针对移动卫生干预措施的意外和意想不到的影响进行规划:系统性审查
Weidan Cao1, Xiaohui Cao2, Andrew David Sutherland3
1Department of Biomedical Informatics, College of Medicine, The Ohio State University, 1800 Cannon Drive, 250 Lincoln Tower, Columbus, OH, 43210, United States, 1 6146853181.
Journal of medical Internet research
|August 7, 2025
概括
移动健康 (mHealth) 干预措施可能会产生意想不到的影响,通常是负面的,影响个人和社区. 本次审查确定了26个意外效应 (mHUE),并提供了预防伤害和改进mHealth设计的策略.
科学领域:
- 数字健康数字健康
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 移动健康 (mHealth) 干预措施可能会产生意想不到的后果.
- 之前关于意外影响的研究已经过时,缺乏包括利益相关者在内的视角.
- 了解意外影响对于优化移动健康干预和参与者安全至关重要.
研究的目的:
- 系统地识别移动健康干预措施的意外影响.
- 开发一个类型学 (mHUE) 并探索原因和检测方法.
- 提出预防或减轻意外影响的策略.
主要方法:
- 按照PRISMA指南进行系统审查.
- 生态框架指导分析.
- 包括15项有关mHealth意外影响的相关研究.
主要成果:
- 开发了mHealth Unintended Effects (mHUE) 类型,其中有26种不同的效应.
- 大多数影响 (20/26) 是个人层面的,主要是负面的 (22/26).
- 确定的原因包括使用不当,设计不良和背景不整齐; 建议的预防策略.
结论:
- mHUE类型学突出了跨生态层面的异质,上下文依赖的意外影响.
- 矛盾的是,意想不到的负面影响会使参与者失去力量.
- mHUE类型和策略可以指导更好的mHealth规划,设计和评估.
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