 -3.28 mm Hg.
- 干预的有效性与解决多种风险因素,理论基础,持续时间和BCT的数量有关.
结论:
- 基于mHealth应用程序的自我管理干预措施有效降低高血压患者的血压.
- 干预措施的设计和使用的特定BCT显著影响BP减轻结果.
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